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Bank Account Setup
This form is being used by
SCG Financial, Inc
, and it's Business Advisor, an
AXOS Bank Advisor
to facilitate the collection of business information required to setup up a business checking account. By providing us with your contact information you authorize us to disclose information about you and your business to Axos Bank, and James Va Ren, Branch Manager, located at 4350 La Jolla Village Drive, Suite 140 San Diego, CA 92122 for the purpose of setting up a business checking account.
Documents Need To Get Started:
Checklist
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1
Getting Started
2
Business Information
3
Authorization
SCG Financial Business Advisor
Musheerah Idibo
Siedah Israel
Personal Information Identity Program
Customer Name (First, Middle Initial, Last):
*
SSN
*
Date of Birth
*
Are you an U.S. Citizen
*
Yes
No
Work Phone
*
Home Phone
*
Email
*
Employer
*
Job Title
*
Home Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
Business Information Program
Business Name
*
Tax ID Number
*
Description of Business:
*
Number of Employees
*
Annual Sales
Business Phone Number
*
Business Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Mailing Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Business Website (if not applicable enter N/A)
*
Previous
Next
Disclosure Authorization
Do you authorize SCG Financial, Inc to release your personal information to Axos Bank to include (Drivers License, State Issue ID, US Passport)?
*
Yes
No
Do you authorize SCG Financial Inc to release your information about your business to Axos Bank to include (IRS Form SS-4, State Corporation Commission Cert, Operating Agreement)?
*
Yes
No
Do you agree not to hold SCG Financial Inc, and its Business Advisors harmless for any unfavorable business dealings that may arise by banking with Axos Bank bank?
*
Yes
No
File Upload: Driver's License, Article of Incorporation, IRS EIN Letter
*
Click or drag a file to this area to upload.
Signature
*
Clear Signature
Submit