APPLY FOR A NEW ACCOUNT ONLINE Here's the information you will need handy to complete this form: Personal information such as your address, phone number and Social Security number Your government-issued ID Co-Applicant information (if required) Please review the following statement: Important information about procedures for opening a Heritage Bank 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 a copy of your driver's license or other identifying documents. By selecting Continue, you agree that Heritage Bank may: Contact you at any phone number you provide during this online session even if we use an autodialer/automatic dialing technology to call or text you. If the phone number you provide is registered to a cell phone, your mobile carrier’s charges may apply. Your agreement is not a condition of purchase. Contact you at any email address you provide during this online session. You can revoke your agreement to receive marketing emails at any time. Your mobile carrier’s charges may apply. ©2021. Heritage Southeast Bank, Member FDIC.

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