Commercial Application

Please fill out the fields in the form below. One of our representatives will contact you within one business day to complete the process.

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Business Information

  • OKBusiness Name is required
  • OKBusiness Type is required
  • OKContact Name is required
  • OKPermanent Address (Not a P.O. Box) is required
  • OKCity is required
  • OKState is required
  • OKZip is required
  • Use residential address for mailing address

    OKUse residential address for mailing address is required
  • OKMailing Address (if different than above) is required
  • OKCity is required
  • OKState is required
  • OKZip is required
  • Business Phone

    --
    OKBusiness Phone is required
  • Business Fax

    --
    OptionalOKBusiness Fax is required
  • Business Cell Phone

    --
    OptionalOKBusiness Cell Phone is required
  • OKTax ID Number is required
  • OKE-mail is required

Contact Information

  • OptionalOKChoose the location you would like to complete your application: is required
  • How would you prefer to be contacted?

    OptionalOKHow would you prefer to be contacted? is required
  • When is the best time to arrange an appointment?

    OptionalOKWhen is the best time to arrange an appointment? is required

      Southern Bank Branch Location

      • OKSelect Your Region is required
      • OptionalOKSelect Your County in Illinois is required
      • OptionalOKSelect Your Brainch in Illinois is required
      • OptionalOKSelect Your Branch in Southeast Missouri is required
      • OptionalOKSelect Your Branch in Southwest Missouri is required
      • OptionalOKSelect Your Branch in Arkansas is required

Comments

  • OptionalOK is required

Security Code

  • OK is required
  • Southern Bank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.