Commercial Trust Company e-Statement Authorization Form

Registration for Commercial Trust e-Statement is required.
1. Complete all fields.
2. Print this form by using the PRINT button on your browser.
3. Sign the form.
4. FAX (660-248-2384) or mail it to us at:

Commercial Trust Company
Attn: Commercial Trust e-Statement
119 North Main, P.O. Box 471
Fayette, Missouri 65248-0471

If you have questions about the application process, please contact us at 660-248-2222 or 573-256-6111

Account Information

Name:

Social Sec. #:

Address:

Apt#/Suite:

City:

State:

Zip Code:

E-Mail Address:

Home Phone:

Daytime Phone:

Checking Acct#:

Savings Acct#:

Checking Acct#:

Savings Acct#:

Checking Acct#:

Savings Acct#:

 

 

E-Statement Disclosure

 

By enrolling in E-Statements, you have requested and Commercial Trust Company (Bank) has agreed to notify you via the email address you provide to the Bank, notice that your bank account statements are electronically available through the Bank’s e-Statement web site. The Bank will send, electronically to the same email address, a message containing a notice of how to view available information by accessing Bank’s e-Statement web site. By receiving your statement electronically, you acknowledge that you will not receive a hard copy of your bank account statement or any images of your canceled checks. Your electronic bank account statement will provide the numbers of each check that has cleared, the amount of each check, and the date of payment posting. If you request a hard copy of either your bank statement or any check referenced in that statement, normal research fees will apply. If you request a copy of a check from the Bank, the Bank will provide a legible copy of the check within a reasonable period of time.

 

By enrolling, you agree to the terms stated above and are able to meet the minimum requirements for printing or retaining the information that is provided to you. You understand that you have a duty to exercise reasonable promptness in examining the electronic statement or the items referenced to determine whether any payment was not authorized because of an alteration of an item or because a purported signature by or on behalf of you or other signatory on the account was not authorized. The statute of limitations governing these responsibilities will commence at the time the email is sent by the Bank to you. You further agree to receive our error resolution notice and a copy of our privacy policy electronically. You agree to inform us if your email address changes.

 

Should you decide to cancel this method of statement delivery, you may do so by calling one of our customer service representatives at 660-248-2222 or 573-256-6111.

 

I agree to the aforementioned terms & conditions and wish to sign up for E Statements.

 

 

Date: _________________________                Signature: _______________________________