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.
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)    

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

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