Results:_____________________________ Resolve conflict in Additional Comments: documents: SECTION FOUR: QUESTIONS Type of customer: Account opening method: New In person all parties present Existing customer adding new service In person, less than all parties present Mail Type of person: Telephone US Person Email, website Non US person Type of deposit: Type of business: Cash Government Money Service Business (check cashing, wires, issuer or On us transfer or Check redeemer of cashier’s checks, etc--Fill out MSB check Cashier’s check questionnaire) Payroll check Wire Buying or selling motor vehicles of any kind, vessels, Foreign Fund aircraft, farm equipment, or mobile homes Practicing law Location of customer: Accounting HIDT Parish/County Practicing medicine Non HIDT Parish/County Auctioning goods What brought you to our bank? Chartering or operating buses, or aircraft Product Gaming of any kind (other than licensed pari-mutuel betting Relationship with banker at race tracks) Location Real estate brokerage Dissatisfied with current bank Pawn brokerage Other____________________ Title insurance and real estate closing Trade union activities Other___________________________________________ Do you have any deposits come in How close is your office? automatically? 1-5 miles Payroll 6-10 miles Operating Account 11+ miles Other______________________ Do you have any deposits come in Do you use automatic withdrawals? automatically? Sweep Accounts YES Utilities NO Other______________________ Do you plan to use the following: Do you know how many deposits you will make a month? Internet banking 1-5 ATM, Debit Cards 6-10 Other branches? 11 or more
Results:_____________________________ Resolve conflict in documents: Additional Comments: SECTION FOUR: QUESTIONS Type of customer: New Existing customer adding new service Account opening method: In person all parties present In person, less than all parties present Mail Telephone Email, website Type of person: US Person Non US person Type of deposit: Cash On us transfer or check Payroll check Government Check Cashier’s check Wire Foreign Fund Type of business: Money Service Business (check cashing, wires, issuer or redeemer of cashier’s checks, etc--Fill out MSB questionnaire) Buying or selling motor vehicles of any kind, vessels, aircraft, farm equipment, or mobile homes Practicing law Accounting Practicing medicine Auctioning goods Chartering or operating buses, or aircraft Gaming of any kind (other than licensed pari-mutuel betting at race tracks) Real estate brokerage Pawn brokerage Title insurance and real estate closing Trade union activities Other___________________________________________ Location of customer: HIDT Parish/County Non HIDT Parish/County What brought you to our bank? Product Relationship with banker Location Dissatisfied with current bank Other____________________ Do you have any deposits come in automatically? Payroll Operating Account Other______________________ How close is your office? 1-5 miles 6-10 miles 11+ miles Do you have any deposits come in automatically? YES NO Do you use automatic withdrawals? Sweep Accounts Utilities Other______________________ Do you plan to use the following: Internet banking ATM, Debit Cards Other branches? Do you know how many deposits you will make a month? 1-5 6-10 11 or more
DueHO2LG020516.docx