Capital Bank - Partners in Your Vision
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CAPITAL EXPRESS INTERNET BANKING FOR BUSINESS -CLIENT AUTHORIZATION
General Company Information – Completed by Customer
|Company Name: ________________________ | |
Address: _ _______________________
City, State, Zip: ________________________
|Contact Name: ________________________ |Contact Telephone Number: ( ) - |
|Tax ID Number: _______________________ | |
E Mail Address: __________________________
Fax Number: ( ) - Cell Number of Main Contact: ( ___) __-
COMPLETED BY BANK ONLY
Company Portfolio Number: ________________
|BANK USE ONLY |
|BRANCH INTAKE & AUTHORIZATION |
|Bank Representative Name: |Br. Officer |Date |
| |Authorization: |Authorized: |
|All Funds Transfer Forms Must be Received prior to Online | ACH Origination Application | Wire Transfer Agreement |
|Banking Set-Up |ACH Origination Agreement | |
| |ACH Risk Assessment | |
|OPERATIONS: |
|Date Established |Established |
|on System: |By: |
| |
|Client Set up Super Admin Set Up File Transfer(s) Set up Fund Transfer(s) Set up |
| ACH Set Up: | Wire Transfer Set Up: |
|Forms Received: | |
|ACH Origination Application |Forms Received: |
|ACH Origination Agreement |Wire Transfer Agreement |
|ACH Risk Assessment | |
|Notes: |
CAPITAL EXPRESS INTERNET BANKING FOR BUSINESS
CLIENT ACCOUNT AUTHORIZATION
Completed by customer
The following information is required for every account accessed by your company through the system. Photocopy and fill out this worksheet as needed.
1. Account Nickname:
Account Type: Checking/Int Chck Money Market Loan Savings CD
|Account Number: | |
Fund Transfer Options:
Domestic Wires Foreign Wires Internal Transfers Bill Pay
Loan Payments ACH Origination
2. Account Nickname:
Account Type: Checking/Int Chck Money Market Loan Savings CD
|Account Number: | |
Fund Transfer Options
Domestic Wires Foreign Wires Internal Transfers Bill Pay
Loan Payments ACH Origination
3. Account Nickname:
Account Type: Checking/Int Chck Money Market Loan Savings CD
|Account Number: | |
Fund Transfer Options
Domestic Wires Foreign Wires Internal Transfers Bill Pay
Loan Payments ACH Origination
I HAVE READ AND AGREE TO ABIDE BY THE CAPITAL EXPRESS ONLINE BANKING POLICY AND AGREEMENT.
__________________
Authorized Signature Printed Name
___/___/___
Title Date
CAPITAL EXPRESS INTERNET BANKING FOR BUSINESS - ADMINISTRATIVE EMPLOYEE AUTHORIZATION
The Super Administrator is a high level person in the business who will have the ability to assign access to the business’s accounts by the business’s employees.
|Senior Administrator Name: _______ |Contact Phone (Required): ( ) - |
|E Mail Address (Required): |Fax Number: ( ) - |Cell Number: ( ) - |
Authorized Access Times
Access Day Begin Time End Time Access Day Begin Time End Time
Monday 12:1 am/pm 11:59 am/pm Friday 12:1 am/pm 11:59 am/pm
Tuesday 12:1 am/pm 11:59 am/pm Saturday 12:1 am/pm 11:59 am/pm
Wednesday 12:1 am/pm 11:59 am/pm Sunday 12:1 am/pm 11:59 am/pm
Thursday 12:1 am/pm 11:59 am/pm
Note: If authorized access time is not specified, the access time will be granted from 6:00am to 11:59pm only.
Administration Options
Inquire Employee Add Internal Transfer Template
Delete Employee Change Internal Transfer Template
Assign Account Access to Employees Delete Internal Transfer Template
Add Wire Transfer Template
Add ACH Transfer Template Change Wire Transfer Template
Change ACH Transfer Template Delete Wire Transfer Template
Authorized Fund Transfers:
Internal Transfers International Wires
Domestic Wires Access to Bill Pay
ACH Origination
__________________
Authorized Signature Printed Name
/ /
Title Date
CAPITAL EXPRESS INTERNET BANKING FOR BUSINESS - COMPANY AUTHORIZED EMPLOYEES
Capital Bank enables employees within the Company and the level(s) of access the Authorized Signer wishes to grant. The Authorized Signer of the Company shall notify Capital Bank of any changes to who the permitted users are to access Company accounts via Capital Express.
LIST OF USERS: Token required for all Wire and/or ACH Originators
|USER #1: |USER #2: |
|E Mail Address (Required): |E Mail Address (Required): |
|Contact Phone: ( ) - |Contact Phone: ( ) - |
Senior Administrator Senior Administrator
Administrator Administrator
Supervisor Supervisor
Employee Employee
View Account Activity View Account Activity
Internal Transfer Internal Transfer
Domestic Wires Domestic Wires
International Wires International Wires
ACH Origination ACH Origination
Access to Bill Pay Access to Bill Pay
Special Instructions (List Accounts):
|User #1: |User #2: |
| | |
|Dual Approval: |Dual Approval: |
|Wires- Yes No ACH- Yes No |Wires- Yes No ACH- Yes No |
|USER #3: |USER #4: |
|E Mail Address (Required): |E Mail Address (Required): |
|Contact Phone: ( ) - |Contact Phone: ( ) - |
Senior Administrator Senior Administrator
Administrator Administrator
Supervisor Supervisor
Employee Employee
View Account Activity View Account Activity
Internal Transfer Internal Transfer
Domestic Wires Domestic Wires
International Wires International Wires
ACH Origination ACH Origination
Access to Bill Pay Access to Bill Pay\
Special Instructions (List Accounts):
|User #3: |User #4: |
| | |
|Dual Approval: |Dual Approval: |
|Wires- Yes No ACH- Yes No |Wires- Yes No ACH- Yes No |
Authorized Signature _ __________________ Print Name _________________
Title: _________________________ Date: ___/___/___
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