Applications - United Atlantico Financial Inc

ACCOUNT APPLICATION

PLEASE NOTE
IT TAKES 3-4 WEEKS TO SET UP ACCOUNTS
OUR CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO EXPLAIN THE PROCESS
PLEASE DOWN LOAD , PRINT and FAX

__ REGULAR PERSONAL ACCOUNT                        __ PERSONAL / NUMBERED ACCOUNT
__ REGULAR D/B/A - CORPORATE                          __ D/B/A/ - CORPORATE / NUMBERED ACCOUNT
__ REGULAR PERSONAL ATM CARD                      __ PERSONAL ATM / NUMBERED ACCOUNT
__ CERTIFICATE of DEPOSIT 3MT                            __ CERTIFICATE 6 MT ___ 12 MT
__ PRIVATE MAILLIMG ADDRESS ( request fee schedule )

            PERSONAL ACCOUNT                                D/B/A or CORPORATE if none leave blank
NAME_____________________________   CORPORATE NAME_______________________________
STREET ADDRESS__________________   STATE REGISTRATION____________________________
                               NO P.O. BOXE'S
CITY______________________________ COUNTRY OF REGISTRATION_______________________
STATE____________________________    STREET ADDRESS________________________________
ZIP CODE__________________________ CITY___________________________________________
COUNTRY__________________________ STATE__________________________________________
PHONE (no cell)_____________________ ZIP CODE_______________________________________
DOB______________________________    PHONE (no cell)__________________________________

Signature_______________________________ Date________________________________________

DOCUMENTS REQUIRED                        DOCUMENTS REQUIRED
PERSONAL                                                   D/B/A or CORPORATE
A: Copy of Passport or Drivers License          A: Copy of Corporate Certificate or D/B/A
B: Proof of STREET residence                        B: Proof of STREET address
    1: Phone bill ( no cell) or light bill                 1: Phone bill , light bill
C: Application filled complete / signed           C: Application completed / signed
D: Minimum deposit and fee                           D: Minimum deposit and fee

FOR EACH ACCOUNT OPENED, AN APPLICATION IS REQUIRED

DO NOT WRITE BELLOW, OFFICE USE ONLY

DATE RECEIVED__________________

ACCOUNT________________________

DATE OPEN______________________

COUNTRY________________________