AccessUnited: Account Application

Open an Account

Thanks for choosing United Bank's online banking division. We've selected our most popular accounts to offer our online customers.

Applying for an account online is simple. Complete the application below, and our representatives will contact you the next business day to finalize the details. Your account will be activated once you have visited one of our branches and completed the new account package documentation. Questions? Call us at (770) 567-7211 or e-mail us and we’ll guide you along.

United Bank's online banking division only accepts applications from residents living or working within our market area. Our market area is defined as Spalding County, Lamar County, Pike County, Upson County, Morgan County, and their contiguous counties in the state of Georgia. Please let us know if you are moving into our market area, so we can make the appropriate exceptions.

By submitting an application, you authorize United Bank to obtain a current consumer report as part of the review of your application. We require that you have a U.S. Social Security number in order to open an account with United Bank.

ACCOUNT APPLICATION

Primary Account Owner Information

Please select the type of account you would like to open: Free Checking Silver Account Gold Account (We also offer an online credit application and an application to open a CD online.)

Name (First Middle Last):
Date of Birth (MM/DD/YYYY):			SSN:
Street Address *:
City, State Zip: Please include zip code extension		,
Home Phone Number: Please include area code
Work Phone Number: Please include area code
Mothers Maiden Name:
Driver's License Number:			State:
E-mail:
* You must list your street address. P.O. Boxes are not acceptable.

Ownership Information (if applicable)

Single Owner (individual)
Joint (right to survivorship)

Joint Account Owner Information (if applicable)

Name (First Middle Last):
Date of Birth (MM/DD/YYYY):			SSN:
Work Phone: Please include area code
Driver's License number:			State:

Deposit Information

Initial Deposit:

I want to apply for a United Bank MasterMoney checkcard.

Taxpayer Identification Number Certification

Social Security Number(s): The Social Security Number(s) shown above is my correct SSN.

Backup Withholding: I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding.

Exempt Recipients: I am an exempt recipient under the Internal Revenue Service Regulations.

Nonresident Alien: I am not a United States person, or if I am an individual, I am neither a citizen nor a resident of the United States.

I certify under penalties of perjury the statements checked in this section are true.

I authorize United Bank to obtain a copy of my current consumer report as a condition of acceptance of this application.

I have read, and agree to, the User Agreement.