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Yes, I would like to sign up for Personal online Banking with Texas Star Bank.

To sign up for Internet Banking, complete and print the application below. Sign the form and send it via US mail or bring it in person to any Texas Star Bank location. You will receive a letter notifying you that you may now access your Personal Online Banking by using the login and temporary password. Only authorized signers of the account(s) can apply for online access. The information you provide will be verified with the information we have on file.


First Name:  Last Name: 

Address: 

City:     State:       Zip: 


Mailing Address: 

City:     State:       Zip: 

Home Phone:        Work Phone: 

Email Address:        SS# / TIN: 

Place of Birth (City and State):       

Mother's Maiden Name: 


As an added security feature, please write a question and response you can use to identify yourself in case you forget your password.

Secret Question / Phrase: 

Secret Response: 

Confirm Response: 


I would like to have access to the following accounts for my online banking:

Account Number**Online Name
1: 
2: 
3: 
4: 
5: 
6: 
7: 

**The Online Name you use will be assigned to each account. We will not post your account numbers online. Please give us a name to reference your account(s). (ex: household, personal, savings, checking)

Signature:___________________________________________    Date:_____________________


If you would like to apply for "Star Bill Payment Service", please read and sign this section:

I authorize Texas Star Bank to post transactions generated by Internet Banking Bill Payment Service from my account(s). If at any time I decide to discontinue service, I will provide written notification to Texas Star Bank. My use of the Bill Payment Service signifies that I have read and accepted all the terms and conditions of the Bill Payment Service. I understand that payments may take up to 10 business days to reach the vendor and that they will be sent either electronically or by check. Texas Star Bank is not liable for any service fees or late charges levied against me. I also understand that I am responsible for any loss or penalty that I may incur due to the lack of sufficient funds or other conditions that may prevent the withdrawal of funds from my account.

I have read the Online Banking Agreement and agree to all of the terms.


Signature:___________________________________________ 
Date:__________________

Texas Star Bank
Attn: Online Banking Coordinator
P.O. Box 608
Van Alstyne, TX. 75495


Branch Locations: Van Alstyne, Anna, Celina, Tom Bean, Sherman, McKinney, Tioga & Durant

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