Interest Bearing Savings Account

Open Your Account

  1. Personal Information
  2. Identity Verification
  3. Opening Deposit

Secure Form

This form supports up to 256-bit SSL encryption to protect your personal information while it is in transit.

To learn more about what we do with personal information, view our Privacy Policy

Confirm Information

Please confirm this information before continuing. We'll use this information to help verify your identity.

Verify

Please answer the following questions to help us verify your identity. All questions must be answered within 10 minutes.

Fund Your Account

Now you'll setup your deposit into your new account. This money will be deposited once your new account is approved.

Thank You!

We are currently verifying your application. Here's what to expect next:

Funding Information

    At the end of this application, you will be presented with your funding options. Please choose Come to a Branch as your funding option, even though Dirt Track Bank does not have a physical branch location.
    Once your application has been received and reviewed, a representative from Dirt Track Bank will reach out to you to secure the funding information.
    Please note: There is also an ACH Funding option. Please do not enter in your ACH information, as we will be reaching out to you to collect all funding information.

    Before your application can be approved, Dirt Track Bank requires a copy of your identiciation. Please Check the box below indicating you understand you will be asked to provide a copy of your identification to Dirt Track Bank before your account can be opened.

    OK By checking this box, I verify that I understand a representative from Dirt Track Bank will be reaching out to me to secure my funding information. is required
    OK By checking this box I verify that I understand that Dirt Track Bank will require a copy of my identification before my account can be opened. is required
  • Applicant Information

  • Please enter the code to confirm your ability to view the required Portable Document Format (PDF) files. If the code isn't visible, click here to see code in new window or visit your nearest branch to apply for an account.

  • OK Error - Please enter the code to verify that you can view the required Portable Document Format (PDF) files. If the code isn't visible you will need to visit your nearest branch to apply for an account.

Basic Info

  • OK First Name is required
  • OK Last Name is required
  • OK Email Address is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    OK Mailing address is different (Optional) is required

Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Tax Status

    OK Please select one of the following.
  • What is this?

    If you have any questions about how to complete this section please download instructions.

Additional Information

  • Would you like a debit card for this account? (Spending Account only)

    OK Would you like a debit card for this account? (Spending Account only) is required
  • OK Please select the otpion you prefer is required
  • Estimated deposits per month

    OK Estimated deposits per month is required
  • Anticipated withdrawal types (check all that apply)

    OK Anticipated withdrawal types (check all that apply) is required
  • Estimated withdrawals per month

    OK Estimated withdrawals per month is required
  • Anticipated withdrawal types (check all that apply)

    OK Anticipated withdrawal types (check all that apply) is required
  • Incoming Wire Transfers

    OK Incoming Wire Transfers is required
  • Outgoing Wire Transfers

    OK Outgoing Wire Transfers is required
  • Please select the type of account you would like to open

    OK Please select the type of account you would like to open is required
  • OK Purpose of the account? (example: daily use, household, bills, taxes, general) is required
  • OK How are you associated with Dirt Track Racing? is required
  • Are you a politically exposed person?

    OK Are you a politically exposed person? is required
  • OK How did you hear about us? is required
  • OK Employer is required
  • OK Occupation is required
  • If you are designating a beneficiarie(s) on your account please check the box(es) below and provide their name and date of birth in the spaces provided.

    Optional OK Beneficiary No. 1 is required
  • OK Name is required
  • OK Date of Birth is required
  • (optional) OK Social Secuirity Number is required
    Optional OK Beneficiary No. 2 is required
  • OK Name is required
  • OK Date of Birth is required
  • (optional) OK Social Security Number is required
    Optional OK Beneficiary No. 3 is required
  • OK Name is required
  • OK Date of Birth is required
  • (optional) OK Social Security Number is required

Joint Applicant

  • Will this be a joint account?

    OK Will this be a joint account? is required

Co-Applicant Basic Info

  • OK First Name is required
  • OK Last Name is required
  • OK Email is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required
  • Checkbox Group

    OK Checkbox Group is required

Co-Applicant Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    Optional OK Mailing address is different is required

Co-Applicant Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Co-Applicant Tax Status

    OK Please select one of the following.
  • What is this?

    If you have any questions about how to complete this section please download instructions.

    Important Information About Procedures for Opening a New Account:

    To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.