Open an Account

Account Information

Applicant Information

Security Questions

Authorization

Account Information

Provide the information requested below and we will confirm your eligibility for the product(s) you selected.

USA Patriot Act - Notice

Important Information About Procedures for Opening a New Account:

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means to you

When you open an Account, GreenLeaf Bank will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask you to provide identifying documents such as driver's license or other information about you.

Personal Information
- Ownership Type *
  Individual Account Joint Account
- Account Type *
  Checking Personal Savings Easy Access Money Market Certificate of Deposit
Applicant Information
- First Name *
- Middle Initial *
- Last Name *
- Email *
  
  You must provide a valid email address to complete your application. We ask for your email address so we can send you important communications relating to your application. Please see our Privacy Policy for more details.
- Social Security Number *
- Date of Birth *
- Address *
- Address 2
  
  No P.O. Boxes please
- City *
- State *
- Zip *
- Primary Phone *
- Work Phone
- Cell Phone
- Government Issued Photo ID *
- State *
- ID Number *
- Issue Date *
- Expiration Date *
Beneficiary Information

The owners of many accounts name payable-on-death (POD) beneficiaries for the accounts. This means that when the account owner (or the last surviving owner, in the case of a joint account) dies, the POD beneficiary can simply claim the money from the Bank. The deceased person's will does not come into play, and there's no need for any probate court involvement, either.

POD designations are widely used because they're simple both for the person who sets them up and the beneficiaries who inherit. Please indicate below if you would like to include a beneficiary at this time.
- Would you like to designate a beneficiary? *
  Yes I do not wish to name a beneficiary at this time
Beneficiary #1
- Beneficiary First Name *
- Beneficiary Middle Initial
- Beneficiary Last Name *
- Beneficiary Relationship *
- Beneficiary Address *
- Beneficiary Address 2
- Beneficiary City *
- Beneficiary State *
- Beneficiary Zip *
- Beneficiary Social Security Number *
- Beneficiary Date of Birth *
Beneficiary #2
- Beneficiary First Name
- Beneficiary Middle Initial
- Beneficiary Last Name
- Beneficiary Relationship
- Beneficiary Address
- Beneficiary Address 2
- Beneficiary City
- Beneficiary State
- Beneficiary Zip
- Beneficiary Social Security Number
- Beneficiary Date of Birth
Beneficiary #3
- Beneficiary First Name
- Beneficiary Middle Initial
- Beneficiary Last Name
- Beneficiary Relationship
- Beneficiary Address
- Beneficiary Address 2
- Beneficiary City
- Beneficiary State
- Beneficiary Zip
- Beneficiary Social Security Number
- Beneficiary Date of Birth
Beneficiary #4
- Beneficiary First Name
- Beneficiary Middle Initial
- Beneficiary Last Name
- Beneficiary Relationship
- Beneficiary Address
- Beneficiary Address 2
- Beneficiary City
- Beneficiary State
- Beneficiary Zip
- Beneficiary Social Security Number
- Beneficiary Date of Birth
Beneficiary #5
- Beneficiary First Name
- Beneficiary Middle Initial
- Beneficiary Last Name
- Beneficiary Relationship
- Beneficiary Address
- Beneficiary Address 2
- Beneficiary City
- Beneficiary State
- Beneficiary Zip
- Beneficiary Social Security Number
- Beneficiary Date of Birth
Joint Applicant
- First Name *
- Middle Initial *
- Last Name *
- Email *
  
  You must provide a valid email address to complete your application. We ask for your email address so we can send you important communications relating to your application. Please see our Privacy Policy for more details.
- Social Security Number *
- Date of Birth *
- Address *
- Address 2
  
  No P.O. Boxes please
- City *
- State *
- Zip *
- Primary Phone *
- Work Phone
- Cell Phone
- Government Issued Photo ID *
- State *
- ID Number *
- Issue Date *
- Expiration Date *
Security Questions

Please answer a minimum of two questions. These questions may be asked at any time by a GreenLeaf Bank employee to verify your identity.
- Select a security question *
- Security question 1 answer *
- Select a security question *
- Security question 2 answer *
Authorization

To complete the account opening process, you must stop by a GreenLeaf Bank location with your government-issued photo ID.
- I will complete my account opening at *
  Greenleaf location Wrightstown location
- As part of the account opening process, GreenLeaf Bank will obtain information about you from a consumer reporting agency. Based on that information, you may or may not be approved to open the account.
  * I authorize GreenLeaf Bank to access consumer reports for me and any joint applicants in order to process this application.

Open An Account with GreenLeaf Bank

Account Information

USA Patriot Act - Notice

Personal Information

Applicant Information

Beneficiary Information

Beneficiary #1

Beneficiary #2

Beneficiary #3

Beneficiary #4

Beneficiary #5

Joint Applicant

Security Questions

Authorization

Open An Account with
GreenLeaf Bank