Waterman Money Market Application
Are you an existing customer?*
Yes I am an existing customer
No I am NOT an existing customer
Full Legal Name*
What type of ownership would you like for this account?*
Choose One
Individual
Joint with Survivorship
Trust
Email Address*
samplename@gmail.com
Cell Phone Number*
-
-
111-111-1111
Home Phone Number
-
-
222-222-2222
What is your date of birth?*
/
/
MM/DD/YYYY
Social Security Number (SSN)*
-
-
111-11-1111
Mothers Maiden Name*
Home: Street Address*
Street Address
Home: City*
City
Home: State*
Choose One
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KT
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
State
Home: Zip Code*
Zip Code
Is your mailing address different than above?*
Yes
No
Mailing: Street Address*
Street Address
Mailing: City*
City
Mailing: State*
Choose One
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KT
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
State
Mailing: Zip Code*
Zip Code
What is the name of the trust?*
List the number of Trustees*
Choose One
1
2
3
4
Trustee 1 - Name*
Trustee 1 - ID Number*
Trustee 1 - Date of Birth*
Trustee 2 - Name*
Trustee 2 - ID Number*
Trustee 2 - Date of Birth*
/
/
Trustee 3 - Name*
Trustee 3 - ID Number*
Trustee -3 Date of Birth*
/
/
Trustee 4 - Name*
Trustee 4 - ID Number*
Trustee 4 - Date of Birth*
/
/
Will there be a Co-Applicant?*
Choose One
Yes
No
Does your Trust have a EIN or Tax ID?*
Choose One
Yes
No
Employer Identification Number or Tax ID for your trust?
EIN or Tax ID*
-
12-1234567
Occupation (If retired indicate previous occupation) *
Employer or Business Name*
Employer or Business City*
Employer or Business State*
Choose One
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KT
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
How long have you been with your employer?*
10 years
Please indicate which option you will be using as your primary ID*
Driver's License
State ID
Passport
Other
ID: Number*
ID: State of Issuance*
Choose One
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KT
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
2 Forms of ID are required, what will be your secondary form of ID?*
Choose One
State ID
Passport
FOID Card
Birth Certificate
Voters Registration Card
Social Security Card
Proof of Auto Insurance
Health Insurance Card
Date of Issuance*
/
/
MM/DD/YYYY
ID: Date of Expiration*
/
/
Co-Applicant: Full Legal Name*
First, Middle, Last, and Suffix
Co-Applicant: Email Address*
samplename@gmail.com
Co-Applicant: Cell Phone*
-
-
111-111-1111
Co-Applicant: Home Phone Number
-
-
111-111-1111
Co-Applicant: Physical Address*
Please state full street address, city, state, and zip code
Co-Applicant: Date of Birth*
/
/
MM/DD/YYYY
Co-Applicant: Social Security Number*
Co-Applicant: Employer Name*
Co-Applicant: Employer Street Address*
Co-Applicant: Employer City*
Co-Applicant: Employer State*
Choose One
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KT
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Co-Applicant: Employer Zip Code*
Co-Applicant: Occupation*
Co-Applicant: How long have you been with your employer?*
10 years
Co-Applicant: What type of ID will you be using to verify your identity?*
Driver's License
State ID
Passport
Other
Co-Applicant: If other please describe?*
Co-Applicant: ID Number*
Co Applicant ID: State of Issuance*
Choose One
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KT
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Co-Applicant: Date of Issuance*
/
/
MM/DD/YYYY
Co-Applicant: ID Expiration*
/
/
Would you like to add beneficiary to this account? *
Choose One
Yes
No
Beneficiary Full Legal Name*
Beneficiary Date of Birth*
/
/
How will this account be used?*
Choose One
Savings
Household Use
Business Use
Are you a politically exposed person?*
Yes
No
Select the type of transactions you will be using with this account*
Payroll Deposits
Wires
Social Security Deposits
Cash Deposits
Debit Card Transactions
Bill Payments
ACH Payments
Select all that apply
Estimated payroll deposits each month?*
Choose One
1-4
5-10
10+
Estimated wire transactions per month?*
Choose One
0-1
2-4
5+
Estimated monthly social security deposits?*
Choose One
1
2-4
Estimated monthly cash deposits?*
Choose One
1-4
5-10
11-20
21-30
Estimated monthly debit card transactions?*
Choose One
1-30
31-60
61-90
91+
Estimated monthly bill payments?*
Choose One
1-10
11-20
21+
Estimated monthly ACH payments?*
Choose One
1-10
11-20
21+
Opening deposit amount? (Minimum $2,500 or $250,000 for Super MMA)*
How would you like to make your opening deposit?*
Choose One
Wire
Transfer from existing Waterman Account
Deposit at Branch
Check by Mail
Please select all the following options that apply*
Debit Card (Free)
Order Checks (Additional $25)
Would you like to add any of the following accounts? (select all that apply)*
Checking
Savings
CD
Money Market
Christmas Club
No
Additional CD: Opening Deposit Amount?*
Additional Money Market: Opening Deposit Amount? (Minimum $2500)*
Additional Checking: Opening Deposit Amount? (Minimum $50)*
Additional Savings: Opening Deposit Amount? (Minimum $50)*
Additional Christmas Club: Opening Deposit Amount? (Minimum $50)*
Upload 2 Forms of ID*
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