LaSalle Bank
LaSalle Bank N.A.
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Certificate of Deposit Application

Tell Us About Yourself
 
Type of Ownership Individual
Joint (with right of survivorship)
First Name
 MI
 Last Name
Address
 Apt.#
City
 State
 Zip Code
-
Home Phone
- - 		Business Phone
- -
Previous Address (If at current address less than 6 months)
Address
 Apt.#
City
 State
 Zip Code
-
Social Security Number
- - 		Date of Birth
/ /
Email Address Mother's Maiden Name
Employer
 Employer Telephone Number
- -
Employer Address
City
 State
 Zip Code
-
Driver's License Number (or state ID)
 State
Do you currently have any accounts with us?   Yes          No
How did you hear about us?   In Branch
  Internet
  Mail Piece
  News Paper
  Radio
  Television
  Other

 

Tell Us About Your Joint Applicant
First Name
 MI
 Last Name
Address
 Apt.#
City
 State
 Zip Code
-
Previous Address (If at current address less than 6 months)
Address
 Apt.#
City
 State
 Zip Code
-
Home Phone
- - 		Business Phone
- -
Social Security Number
- - 		Date of Birth
/ /
Email Address
 Mother's Maiden Name
Employer
 Employer Telephone Number
- -
Employer Address
City
 State
 Zip Code
-
Driver's License Number (or state ID)
 State
Certificate of Deposit Selection
Select a CD Term from the Chart Below
 
Term Minimum
Opening Deposit		 Interest
Rate 		Annual Percentage
Yield (APY)
7 Month Online Manager Special CD* $10,000 3.16% 3.20%
Risk Free CD 9 Months** $5,000 2.92% 2.95%
1 Month $15,000 1.79% 1.80%
3 Months $15,000 1.84% 1.85%
6 Months $15,000 1.59% 1.60%
12 Months $15,000 3.21% 3.25%
18 Months $15,000 3.26% 3.30%
24 Months $15,000 3.45% 3.49%
30 Months $15,000 3.45% 3.49%
36 Months $15,000 3.55% 3.60%
60 Months $15,000 4.04% 4.10%
120 Months $15,000 4.04% 4.10%
1 Month $2,000 1.74% 1.75%
3 Months $2,000 1.74% 1.75%
6 Months $2,000 1.59% 1.60%
12 Months $2,000 3.21% 3.25%
18 Months $2,000 3.02% 3.05%
24 Months $2,000 3.45% 3.49%
30 Months $2,000 3.45% 3.49%
36 Months $2,000 3.45% 3.49%
60 Months $2,000 4.04% 4.10%
120 Months $2,000 4.04% 4.10%

Interest rates and Annual Percentage Yields (APYs) are accurate as of 7/2/08 and are subject to change without notice.  The APY on all certificates assumes that principal and interest will remain on deposit until maturity.  A withdrawal will reduce earnings.  A penalty may be imposed for early withdrawal.  The minimum balance required to earn the APY is $2,000 for Fixed Term Fixed Rate CDs and $10,000 for Online Manager's Special CD.

*Interest Rate and Annual Percentage Yield apply only to consumer accounts opened online. Cannot be combined with any other special offer or coupon.

**The Annual Percentage Yield (APY) is accurate as of 7/2/08. This is a promotional rate that applies only to new CDs with a 9-month term opened online through bankofamerica.com/lasallebank. This promotional rate applies only to the initial CD term. Upon renewal of the CD, our then standard rate for standard CDs with that amount and term apply. We may change this promotional rate at any time without prior notice. The minimum balance required to open a Risk Free CD is $5,000 for non retirement and $2,000 for retirement. We may limit the amount you may invest in one or more Risk Free CDs to a total of $500,000. Alternative terms not allowed. Additional restrictions may apply.

For additional information regarding other fees and terms, refer to the Consumer Deposit Account Information (CDAI) (PDF, 429k) brochure.

 

Amount of Opening Deposit
The amount $100,000 or over is considered a Jumbo CD. Please contact us at 1-800-840-0190 for our Jumbo CD rates and terms.
Select a Method of Opening Deposit**    Mail in Check
   Transfer from an existing account with us
       account number 
**Do not mail cash
Interest Payments
For terms of less than six months, interest will be credited to the account at maturity. For terms of six months or longer the interest amount will be compounded and credited to the account quarterly unless otherwise specified. If you've chosen a CD with a maturity of six months or longer, please indicate how you would like that interest paid.

Credit interest to another account with us
Account number to be credited  
  Quarterly    Monthly
Send interest to me by check quarterly
Send interest to me by check monthly (only available with a $10,000 minimum balance)

Please sign and date this form and mail it to us along with your personal check or official check. Mail all information to:
LaSalle Bank Midwest N.A.
Attn: Internal Services
P.O. Box 4907
Chicago, IL 60680-4907

Disclosure of Account Information
In order to provide you with a full range of financial products and services, we intend to share the information you provide in this application, along with other information about you that we obtain from third parties, with our parent, affiliate and subsidiary companies to help us determine your eligibility for products and services. The law permits you to direct us not to share the information with our parent, affiliate, or subsidiary companies.  If this is your preference, please check the box below.

  I/We do not want the bank to share information that it receives from third parties about me/us and/or my/our accounts with any parent, affiliate or subsidiary companies.
Signature Card
General Agreement

By signing this account signature card, you agree to accept the rules and conditions of LaSalle Bank Midwest National Association ("Bank") governing this account, as amended from time to time, including the Account Agreement, Service Charge Schedule, Electronic Funds Disclosure, Funds Availability Policy, and ATM and Money Card Agreement.  These rules and conditions are contained in the Bank's Consumer Deposit Account Information brochure.

I/We agree that this account is subject to Michigan law and that I/We consent to the exclusive jurisdiction of the courts of the state of Michigan and the federal courts in the state of Michigan in connection with the any action related to my/our accounts at the Bank. I/We further agree that the Bank has the right to charge this account for any liabilities owed by only one or more of the account owners to the Bank.

 

Name of Applicant:  SS# of Applicant:
Signature: _______________________ Signature: _______________________
 

 

Name of Joint Applicant:  SS# of Joint Applicant:
Signature: _______________________ Signature: _______________________

Taxpayer Identification Number Certification
Under penalties of perjury, I certify that (1) the number shown on this form is my correct taxpayer identification number and (2) I am not subject to back-up withholding because I am exempt from backup withholding, I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the IRS has notified me that I am no longer subject to backup withholding.

 

Signature:_________________ Date:___________________
 

 

For Internal Use Only
Opening Date: __________________ Account #:_____________________
Ownership: ____________________  
Equal Housing Lender Privacy & Security | Terms of Use
© 2008 Bank of America Corporation. All rights reserved. Bank of America, N.A., LaSalle Bank N.A., and LaSalle Bank Midwest N.A. Members FDIC. Equal Housing Lenders. Equal Opportunity Lenders. PLEASE NOTE: LaSalle products may not be able to be serviced at Bank of America banking centers or through BankofAmerica.com until late 2008.

The products and services described on this page are offered by LaSalle Bank Midwest N.A., operating under the name Bank of America. The terms "we", "us", "our" and "Bank of America" refer to LaSalle Bank Midwest N.A. LaSalle Bank is part of the Bank of America family of companies.