Let s get started. Switch to First Southern. Switch to First Southern

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Switch to First Southern Switching to First Southern is easy. This kit is designed to guide you step by step through the process of moving your account to First Southern National Bank. For assistance, contact any First Southern Team Member. Open your new account at First Southern Set up direct deposit Set up automatic payments and withdrawals Close your old account Switch to First Southern Let s get started

When you visit, let us also help you Open Christmas and Vacation Club accounts Transfer your home loan and home equity line of credit Learn to use our Internet and Telephone Banking services Open a Checking or Savings Account Start the new account process by completing the information below. Don t forget: When you visit our bank, bring your Driver s License or Government Issued photo ID. Checking Account Savings Account Applicant (please print) First Name Middle Last of Birth Social Security Number Home Phone Number Mailing Address City State Zip Number of Years Physical Address City State Zip Number of Years Employer Occupation Business Phone Number ID Type & Number / Issue & Expiration E-mail address Joint Applicant (please print) ID Type & Number / Issue & Expiration Mobile Phone Number First Name Middle Last of Birth Social Security Number Home Phone Number Mailing Address City State Zip Number of Years Physical Address City State Zip Number of Years Employer Occupation Business Phone Number ID Type & Number / Issue & Expiration E-mail address Member FDIC ID Type & Number / Issue & Expiration Mobile Phone Number

Direct Deposit Checklist Transfer direct deposits from your employer, retirement plan, interest payments or other source of income, including Social Security. Use this checklist of common direct deposit sources to help you remember each entity that should be informed about your new account. Then, use the form on the following page to request your deposits be switched to your First Southern account. Also included in this packet is the U.S. Government Direct Deposit Standard Form 1199A. This form should be used to redirect your Social Security, military pay, VA compensation/pension, railroad retirement, etc. You can also use this form to establish agency payments for the first time. Private Sector Payments Payroll Direct Deposit Retirement/Pension Plan Interest Income Dividends Other: Other: Government Payments Social Security Federal Salary/Military Civilian Pay VA Compensation or Pension Supplemental Security Income Railroad Retirement Civil Service Retirement Military Active/Retirement/Survivor Other: Other: I have a new bank Member FDIC If you have questions, please contact First Southern National Bank at 866-602-3762.

Direct Deposit Change To From Subject Payroll Department or Other Service Provider Direct Deposit This memo serves as notification and authorization to change and/or establish Direct Deposit to my new First Southern National Bank account. Attach a voided check or deposit slip here Attached you will find a voided check from my new account along with other relevant account and routing numbers necessary for you to process this request immediately. Please fill out the information below. Checking Account Savings Account First Southern National Bank Account Number (10 numerical digits) 042102403 First Southern National Bank ABA Routing Number Employee Signature Print Name Phone Number I have a new bank Member FDIC If you have questions, please contact First Southern National Bank at 866-602-3762.

*** Use this form to establish or change payments from a Government Agency. ***

Automatic Payment Checklist Use this checklist to determine which companies you need to notify about your new First Southern National Bank account. Send the form on the following page to each vendor with whom you have set up an automatic payment to request they switch the payment to your First Southern account. If you don t have online payments set up, now is a great time to do so. First Southern s online Bill Pay is the easiest, most convenient way to pay your bills. And online Bill Pay is free with your First Southern account. For more information, visit our Web site at www.fsnb.net. Mortgage or Rent Home or Renter s Insurance Auto Loan or Lease Auto Insurance Health Insurance Life Insurance Electricity or Gas Company Water Home Phone Cellular Phone Long Distance Cable TV Internet Service Auto Club (OnStar, AAA, etc.) Memberships (Health Club, Civic Club, Alumni Groups, etc.) Credit Cards Loans (Personal, Student, Home Equity Line of Credit, etc.) Transportation or Parking Retirement Contributions Savings Contributions Investment Contributions Giving Commitments (church, non-profit groups, etc.) Other: Other: Other: I have a new bank Member FDIC If you have questions, please contact First Southern National Bank at 866-602-3762.

Automatic Payment Change To From Service Provider Subject Automatic Payment for Account # Currently, you are authorized to receive automatic payments from my bank account. This memo serves as notification that I have established a new checking or savings account with First Southern National Bank. I am authorizing and requesting that you establish automatic payments from my new account. Attach a voided check or deposit slip here Attached you will find a voided check from my new account along with other relevant account and routing numbers necessary for you to process this request immediately. Please fill out the information below. Checking Account Savings Account First Southern National Bank Account Number (10 numerical digits) 042102403 First Southern National Bank ABA Routing Number My Signature My Printed Name Phone Number My Account Number with Your Company Please copy and submit a separate form for each account you are closing. I have a new bank Member FDIC If you have questions, please contact First Southern National Bank at 866-602-3762.

Account Closure Request To From Subject Customer Service Representative Account Closure Request This memo serves as notification that I would like to close my account with your bank. Please close the account listed below effective immediately and forward any remaining balance by check to my address listed below. Thank you for your prompt attention to this request. Contact me at the number below with any questions. Please copy and submit a separate form for each account you are closing. Account Number Account Type Account Holder Signature Printed Name Mailing Address City, State, Zip Daytime Phone Cell Phone