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Business Account Pre-Qualification
To Pre-qualify, simply complete and submit the following form.

A Bank of Ripley customer service representative will contact you concerning your choice of a new deposit account or loan account. We look forward to being "your bank" by providing you with quality accounts and exceptional service.

Feel free to contact us with any questions you may have.

* = Required Field

 

 

All applicants must complete Section A. If you are pre-qualifying for a consumer deposit account, complete Sections A and B. If you are pre-qualifying for a consumer loan, complete Sections A and C. If you are pre-qualifying for both deposit and loan accounts, complete all three sections.

If you work in Tennessee and reside outside of Tennessee please contact us.

I am pre-qualifying for:
(check all that apply)

DEPOSIT ACCOUNTS
Business Checking
Business Now Checking
      (non-profit only)
Business Money Market
Certificates of Deposit
Business Savings
LOANS
Commercial Loan
Commercial Installment Loan
Amortized Loan
Line of Credit
SECTION A - General Information
Business Name:*
Business Type : *
Business Address:*
City:*
State:
TN
Zip Code:*
Mailing Address (if applicable):
City:
State:
TN
Zip Code :
Business Phone:*
(please include area code)

Email Address:

Fax:
Tax ID Number:

Date of Birth:*
Authorized Signer Name:*

2nd Authorized Signer Name:
(if applicable)

3rd Authorized Signer Name:
(if applicable)
Primary Contact:

Title:
SECTION B - Deposit Account Information
CD Term:
(This is only if you choose a Certificate of Deposit)
CD Interest:
(This is only if you choose a Certificate of Deposit)
Amount of Initial Deposit:
How Initial Deposit Will Be Made: I will come to Bank of Ripley / Bank of Tipton
Debit my existing Bank of Ripley / Bank of Tipton account
                       Account Number
Please Provide The Following Verification Information:
Name of Current Bank:
Address of Bank:
City:
State:
Zip Code:
Account Number :
Drivers License of Primary Contact:*
SECTION C - Loan Pre-qualification Information
Type of Loan:
Briefly Describe Your Financing Needs:
Amount Requested:
Length of Repayment Requested:

Years
Months                 
Annual Revenue / Sales:
(NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation)
Additional information that may be needed at time of contact: 3 years financial statements and/or tax returns, Interim financial statement, guarantors personal financial statements.
 
BY CLICKING ON THE SUBMIT BUTTON BELOW, I (WE) PRE-QUALIFY FOR THE LOAN AND/OR DEPOSIT PRODUCTS LISTED ABOVE AND CERTIFY THAT ALL INFORMATION PROVIDED ABOVE IS CORRECT. I (WE) AUTHORIZE YOU TO CHECK MY (OUR) CREDIT AND VERIFY THE INFORMATION PROVIDED IN THIS FORM. I (WE) ALSO CERTIFY UNDER PENALTY OF PERJURY THAT THE SOCIAL SECURITY NUMBER(S) PROVIDED ABOVE IS/ARE CORRECT AND THAT I AM NOT (WE ARE NOT) SUBJECT TO BACKUP WITHHOLDING UNDER THE INTERNAL REVENUE CODE. I (WE) UNDERSTAND THAT ADDITIONAL INFORMATION MAY BE REQUIRED BEFORE A DECISION CAN BE MADE REGARDING THIS PRE-QUALIFICATION. I (WE) FURTHER UNDERSTAND THAT APPROVAL BY BANK OF RIPLEY/BANK OF TIPTON FOR ANY OF THE LOAN OR DEPOSIT PRODUCTS IS CONDITIONED ON MY (OUR) AGREEMENT TO ABIDE BY ALL TERMS AND CONDITIONS CONTAINED IN THE APPLICABLE ACCOUNT CONTRACT AGREEMENT. I FURTHER AGREE TO RETURN ANY ACCESS DEVICE FOR OBTAINING FUNDS FROM ANY TYPE OF ACCOUNT UPON DEMAND BY BANK OF RIPLEY/BANK OF TIPTON.
 
I HAVE READ THE ABOVE STATEMENT AND AGREE TO THE TERMS SET OUT THEREIN.

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