City National Bank: Online Banking Service Change Request Form

Online Banking Service Change Request Form
COMPLETE, PRINT, SIGN and RETURN this form to your City National banking office or mail to City National Bank, c/o Central Operations - Online Banking, P.O. Box 512149, Los Angeles, CA 90051.

User Information

Full Name

Business Name (if applicable)

Online Banking User ID

E-mail Address (if changed)

Last 4 digits of SSN or Tax ID (if applicable):

Add a New Service

Bill Payment (see Online Banking Fee Schedule)

Credit Cards - Enter the last 4 digits for any Personal Credit Card Accounts you wish to access.
Note: Business Credit Cards cannot be accessed through this service.

Account-to-Account Transfers: Enter below the deposit or loan account numbers for the accounts you wish to transfer from and to. Consumer check accessible revolving lines of credit are eligible for bi-directional transfers. All other loans and lines of credit are eligible to receive payments, only. Note: Check the both ways box if allowing transfers to and from accounts listed below.

I hereby authorize City National Bank to allow for the transfer of funds between the City National accounts indicated below, through the use of the Online Banking Transfers Service.

From			To			Both ways
Type	Account No.	Loan Note No.	Type	Account No.	Loan Note No.	Both ways
Deposit Loan			Deposit Loan
Deposit Loan			Deposit Loan


Update Primary Account Information Note: If you are using the service to access business accounts, your business checking account must be primary.
Indicate a new primary checking account for Bill Payment and fees:

Cancel Service
Bill Payment Service ONLY Online Banking Online Banking with Bill Payment Account-to-Account Transfer Service for the following transfer setup(s):

From Account	To Account	Both Ways	From Account	To Account	Both Ways
1.			2.

Authorization and Agreement: I request the services indicated above. I agree to be bound by the terms and conditions for these services as stated in the City National Bank Online Banking Service Agreement and Disclosure, the Account Agreement and Disclosure and the applicable fee schedules, receipt of which I acknowledge, and to the terms and conditions of any amendments to either of them if I continue to use the services after receipt of the amendments. I represent and warrant to you that I am the primary or a joint owner of and an authorized signer on all the account(s) listed above or I am duly authorized to act on behalf of the business which owns the account(s) and receive password information for the Online Banking Service.

_____________________________________________________________

Applicant's Signature

_______________________

Date

FOR BANK INTERNAL USE ONLY
BUS PKG	The following ID was used to verify the client: ______ Driver's License ______ Other	_______________________ __________________________ Officer's Name (Print) (Signature)

FOR BANK INTERNAL USE ONLY

BUS PKG

The following ID was used to verify the client:

______ Driver's License ______ Other

_______________________ __________________________
Officer's Name (Print) (Signature)

Banking Offices: Send this form to Central Operations — New Accounts (#025)
ID 01040E (04/2006)		(504)