Personal Information
Identity Verification
Opening Deposit

Personal Information

FDIC-Insured - Backed by the full faith and credit of the U.S. Government

24 Month Certificate of Deposit

Open Your Account

Personal Information
Identity Verification
Opening Deposit

Secure Form

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

To learn more about what we do with personal information, view our Privacy Policy

Applicant Information

Eligibility

Solvay Bank is currently only accepting applications from residents within Cayuga, Cortland, Madison, Oneida, Onondaga and Oswego counties in the State of New York. Before proceeding with this application, you must input the zip code of your residence and confirm your eligibility below:

Residence Zip Code
OK Residence Zip Code is required
- By checking this box I acknowledge I am a resident in the zip code area entered above.
OK Please acknowledge your eligibility

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.

Click here for your confirmation code.
Enter code
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 Date of Birth is required
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
Issued Date
OK Issued Date 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

Mother's Maiden Name
OK Mother's Maiden Name is required
Employer
OK Employer is required
Occupation
OK Occupation is required
Business/Day phone
OK Business/Day phone is required
Cell phone
(optional) OK Cell phone is required
OK Do you have a promo code? is required

Do you have a promo code?
- Yes
- No
Enter Promo Code
Optional OK Invalid promo code.

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
Issued Date
OK Issued Date 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

Mother's Maiden Name
OK Mother's Maiden Name is required
Employer
OK Employer is required
Occupation
OK Occupation is required
Business/Day phone
OK Business/Day phone is required
Cell phone
(optional) OK Cell phone is required
OK Would you like a debit card with this account? is required

Would you like a debit card with this account?
- Yes
- No
- N/A
OK Would you like checks with this account? is required

Would you like checks with this account?
- Yes
- No
- N/A

How did you hear about us?
OK How did you hear about us? is required
Other - please specify.
OK Other - please specify. is required

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

24 Month Certificate of Deposit

Open Your Account

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Confirm Information

Verify

Fund Your Account

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