NetTeller Online Banking

Online Banking

Business Account Pre-Application

To pre-qualify, simply complete and submit the following form.

A Bank of Ripley customer service representative will contact you concerning your choice of a new deposit account or loan account. We look forward to being "your bank" by providing you with quality accounts and exceptional service.

Feel free to contact us with any questions you may have.

Required fields are marked with an asterisk.*

Bank Business Account Pre-Application
Business Account Pre-Application

All applicants must complete Section A. If you are pre-qualifying for a consumer deposit account, complete Sections A and B. If you are pre-qualifying for a consumer loan, complete Sections A and C. If you are pre-qualifying for both deposit and loan accounts, complete all three sections.

If you work in Tennessee and reside outside of Tennessee please contact us.

I am pre-qualifying for:
(check all that apply)

Deposit Accounts

 

 

Loan Accounts

Section A - General Information

Business State: TN
State: TN

Section B - Deposit Account Information

How Initial Deposit Will Be Made:

Please Provide The Following Verification Information:

Section C - Loan Pre-Qualification Information

NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Additional information that may be needed at time of contact: 3 years financial statements and/or tax returns, Interim financial statement, guarantors personal financial statements.

BY CLICKING ON THE SUBMIT BUTTON BELOW, I (WE) PRE-QUALIFY FOR THE LOAN AND/OR DEPOSIT PRODUCTS LISTED ABOVE AND CERTIFY THAT ALL INFORMATION PROVIDED ABOVE IS CORRECT. I (WE) AUTHORIZE YOU TO CHECK MY (OUR) CREDIT AND VERIFY THE INFORMATION PROVIDED IN THIS FORM. I (WE) ALSO CERTIFY UNDER PENALTY OF PERJURY THAT THE SOCIAL SECURITY NUMBER(S) PROVIDED ABOVE IS/ARE CORRECT AND THAT I AM NOT (WE ARE NOT) SUBJECT TO BACKUP WITHHOLDING UNDER THE INTERNAL REVENUE CODE. I (WE) UNDERSTAND THAT ADDITIONAL INFORMATION MAY BE REQUIRED BEFORE A DECISION CAN BE MADE REGARDING THIS PRE-QUALIFICATION. I (WE) FURTHER UNDERSTAND THAT APPROVAL BY BANK OF RIPLEY/BANK OF TIPTON FOR ANY OF THE LOAN OR DEPOSIT PRODUCTS IS CONDITIONED ON MY (OUR) AGREEMENT TO ABIDE BY ALL TERMS AND CONDITIONS CONTAINED IN THE APPLICABLE ACCOUNT CONTRACT AGREEMENT. I FURTHER AGREE TO RETURN ANY ACCESS DEVICE FOR OBTAINING FUNDS FROM ANY TYPE OF ACCOUNT UPON DEMAND BY BANK OF RIPLEY/BANK OF TIPTON.

I HAVE READ THE ABOVE STATEMENT AND AGREE TO THE TERMS SET OUT THEREIN.
Please verify security code

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