Cayuga Lake National Bank

Application ID

Password

Find the Personal Checking or Personal Savings that best fits your needs.

Select Account Type*

Which of the following services would you like included with your new account?

Full Suite — I would like to include all of the services listed below to my new account.

Please include the following services a la carte to my new account:

Debit Card

Text Concierge

* I authorize Cayuga Lake National Bank to deliver non-emergency voice calls and texts. I understand and agree that such phone calls and texts may be delivered using an automatic telephone dialing system, which may include any phone that is not a rotary phone, or an artificial or prerecorded voice. I understand and agree that I am not required to consent to be contacted as a condition of receiving any product or service.

CANCEL & EXIT CONTINUE

Are you a U.S. Citizen?By selecting Yes, you are confirming that you are a U.S. citizen or legal resident alien with a valid Social Security #.

Yes

No

ACCOUNT OWNERSHIP

Individual or Joint* By selecting Joint, you are confirming that your joint applicant has authorized you to apply for a joint account in both your names.

Individual

Joint

PERSONAL INFORMATION (Applicant)

First Name *

Middle

Last Name *

Suffix

PHYSICAL ADDRESS (Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Mailing Address same as Physical Address?*

Yes

No

MAILING ADDRESS (Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Applicant)

Primary # *

Secondary #

Extension

Email Address *

Confirm Email Address *

Mobile/Email Consent — * Subsequent use of your information will be in accordance with our privacy notice, provided with our disclosures. Cayuga Lake National Bank may also use this information to contact you by means of a phone call, email or text message to assist with the completion of the application process. Cayuga Lake National Bank will also email you other relevant documents for your review during and after the application process.

IDENTIFICATION (Applicant)

Social Security # *

Date of Birth *

Employer *

Occupation *

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Issue Date *

Expiration Date *

IDENTITY DOCUMENTATION - UPLOAD

Digital Document Required — Please upload a digital copy of your personal identification type.

Profile page *

Barcode page *

ID (Front) *

ID (Back) *

Information Integrity — * I hereby certify that all information provided within this application is true and correct to the best of my knowledge.

Authorization —* I authorize Cayuga Lake National Bank to verify all information provided and to obtain additional information regarding my personal financial history from a consumer reporting agency or agencies and/or other financial institutions. I understand that this information will only be used in conjunction with Cayuga Lake National Bank products and services requested by me and that it will remain in force for the duration of my association with Cayuga Lake National Bank.

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

PERSONAL INFORMATION (Joint Applicant)

First Name *

Middle

Last Name *

Suffix

PHYSICAL ADDRESS (Joint Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Joint Applicant)

Primary # *

Secondary #

Extension

Email Address *

Confirm Email Address *

Mobile/Email Consent —* Subsequent use of your information will be in accordance with our privacy notice, provided with our disclosures. Cayuga Lake National Bank may also use this information to contact you by means of a phone call, email or text message to assist with the completion of the application process. Cayuga Lake National Bank will also email you other relevant documents for your review during and after the application process.

IDENTIFICATION (Joint Applicant)

Social Security # *

Date of Birth *

Employer *

Occupation *

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Issue Date *

Expiration Date *

IDENTITY DOCUMENTATION - UPLOAD (Joint Applicant)

Digital Document Required — Please upload a digital copy of your personal identification type.

Profile page *

Barcode page *

ID (Front) *

ID (Back) *

Information Integrity — * I hereby certify that all information provided within this application is true and correct to the best of my knowledge.

Authorization —* I authorize Cayuga Lake National Bank to verify all information provided and to obtain additional information regarding my personal financial history from a consumer reporting agency or agencies and/or other financial institutions. I understand that this information will only be used in conjunction with Cayuga Lake National Bank products and services requested by me and that it will remain in force for the duration of my association with Cayuga Lake National Bank.

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

Hidden Account Type

Now the legal details — The following documents contain important information that you are entitled to receive before you consent to transact business with us. Please carefully read the disclosures and print or download a copy for your files. Acknowledge your consent to the terms by checking the corresponding boxes.

Consent to Electronic Records —* I have read the

Disclosures —* I have read and agree to the New Account Disclosure

Now let's set up your opening deposit and decide how you'll add money to your new account.

Applicant Name

Select Account Funding Option *

Note — Account information must match your Name and Address.

Account # *

Deposit Amount *

New Accounts > Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

VISIT A BRANCH:Please visit your local Cayuga Lake National Bank office to deposit money into your new account.
Locations

New Accounts > Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

MAIL CHECKS TO:Cayuga Lake National Bank
Attention: Online Account Opening
165 Cayuga Street
Union Springs, NY 13160

Note — Account information must match your Name and Address. The minimum deposit for your new account: $25

Routing # *

Account # *

Account Type *

Deposit Amount *

ACH Authorization —* By checking this box, if my application is approved, I sign and agree to authorize Cayuga Lake National Bank (or its agent) ("Bank") to immediately initiate a one-time ACH (or other) debit transaction from the deposit account listed above in the amount specified for credit to the "Deposit Account" held at Cayuga Lake National Bank. I certify that I am authorized to make this debit transaction from the deposit account. I acknowledge that the origination of ACH transactions to my deposit account must comply with provisions of U.S. Law.

If you have trouble viewing, printing or downloading the account information, please call 877-608-2562.

CANCEL & EXIT SUBMIT APPLICATION

APPLICATION REQUIREMENTS

PERSONAL IDENTIFICATION

Step 1 — What would you like to open?

Step 2 — Tell us about you

Step 2A — Tell us about the Joint Applicant

Step 3 — Now the heavy stuff...