Citizens National Bank Discover CNB Personal Business Investments/Insurance (Opens in a new Window) LOGIN New Account Application Note: Once your application has been received one of our Customer Service Representatives will be contacting you to schedule an appointment at the bank in order to complete the account opening process. *Indicates a Required Field Type of Account Applying For * Hometown Free Checking Hometown Interest Checking Money Market Statement Savings Christmas Club Savings Certificate of Deposit ATM/Debit Card Internet Banking Safe Deposit Box Primary Account Holder Info Primary Applicant First Name * Primary Applicant MI * Primary Applicant Last Name * Primary Applicant Address * Primary Applicant City * Primary Applicant State * Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Primary Applicant Zip Code * Primary Applicant How long have you lived at the above address? * Primary Applicant Previous Address (if less than one year at current address) Primary Applicant Previous Address City Primary Applicant Previous Address State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Primary Applicant Previous Address Zip Code Primary Applicant Driver's License or Government-Issued ID Number * Primary Applicant ID Expiration Date * Primary Applicant Date of Birth * Primary Applicant Last 4 Digits of SSN * Primary Applicant Email Address * Primary Applicant Employer * Primary Applicant Employer Address * Primary Applicant Employer Address City * Primary Applicant Employer Address State * Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Primary Applicant Employer Address Zip Code * Primary Applicant Occupation (Be specific) * Primary Applicant Home Phone * Primary Applicant Business Phone * Primary Applicant Cell Phone * Primary Applicant Mother's Maiden Name * Primary Applicant Checking Account Information required by State law Are you a US Citizen? * Primary Applicant Yes No Have you been a resident of MN for the past 5 years? * Primary Applicant Yes No Primary Applicant If no, where have you lived? Have you had a checking account at this or another financial institution within the 12 months of making this application? * Primary Applicant Yes No Primary Applicant If yes, name of institution if other than CNB Have you had a checking account closed by a financial institution without your consent within the last 12 months of making this application? * Primary Applicant Yes No Primary Applicant If yes, please give the reason Have you been convicted of a criminal offense because of the use of a check or similar item within 24 months of making this application? * Primary Applicant Yes No Primary Applicant Name of Nearest Living Relative * Primary Applicant Nearest Relative's Address * Primary Applicant Nearest Relative's City * Primary Applicant Nearest Relative's State * Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Primary Applicant Nearest Relative's Zip Code * Primary Applicant Nearest Relative's Home Phone * Joint Account Holder Info (if applicable) Joint Applicant First Name Joint Applicant MI Joint Applicant Last Name Joint Applicant Address Joint Applicant City Joint Applicant State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Joint Applicant Zip Code Joint Applicant How long have you lived at the above address? Joint Applicant Previous Address (if less than one year at current address) Joint Applicant Previous Address City Joint Applicant Previous Address State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Joint Applicant Previous Address Zip Code Joint Applicant Driver's License Number Joint Applicant ID Expiration Date Joint Applicant Date of Birth Joint Applicant Last 4 Digits of SSN Joint Applicant Email Address Joint Applicant Employer Joint Applicant Employer Address Joint Applicant Employer Address City Joint Applicant Employer Address State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Joint Applicant Employer Address Zip Code Joint Applicant Occupation (Be specific) Joint Applicant Home Phone Joint Applicant Business Phone Joint Applicant Cell Phone Joint Applicant Mother's Maiden Name Joint Applicant Checking Account Information required by State law Are you a US Citizen? Joint Applicant Yes No Have you been a resident of MN for the past 5 years? Joint Applicant Yes No Joint Applicant If no, where have you lived? Have you had a checking account at this or another financial institution within the 12 months of making this application? Joint Applicant Yes No Joint Applicant If yes, name of institution if other than CNB Have you had a checking account closed by a financial institution without your consent within the last 12 months of making this application? Joint Applicant Yes No Joint Applicant If yes, please give the reason Have you been convicted of a criminal offense because of the use of a check or similar item within 24 months of making this application? Joint Applicant Yes No Joint Applicant Name of Nearest Living Relative Joint Applicant Nearest Relative's Address Joint Applicant Nearest Relative's City Joint Applicant Nearest Relative's State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Joint Applicant Nearest Relative's Zip Code Joint Applicant Nearest Relative's Home Phone Authorized Signer Authorized Signer First Name Authorized Signer MI Authorized Signer Last Name Authorized Signer Date of Birth Authorized Signer Last 4 Digits of SSN Authorized Signer Address Authorized Signer City Authorized Signer State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Authorized Signer Zip Code Authorized Signer Driver's License or Government-Issued ID Number Authorized Signer ID Expiration Date Authorized Signer Home Phone Authorized Signer Work Phone Authorized Signer Cell Phone Authorized Signer Email Address Pay on Death To: Death Benefits Payee 1 Recipient First Name Death Benefits Payee 1 MI Death Benefits Payee 1 Last Name Death Benefits Payee 1 Address Death Benefits Payee 1 City Death Benefits Payee 1 State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Death Benefits Payee 1 Zip Code Death Benefits Payee 1 Home Phone Death Benefits Payee 1 Date of Birth Death Benefits Payee 1 Last 4 Digits of SSN Death Benefits Payee 2 Recipient First Name Death Benefits Payee 2 MI Death Benefits Payee 2 Last Name Death Benefits Payee 2 Address Death Benefits Payee 2 City Death Benefits Payee 2 State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Death Benefits Payee 2 Zip Code Death Benefits Payee 2 Home Phone Death Benefits Payee 2 Date of Birth Death Benefits Payee 2 Last 4 Digits of SSN How did you hear about us? * Website News Radio Friend Other How did you hear about us If other, please specify. If you make a false material statement in this document that you do not believe to be true, you are guilty of perjury. SEND APPLICATION Family Vacation? The Hometown Card with Worldwide Acceptance! The buying power you need to get your vacation underway! VIEW CREDIT CARDS Routing#: 091202325 | Phone: 218-732-3393 Privacy Policy Terms of Use USA PATRIOT Act Fraud Contact Us ©2021 Citizens National Bank Created byProfitStars