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Make the switch to

West Milton State Bank.





We Care More


Member FDIC

Its so easy! Heres what you do:
1. Fill out the following two information sheets.
2. Bring the completed sheets along with your valid drivers license, a second form of
identification and your initial deposit to any West Milton State Bank office.
3. A knowledgeable Customer Service Specialist will take care of the rest.

What do I do about new checks? Well give you your 1
st
order of checks FREE*.

Is it going to be a hassle to switch my direct deposits and automatic payments? No. Our
knowledgeable Customer Service Specialists will assist you.

What do I tell my old bank? West Milton State Bank made you an offer you cant refuse.


OFFICE LOCATIONS
West Milton Office: 940 High Street West Milton, PA 17886 (570) 568-6851
Lewisburg Office: 2005 W. Market Street Lewisburg, PA 17837 (570) 524-7800
Mifflinburg Office: 40 Hardees Drive Mifflinburg, PA 17844 (570) 966-2555
Watsontown Office: 1025 Main Street Watsontown, PA 17777 (570) 538-3698
Beaver Springs Office: 19179 Rt. 522 Beaver Springs, PA 17812 (570) 658-7542
westmiltonstatebank.com


*Select style only.
Make the switch to
West Milton State Bank

West Milton State Bank



CHECKING ACCOUNT INFORMATION
CHECKING ACCOUNT INFORMATION


Complete the following information to switch your checking account to West Milton State Bank.
Complete the following information to switch your checking account to West Milton State Bank.


Individual Account
Individual Account


Joint Account
Joint Account












Name of Primary Account Holder
Name of Primary Account Holder


Name of Joint Account Holder (if applicable)
Name of Joint Account Holder (if applicable)






Address

City/State/Zip






Mailing Address (if different)

City/State/Zip






Home Phone Work Phone

Home Phone Work Phone






E-mail Address

E-mail Address



Primary Account Holder Information

Joint Account Holder Information






Social Security Number

Social Security Number






Valid Drivers License # State Issued Expires

Valid Drivers License # State Issued Expires




2
nd
Form of Identification


2
nd
Form of Identification




Date of Birth Place of Birth

Date of Birth Place of Birth






Mothers Maiden Name

Mothers Maiden Name






Employer
Employer






Position
Position






Signature
(Both parties must be present to open the account.)
Signature

(Both parties must be present to open the account.)
Member FDIC
Authorization for Direct Deposit
Please deposit my check(s) directly into West Milton State Bank as indicated below:

Primary Account Holder Information

Joint Account Holder Information


Employer Name Employer Phone

Employer Name Employer Phone






Previous Bank Name

Previous Bank Name






Bank Routing # Account # Type of Account
Bank Routing # Account # Type of Account




Signature
Signature


Authorization for Automatic Payment
Please change my existing authorization(s).
Transfer automatic payments from my previous bank to West Milton State Bank.



Primary Account Holder Information

Joint Account Holder Information


Payee Payee Phone

Payee Payee Phone






Account Number Bank Routing #



Account Number Bank Routing #
Type of Account

Type of Account





Street Address of Payee



Street Address of Payee

City State Zip


City State Zip

Member FDIC
Member FDIC

Your checking account includes:


Online Banking

24-hour Telephone Banking
Combined Statements




Save time with these value-added banking products:

Visa Check Card/ATM Card*
Home Equity Line of Credit*
*Subject to approval.