Deposit Application › Peoples Bank & Trust Company

Open an account with us today!

To begin the process of opening a Peoples Bank & Trust Company account, please complete the form below. One of our representatives will contact you within one business day to complete the process.

Per government regulations, we cannot open accounts online for children under 18 years old. Please fill in parent information and we will contact you for your child's information.

Please note that this application is for personal accounts only.

*Indicates required field

Type of Application *

Individual
Joint

Are you a new customer to Peoples Bank & Trust Company? *

Yes
No

Are you a United States citizen? *

Yes
No

If no, in what country is your citizenship?

Personal Information

First Name *

Middle Initial *

Last Name *

Social Security Number *

Why do we ask?

In order to properly verify your identity, federal law requires we ask for a government-issued identification number, such as your Social Security number. This information is used solely for identification verification. Your Social Security number will not be used for any other purpose.

Date of Birth *

Phone *

Home

Cell

Drivers License Number *

State of Drivers License *

Upload Photo ID *

Email Address *

Address Information

Physical Address *

(No PO Box)

City *

State *

Zip *

Use physical address for mailing address

Mailing Address *

City *

State *

Zip *

Employment Information

Current Employer *

Occupation *

If retired, list last occupation.

Joint Personal Information

First Name *

Middle Initial *

Last Name *

Social Security Number *

Why do we ask?

Date of Birth *

Phone *

Home

Cell

Drivers License Number *

State of Drivers License *

Upload Photo ID *

Email Address *

Joint Address Information

State *

Expected Activity *

Monthly Activity *	Yes or No *	# *	$ *
Average Expected Balance	Average Expected Balance plan to use: Yes or No *	Average Expected Balance: Number of times per month *	Average Expected Balance: Dollars per month *
Average Deposit Amounts	Average Deposit Amounts plan to use: Yes or No *	Average Deposit Amounts: Number of times per month *	Average Deposit Amounts: Dollars per month *
ACH Direct Deposit	ACH Direct Deposit plan to use: Yes or No *	ACH Direct Deposit: Number of times per month *	ACH Direct Deposit: Dollars per month *
ACH Auto Withdrawals	ACH Auto Withdrawals plan to use: Yes or No *	ACH Auto Withdrawals: Number of times per month *	ACH Auto Withdrawals: Dollars per month *
Cash Deposits	Cash Deposits plan to use: Yes or No *	Cash Deposits: Number of times per month *	Cash Deposits: Dollars per month *
Cash Withdrawals	Cash Withdrawals plan to use: Yes or No *	Cash Withdrawals: Number of times per month *	Cash Withdrawals: Dollars per month *
Wires - Incoming	Wires - Incoming plan to use: Yes or No *	Wires - Incoming: Number of times per month *	Wires - Incoming: Dollars per month *
Wires - Outgoing	Wires - Outgoing plan to use: Yes or No *	Wires - Outgoing: Number of times per month *	Wires - Outgoing: Dollars per month *
Wires - International	Wires - International plan to use: Yes or No *	Wires - International: Number of times per month *	Wires - International: Dollars per month *
Cashier Checks	Cashier Checks plan to use: Yes or No *	Cashier Checks: Number of times per month *	Cashier Checks: Dollars per month *

What is the primary purpose of this account? *

(ex: household, savings, pay bills, etc.)

Will any proceeds from business activities be deposited into this account? *

Yes
No

How did you hear about us? *

Newspaper
Radio
Email
Social Media

Search Engine
Website
Friend/Family
Other

Other

Referred By

Comments/Questions

Peoples Bank & Trust Company reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency before opening any account. By submitting this from, I/We grant full permission to do so.

*IMPORTANT

Please read the following disclosures before accepting. I/We have read and agree to the terms and conditions shown above and agree to conform to the bylaws and any amendments of the bank. I certify the statements on this application are true and correct.

I Accept (Primary Applicant) *

Check if under 18 years old. If so, parent or guardian requried to sign as joint owner.

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Peoples Bank & Trust Company

1203 Hillsboro Boulevard

Manchester, Tennessee 37355

931-728-3381

info@bankwithpeoples.com

Thank you for your submission!

We will be in touch with you soon.

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