Everyday Checking

Open Your Account

  1. Personal Information
  2. Identity Verification
  3. Opening Deposit

Secure Form

This form supports up to 256-bit SSL encryption to protect your personal information while it is in transit. Privacy Policy

Confirm Information

Please confirm this information before continuing. We'll use this information to help verify your identity.

Verify

Please answer the following questions to help us verify your identity. All questions must be answered within 10 minutes.

Fund Your Account

Now you'll setup your deposit into your new account. This money will be deposited once your new account is approved.

Thank You!

We are currently verifying your application. Here's what to expect next:

    Applicant Information

      Eligibility

        To open an account with Millbury National Bank, you must reside in the state of Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, or New York. Before proceeding, please confirm your eligibility below:

        OK By checking this box, I confirm I am a resident in one of the eligible states referenced in the above statement. is required
        OK By checking this box, I confirm that the contact information provided in this application is correct and should Millbury National Bank need to contact me for any reason, I can be reached using the contact information I have provided. is required

  • 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.

  • 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

  • OK First Name is required
  • OK Last Name is required
  • OK Email Address is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    OK Mailing address is different (Optional) is required

Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Tax Status

    OK Please select one of the following.

    • What is this?

    If you have any questions about how to complete this section please download instructions.

Additional Information

    OK I attest that I am not engaged in unlawful internet gambling. is required
    OK I authorize Millbury National Bank to verify my credit by a credit reporting agency, Experian, as part of the account opening process. is required

  • Are you opening a CD?

    OK Are you opening a CD? is required

  • Would you like to order checks for this account? (Fees may apply)

    OK Would you like to order checks for this account? (Fees may apply) is required

  • Would you like a debit card for this account?

    OK Would you like a debit card for this account? is required

  • Are you applying for a Kasasa account?

    OK Are you applying for a Kasasa account? is required
    OK By checking this box, I understand that if my Kasasa account is opened that I will be required to be enrolled in online banking and agree to receive monthly e-statements. is required

  • Have you been convincted of a felony?

    OK Have you been convincted of a felony? is required
  • OK Please explain your conviction. is required

Joint Applicant

  • Will this be a joint account?

    OK Will this be a joint account? is required

Co-Applicant Basic Info

  • OK First Name is required
  • OK Last Name is required
  • OK Email is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Co-Applicant Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    Optional OK Mailing address is different is required

Co-Applicant Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Co-Applicant Tax Status

    OK Please select one of the following.

    • What is this?

    If you have any questions about how to complete this section please download instructions.

Co-Applicant Additional Information

  • Have you been convicted of a felony?

    OK Have you been convicted of a felony? is required
  • OK Please explain your conviction 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.