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Personal Information

  • OK Name is required
  • OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • OK Home Phone is required
  • Optional OK Daytime Phone is required
  • OK Mother's Maiden Name is required
  • OK Email is required

Address Information

  • OK Residential Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Use residential address for mailing address

    OK Use residential address for mailing address is required
  • OK Mailing Address (if different than above) is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Account Information

    Identify the accounts you wish to convert to eStatements:

  • OK Account 1 is required
  • Optional OK Account 2 is required
  • Optional OK Account 3 is required
  • Optional OK Account 4 is required
  • Optional OK Account 5 is required
  • Optional OK Account 6 is required
  • Optional OK Account 7 is required
  • Optional OK Account 8 is required

Electronic Notification for eStatements

    Before enrolling in TexasBank eStatements service to access your statement online, we must obtain your consent and acceptance of the terms outlined below.

    eStatement Services

    If you elect to access your Bank statements through electronic means, you will no longer receive paper statements through the US Postal Service. There is no fee for this service. If at any time you wish to receive a copy of a bank statement in paper copy, you may request it by contacting your local branch. Our regular research fees apply.

    You will be notified by E-mail when the statement is available for retrieval. Once your eStatement is downloaded, you can view it from your screen, print it for permanent storage, or save it as a file on your personal computer.

    Your consent of this electronic delivery, evidenced by your selecting “I agree” at the end of this agreement, authorizes TexasBank to forward to you, electronically, a monthly reminder that your bank statement is available online.

    In order for the bank to notify you when your statements are available, we require your current e-mail address. If this information should change, it is your responsibility to notify the bank immediately of your new e-mail address. All e-mail address change requests must be made in writing to the following:

    PO Box 1429
    Brownwood, TX, 76804

    If we are made aware, through electronic notification, that the e-mail address we have on file for you is not accurate, we will attempt to mail a paper copy of your statement to the last known postal address we have on file for the related account(s). Receiving this electronic notification two consecutive months will result in automatic termination of the service. You will then begin to receive monthly paper statements and have to re-enroll in the service upon providing updated contact information to the bank.

    Statement Notification

    When your account statement is generated, we send an e-mail notification to the most recent e-mail address we have on record. You can retrieve your statement anytime thereafter, however, we recommend that you promptly review, print and/or download the statement to verify that all information related to your account is accurate. Your responsibility to report eStatement errors to us is the same as if you had received a paper statement.

    System Requirements to Receive Online Statements

    Opting for the eStatement service requires that you have access to a personal computer with a web browser, an Internet service provider and Adobe Acrobat Reader for viewing your statements. The preferred browser is Microsoft Explorer, version 5.0 or higher and Adobe version 7.0 or higher. You will need a printer if you want to create a paper copy of your statements.

    By completing an eStatement application, you confirm that you have the equipment that provides the ability to receive and retain electronic statements and disclosures.

    From time to time, we may make upgrades to our hardware and software systems. You will be notified of these upgrades and any additional requirements necessary to continue to receive statements and disclosures electronically.

    Termination of Service

    This agreement will remain in effect until terminated by you or the Bank.

    You may cancel your Online Statement service at any time by providing a written notice by US Mail to:

    PO Box 1429
    Brownwood, TX, 76804

    The eStatement service will be terminated immediately upon receipt of proper notification.

    OK I agree is required

Security Code

  • OK is required
  • TexasBank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.

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