CALL US: 319-846-2300 ONLINE BANKING MENU DEPOSIT ACCOUNT INQUIRY Home Personal Deposit Account Inquiry Required Field * This is an application for a joint account. Applicant Information First Name Middle Initial Last Name Primary Phone --- Select --- Home Phone Work Phone Cell Phone Home Phone Work Phone Cell Phone Email Address Date of Birth Best Time to Contact Method of Contact --- Select --- Primary Phone Work Phone Cell Phone Email Address Current Residence Address Line 1 Address Line 2 Zip City State --- Select --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming My mailing address is different than my address line 1 How long at residence? -- Select -- 1 Year 2 Years 3 Years 4 Years 5 Years More than 5 years Employer Information Present Employer Occupation Time at Current Employer Years Employed in this Profession Type of Deposit Account Please check all of the applicable accounts you would like to open. If you don't currently know what account you would like to open just leave this section blank and a bank representative can discuss with you the available options. Checking Savings Would you like a debit card? By signing below, I certify that everything I have stated in this Application is correct to the best of my knowledge, you agree that we may verify credit record by any means necessary, including preparation of a credit report by a consumer reporting agency. If signing on behalf of a business or other entity, you also acknowledge that we may verify the creditworthiness of that entity. Applicant Date Not finding what you are looking for? Search the site below. Routing Number: 073913195 Useful Links CONSUMER LOAN INQUIRY DEPOSIT ACCOUNT INQUIRY HOME EQUITY LOAN INQUIRY BUSINESS LOAN INQUIRY MORTGAGE CENTER More Links FINANCIAL CALCULATORS SWITCH KIT ORDER CHECKS FSSB BLOG IN THE NEWS Contact Us 409 Vanderbilt Street, Fairfax, IA 52228 Phone: 319-846-2300 | Toll Free: 877-FAIRFAX Fax: 319-846-3463 Website: thebankhere.com Email: customerservice@thebankhere.com 4304 - 220th Trail, Amana, IA 52203 Phone: 319-622-HAUS (4287) Fax: 319-622-5485 Website: thebankhaus.com Email: customerservice@thebankhaus.com © 2021 All Rights Reserved. Fairfax State Savings Bank. | Site Map | Privacy Policy | Internet & Security Privacy Policy