The Switch Kit SWITCH TO First Century Bank... it s not as hard as you think. www.fcbtn.com TAZEWELL NEW TAZEWELL HARROGATE MAYNARDVILLE SNEEDVILLE MARYVILLE EMORY ROAD
Direct Deposit *Direct Deposit Authorization Form from Other Sources Use this form for other direct deposits you receive including investments, pension/ retirement plans, interest or dividend payments, etc. Here s a quick checklist of some common direct deposit sources to help you remember to inform the sender about your new account. Checklist for Direct Deposits Private Sector Payments: Payroll Direct Deposit Retirement/Pension Plan Interest Income Dividends Government Payments: Social Security Federal Salary/Military Civilian Pay VA Compensation or Pension Supplemental Security Income Railroad Retirement Civil Service Retirement Military Active Military Retirement Military Survivor Automatic Payments: You ll need to switch automatic payments set up to charge your checking, savings, debit or credit card to your new First Century Bank account. Use the Automated Payments Checklist to the right to make a quick list of the payments you have authorized. This is a good time to review your last few monthly bank statements to complete your list of authorized automatic payments. Take into consideration any annual payments that you may have set up as a deduction, as well. There may be several ways to notify your Payees that you have a new account. Most of your Payees have a form included with the monthly statement for you to enter your new account information. Many Payees provide a customer service number and allow you to provide your new account information by telephone. Many local utilities and vendors have Web sites available for you to enter your new bank account information.
Automated Payments Checklist for Automated Payments Electric Company Gas Company Water Company Telephone Cellular Phone Cable Service Mortgage or Rent Payment Car Loan or Lease Credit Card Credit Card Other Loans Dept. Store Card Home/Rental Insurance Automobile Insurance Life/Health Insurance Auto Club (AAA) Health Club Charitable Donations Other Other Other Online Bill Payments: As soon as your new account is open, you can enroll in Online Banking and Bill Pay. You can do this by signing up for online banking when you open your account. Simply tell your customer service representative that you would like to have this option. Important: Before you cancel your online bill payment service with your old bank, be sure to: 1. Print a list of your Payees including addresses and account numbers, if available. 2. Print your Bill Payment History so you have a record of all payments you have made. Close Your Old Account Your First Century Bank Account is ready to go! Confirm that all outstanding checks have cleared on your old account. The Reconciliation Worksheet on page 7 will assist you with identifying all activity you still expect to clear your old account. Verify that your direct deposits have been redirected to your new account. Check with any Payees who have not redirected your automatic payments. Use the Account Closure Form (on page 8) to notify your old bank that you are closing your account.
Online Bill & Credit Card Worksheet Online Bill Payments: Use the form below to capture your current online banking bill payments that need to be transferred to your new My Bank Online Bill Payment solution. Before you cancel your current bill payment service, print your Payee Information and your Bill Payment history, so you have record of your previous payments. Check Card (or Automatic Payment/Transfer): Use the form below to capture any check card or automatic payments/transfers that are currently paid automatically from your checking or savings account (utilities, insurance companies, loan payments, credit card payments, etc.) Payee Name Payee Address Payee Phone Account # Payment Date Payment Amount Setup Complete
Individual ACH Authorization Please fill out this form to have First Century Bank withdraw money from your checking or savings accounts to pay loans or transfer funds to another account. I authorize FIRST CENTURY BANK and the financial institution named below to initiate entries to my checking/ savings/loan accounts. This authority will remain in effect until I notify you in writing to cancel it in such time as to afford the financial institution a reasonable opportunity to act on it. I can stop my payment on any entry by notifying my financial institution 3 days before my account is charged. I can have the amount of an erroneous charge immediately credited to my account up to 15 days following issuance of my financial institution statement or 60 days after posting, whichever occurs first. I understand that FIRST CENTURY BANK may hold funds for the total value of the ACH transaction initiated by me (us). Financial Institution Name: Routing Number: Address: City: State: Customer Name: Social Security Number: Address: City: State: Amount to Transfer: $ Frequency: - Monthly - Weekly - Bi-weekly - Quarterly Customer Signature: - Yearly - Other: Attach voided check to document. Routing Numbers CANNOT be a Loan Coupon Book Routing Number. From Routing Number: Account Number: Account Title: Account Type: - Checking - Savings Effective Date: To Routing Number: Account Number: Account Title: Account Type: - Checking - Savings - Loan Effective Date: Term of Loan: Termination Date:
Internet Banking Application Customer Information/Verification Name of Applicant: Address: City: State: Zip: Date of Birth: TIN/SSN: Primary Account Number: Email Address: Daytime Phone: Mobile Phone: Requested Services Mark all services you would like to add Bill Pay Account Access estatements Mobile Banking Please sign and mail or bring this Application to your primary office location. For address information, please visit our website at www.fcbtn.com and click on Locations. Authorization Unsigned applications will not be activated. I, the undersigned, being the account owner (or authorized officer of the owner) of the account, hereby authorize First Century Bank to provide access as instructed herein for all my account(s), and agree to the terms of the Online Banking Agreement & Disclosures and/or the Mobile Banking Agreement & Disclosures provided by First Century Bank. I further authorize First Century Bank to issue a temporary PIN (Password) on my behalf, which I will be forced to change to a private password the first time I log into the system. Authorized Signature: Date:
Reconciliation Worksheet Before you close your old account, you need to make certain that all checks have paid, and that all of your automatic direct deposit and payments are being received on your new First Century Bank. You can reconcile your old account below to verify that all entries you expected have cleared. Checks Outstanding (Written but not shown on statement) Check # Account Reconciled as of, 20 ENTER Statement Balance $ ADD Deposits made after statement date + + + TOTAL $ SUBTRACT - $ Total of Checks Outstanding BANK BALANCE $ Should be agree with your checkbook balance after deducting Charges and adding credits listed on statements. Total
Account Closure Form Bank Name: Bank Address: Please close the accounts listed below effective immediately. Please forward any remaining balance in my accounts my check to my address listed below. Checking Account: Title: Account Number: Money Market Account: Title: Account Number: Savings Account: Title: Account Number: Other Account: Title: Account Number: Forward closing balance(s) to: Street Address City, State, Zip Telephone Number Thank you for your prompt attention to this request. Please contact me at the above number if you have questions about this matter. Authorized Signature Date Authorized Signature Date