Personal Information
Identity Verification
Opening Deposit

Personal Information

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1 Year Certificate of Deposit Plus

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Personal Information
Identity Verification
Opening Deposit

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This form supports TLS 1.2 encryption to protect your personal information while it is in transit.

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Applicant Information

Eligibility

In order to apply online, you must be at least 18 years of age. If you are younger than 18, please visit your nearest Bank of Prairie du Sac branch office to open an account.

OK Are you are current customer of Bank of Prairie du Sac? is required

Are you are current customer of Bank of Prairie du Sac?
- Yes
- No
OK Bank of Prairie du Sac is only accepting applications from residents in the Wisconsin counties of Sauk, Columbia, and Dane. Please select the eligible county of your residence. is required

Bank of Prairie du Sac is only accepting applications from residents in the Wisconsin counties of Sauk, Columbia, and Dane. Please select the eligible county of your residence.
- Sauk
- Columbia
- Dane
- By checking this box, I confirm that I am a resident in the eligible county indicated above.
OK By checking this box, I confirm that I am a resident in the eligible county indicated above. is required

Please enter the code to confirm your ability to view the required Portable Document Format (PDF) files. If the code isn't visible, click here to see code in new window or visit your nearest branch to apply for an account.

We ask that you confirm your ability to download, open, and view the required Portable Document Format (PDF) files. Once you have entered the confirmation code, you may close the PDF document and continue the application process.

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OK Error - Please enter the code to verify that you can view the required Portable Document Format (PDF) files. If the code isn't visible you will need to visit your nearest branch to apply for an account.

Basic Info

First Name
OK First Name is required
Last Name
OK Last Name is required
Email Address
OK Email Address is required
Phone
OK Phone is required
Date of Birth
OK You must be 18 years of age.
Social Security Number
OK Social Security Number is required

Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required
- Mailing address is different (Optional)
OK Mailing address is different (Optional) is required

Mailing Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Previous Address

OK You must select one of the following.

Have you lived at this address for less than 2 years?
- No
- Yes
Previous Address
OK Previous Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Identification

OK What form of ID would you prefer to use? is required

What form of ID would you prefer to use?
- Drivers license or state-issued ID
- US Passport
License Number
OK License Number is required
State
OK State is required
Expiration Date
OK Expiration Date is required
Passport Number
OK Passport Number is required
Expiration Date
OK Expiration Date is required

Tax Status

OK Please select one of the following.
- I am not subject to backup withholding. This is most common. Under penalties of perjury, I certify that: 1. My Social Security number is correct, 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, 3. I am a U.S. citizen or U.S. resident alien, and 4. I am exempt from FATCA reporting.
- I am subject to backup withholding. You will know if this applies to you. Under penalties of perjury, I certify that: 1. My Social Security number is correct, 2. I am subject to backup withholding because I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, 3. I am a U.S. person or U.S. resident alien, and 4. I am exempt from FATCA reporting.

What is this?

If you have any questions about how to complete this section please download instructions.

Additional Information

OK Are you applying for a checking account? is required

Are you applying for a checking account?
- Yes
- No
OK Would you like a debit card order for this account? is required

Would you like a debit card order for this account?
- Yes
- No

Bank of Prairie du Sac offers Kasasa Protect, an optional Identity Fraud Protection And Restoration Service that includes identity theft, fraud protection and breach resolution through a separate, third party that can be added to your account. You must have a checking account to enroll in Kasasa Protect. If you have chosen a Kasasa Checking Account, the monthly fee for Kasasa Protect is $7.99 or $5.99 for an additional account holder in your household. If you have chosen a non-Kasasa Checking Account, the monthly fee for Kasasa Protect is $9.99. Learn more here – Kasasa Protect information. By selecting “Yes” below, you are indicating that you have read and agree to the terms and conditions governing Kasasa Protect services, including any fees and charges. Please review the Kasasa Protect Disclosure before proceeding.

OK Do you wish to enroll into Kasasa Protect? is required

Do you wish to enroll into Kasasa Protect?
- Yes, I would love to sign up for Kasasa Protect and by making this selection I confirm that I have read and agree to the terms and conditions in the Kasasa Protect Disclosure above. I also authorize the withdrawal of the Kasasa Protect monthly fees from my checking account. I also understand that a representative from Bank of Prairie du Sac will contact me for completion of the enrollment process.
- No, I am not interested at this time.

Joint Applicant

OK Will this be a joint account? is required

Will this be a joint account?
- No, I am the only applicant
- Yes, I have a co-applicant

Co-Applicant Basic Info

First Name
OK First Name is required
Last Name
OK Last Name is required
Email
OK Email is required
Phone
OK Phone is required
Date of Birth
OK Date of Birth is required
Social Security Number
OK Social Security Number is required

Co-Applicant Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required
- Mailing address is different
Optional OK Mailing address is different is required

Co-Applicant Mailing Address

Address
OK Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Co-Applicant Previous Address

OK You must select one of the following.

Have you lived at this address for less than 2 years?
- No
- Yes
Previous Address
OK Previous Address is required
City
OK City is required
State
OK State is required
Zip Code
OK Zip Code is required

Co-Applicant Identification

OK What form of ID would you prefer to use? is required

What form of ID would you prefer to use?
- Drivers license or state-issued ID
- US Passport
License Number
OK License Number is required
State
OK State is required
Expiration Date
OK Expiration Date is required
Passport Number
OK Passport Number is required
Expiration Date
OK Expiration Date is required

Co-Applicant Tax Status

OK Please select one of the following.
- I am not subject to backup withholding. This is most common. Under penalties of perjury, I certify that: 1. My Social Security number is correct, 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, 3. I am a U.S. citizen or U.S. resident alien, and 4. I am exempt from FATCA reporting.
- I am subject to backup withholding. You will know if this applies to you. Under penalties of perjury, I certify that: 1. My Social Security number is correct, 2. I am subject to backup withholding because I have been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, 3. I am a U.S. person or U.S. resident alien, and 4. I am exempt from FATCA reporting.

What is this?

If you have any questions about how to complete this section please download instructions.

Co-Applicant Additional Information

OK Are you applying for a checking account? is required

Are you applying for a checking account?
- Yes
- No
OK Would you like a debit card for this account? is required

Would you like a debit card for this account?
- Yes
- No

Bank of Prairie du Sac offers Kasasa Protect, an optional Identity Fraud Protection And Restoration Service that includes identity theft, fraud protection and breach resolution through a separate, third party that can be added to your account. You must have a checking account to enroll in Kasasa Protect. If you have chosen a Kasasa Checking Account, the monthly fee for Kasasa Protect is $7.99 (or $5.99 for an additional account holder in your household). If you have chosen a non-Kasasa Checking Account, the monthly fee for Kasasa Protect is $9.99. Learn more here – Kasasa Protect information. By selecting “Yes” below, you are indicating that you have read and agree to the terms and conditions governing Kasasa Protect services, including any fees and charges. Please review the Kasasa Protect Disclosure before proceeding.

OK Do you wish to enroll into Kasasa Protect? is required

Do you wish to enroll into Kasasa Protect?
- Yes, I would love to sign up for Kasasa Protect and by making this selection I confirm that I have read and agree to the terms and conditions in the Kasasa Protect Disclosure above. I also authorize the withdrawal of the Kasasa Protect monthly fees from my checking account. I also understand that a representative from Bank of Prairie du Sac will contact me for completion of the enrollment process.
- No, I am not interested at this time.

Important Information About Procedures for Opening a New Account:

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

By submitting this application, you agree to the Kasasa Digital Technology Terms of Use Agreement.

Personal Information

1 Year Certificate of Deposit Plus

Open Your Account

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Fund Your Account

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Applicant Information

Eligibility

Are you are current customer of Bank of Prairie du Sac?

Bank of Prairie du Sac is only accepting applications from residents in the Wisconsin counties of Sauk, Columbia, and Dane. Please select the eligible county of your residence.

Please enter the code to confirm your ability to view the required Portable Document Format (PDF) files. If the code isn't visible, click here to see code in new window or visit your nearest branch to apply for an account.