Personal Deposit Account Request

Bank of Dudley is located in middle Georgia and offers a full range of services for Laurens/Twiggs county and surrounding communities. Keep in mind that you will need to come in to one of our branches in Laurens/Twiggs county to finalize your documentation and we reserve the right to deny opening accounts for individuals outside of our service area.


* indicates a required field


Account Type:
Savings:
Type of Account:
Checking:
Amount account will be opened with:
* Upon approval, at which branch would you like to finalize your account documentation?
Personal Information
* Name:
Name of joint account owner if any: (see below)
* Address:
* City:
* State:
* Zip:
* E-mail:
* Home Phone Number:
Work Phone Number:
*Social Security Number:
*Driver's License Number:
*Date of Birth
Other Instructions or Needs you may have:

If this is an individual account, you may submit now. If this is a joint account, please fill out the following section as well. Thank you!

By submitting this application, I certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Bank of Dudley to investigate our creditworthiness, credit history and financial responsibility through any credit bureau

Joint Account Information
Name of joint account owner:
Address:
City:
State:
Zip:
E-mail:
Home Phone Number:
Work Phone Number:
Social Security Number:
Driver's License Number:
Taxpayer ID Number
(if different from SS Number):
Date of Birth:

By submitting this application, We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Bank of Dudley to investigate our creditworthiness, credit history and financial responsibility through any credit bureau


* indicates a required field