Business Deposit Options Application

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If you have any comments or concerns, please contact our Customer Call Center at 585.394.4260 ext. 0.

Once you have completed this online application, a bank representative will be in contact with you.

Asterisk (*) indicates required field.

Account Information

Customer Type *

New Customer
Existing Customer

Applying for

Number of Applicants (up to 3)

Business Information

Business Legal Name*

Business Address*

City*

State*

Zip*

Business Phone*

Fax

Nature of Business*

Is the business involved in or does it have an
income stream generated from internet gambling?*

Date Business Established*

Present Ownership Since*

Number of Employees*

Business Structure*

Other Business Structure

Tax ID or SSN*

Identification Information

Signor 1 Identification First Name

Middle Initial

Last Name

Home Phone

Email Address

Tax ID No

DOB

Type of Identification

Other Identification Type

Issued By

Number

Issue Date

Expiration Date

Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. We will ask for your name, address, date of birth and other information that will allow us to identify you. We will ask you to provide information from your driver’s license or other identifying documents. In all cases, protection of your identity and confidentiality is our pledge to you.

Other Information

Interested in Other Services

Additional Comments

72 South Main Street, Canandaigua NY 14424
800.724.2621 | 585.394.4260

ADA Compliance

Account Information

Business Information

Identification Information

Other Information