First Bank & Trust Co.

Are you currently an active account holder at First Bank & Trust Co.?Existing customers can save time with pre-filled personal information.

New Customer

Existing Customer

Application ID

Are you a U.S. Person?By selecting Yes, you are confirming that you are a U.S. citizen or legal resident alien with a valid Social Security #.

Yes

No

How did you hear about us? *

Social Security # *

Account # *

Account Type *

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Find the Personal Checking or Personal Savings that best fits your needs.

Select Account Type*

Review Current Rates/Annual Percentage Yields

Note — Mininum $100 deposit required for all account types.

Which of the following services would you like included with your new account?

Full Suite — I would like to include all of the services listed below to my new account.

Please include the following services a la carte to my new account:

Debit Card (Card Services Overview)

Online Banking (Unlimited access 24/7 to account information)

eStatements (Paperless statements up to 18 months)

Order Checks (Check writing ability for new account)

We also offer Overdraft Privilege

Overdraft Privilege

Overdraft Privilege is a courtesy overdraft service that may cover a miscalculation or shortage in your checking account. The amount of this discretionary service is automatically assigned depending upon your type of account. There will be a fee of $27.00 each time we pay an overdraft.

Overdraft Privilege Service Policy

Yes — Yes, I would like to Opt-In for Overdraft Privilege to prevent unwanted overdraft expenses.

What if I want to use my Overdraft Privilege to pay overdrafts on my ATM and everyday debit card transactions?Overdrafts and Overdraft Fees

Yes — I want First Bank & Trust Co. to authorize and pay any overdrafts on my ATM and everyday debit card transactions.

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ACCOUNT OWNERSHIP

Individual or Joint* By selecting Joint, you are confirming that your joint applicant has authorized you to apply for a joint account in both your names.

Individual

Joint

PAYABLE ON DEATH BENEFICIARY

A payable on death account (POD), allows for any money remaining in the account to pass directly to the named beneficiary in the event of the account owner’s death.

Beneficiaries (Oklahoma Account) *

Full Name (Primary) *

Date of Birth *

Relationship *

Full Name (Contingent)

Date of Birth

Relationship

Full Name (Primary) *

Date of Birth *

Relationship *

Full Name (Primary) *

Date of Birth *

Relationship *

Full Name (Primary) *

Date of Birth *

Relationship *

PERSONAL INFORMATION (Applicant)

First Name *

Middle

Last Name *

Suffix

PHYSICAL ADDRESS (Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Mailing Address same as Physical Address?*

Yes

No

MAILING ADDRESS (Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Applicant)

Mobile Phone # *

Work Phone #

Extension

Email Address *

Confirm Email Address *

Mobile/Email Consent — * Subsequent use of your information will be in accordance with our privacy notice, provided with our disclosures. First Bank & Trust Co. may also use this information to contact you by means of a phone call, email or text message to assist with the completion of the application process. First Bank & Trust Co. will also email you other relevant documents for your review during and after the application process.

IDENTIFICATION (Applicant)

Social Security # *

Date of Birth *

Employer *

Occupation *

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Issue Date *

Expiration Date *

Branch Issued *

Issue Date *

Expiration Date *

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

PERSONAL INFORMATION (Joint Applicant)

First Name *

Middle

Last Name *

Suffix

PHYSICAL ADDRESS (Joint Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Joint Applicant)

Mobile Phone # *

Work Phone #

Extension

Email Address *

Confirm Email Address *

Mobile/Email Consent —* Subsequent use of your information will be in accordance with our privacy notice, provided with our disclosures. First Bank & Trust Co. may also use this information to contact you by means of a phone call, email or text message to assist with the completion of the application process. First Bank & Trust Co. will also email you other relevant documents for your review during and after the application process.

IDENTIFICATION (Joint Applicant)

Social Security # *

Date of Birth *

Employer *

Occupation *

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Issue Date *

Expiration Date *

Branch Issued *

Issue Date *

Expiration Date *

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

Hidden Account Type

Now the legal details — The following documents contain important information that you are entitled to receive before you consent to transact business with us. Please carefully read the disclosures and print or download a copy for your files. Acknowledge your consent to the terms by checking the corresponding boxes.

Consent to Electronic Records —* I have read the

Disclosures —* I have read and agree to the Deposit Account Agreement Disclosures and the Truth-In-Savings Disclosure & Schedule of Fees

If you have trouble viewing, printing or downloading the Account Information, please call our Customer Service Center at 877.976.BANK.

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IDENTITY DOCUMENTATION - UPLOAD

Digital Document Required — Please upload a digital copy of your personal identification type.

Identification Type *

ID (Front) *

ID (Back) *

Profile Page *

Barcode Page *

ATTENTIONPhotocopying of Military ID Cards and CAC Cards Prohibited — First Bank & Trust will contact you direct to arrange a verification process as these cannot be uploaded and/or stored.

IDENTITY DOCUMENTATION - UPLOAD (JOINT APPLICANT)

Digital Document Required — Please upload a digital copy of your personal identification type.

Identification Type *

ID (Front) *

ID (Back) *

Profile Page *

Barcode Page *

ATTENTIONPhotocopying of Military ID Cards and CAC Cards Prohibited — First Bank & Trust will contact you direct to arrange a verification process as these cannot be uploaded and/or stored.

Information Integrity — * I hereby certify that all information provided within this application is true and correct to the best of my knowledge.

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Now let's set up up your opening deposit and decide how you'll add money to your new account.

Applicant Name

Select Account Funding Option *

Note — Account information must match your Name and Address. The minimum deposit for your new account: $100

Routing # *

Account # *

Account Type *

Deposit Amount *

ACH Authorization —* By checking this box, if my application is approved, I sign and agree to authorize First Bank & Trust (or its agent) ("Bank") to immediately initate a one-time ACH (or other) debit transaction from the deposit account listed above in the amount specified for credit to the "Deposit Account" held at First Bank & Trust. I certify that I am authorized to make this debit transaction from the deposit account. I acknowledge that the origination of ACH transactions to my deposit account must comply with provisions of U.S. Law.

Cardholder First Name *

Cardholder Last Name *

Debit Card # *

Exp Month

Exp Year *

CVV *

Deposit Amount *

Note — Account information must match your Name and Address.

Account # *

Deposit Amount *

New Accounts > Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

Note — The minimum deposit for your new account is $100

VISIT A BRANCH:Please visit a local branch to deposit money into your new account.
Locations & Hours

New Accounts > Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

Note — The minimum deposit for your new account is $100

MAIL CHECKS TO:First Bank & Trust Co.
Attention: Deposit Administration
PO Box 580
Duncan, OK 73534

CANCEL & EXIT PREVIOUS STEP SUBMIT APPLICATION

PERSONAL IDENTIFICATION

FAQs

Step 1 — Get Started

Step 2 — Account Setup

Step 3 — Personal Information

Step 3A — Joint Applicant

Step 4 — Terms & Conditions

Step 5 — Identity Documents

Step 6 — Final Steps