New Account Application

Please open the following accounts: Advantage Checking Account Basic Checking Account Classic Checking Account Super NOW Checking Account Money Market Checking Account Savings Account

Please select either section (1) or (2) below: * (1) The number(s) shown in this application is/are the correct taxpayer identification number(s) and I/we am/are not subject to backup withholding as a result of failure to report all interest or dividends, or the IRS has notified me/us that I/we am/are no longer subject to backup withholding. (2) The number(s) shown in this application is/are the correct taxpayer identification number(s) and I/we have been notified by the IRS that I/we are subject to backup withholding as a result of failure to report all interest or dividends.

(3) I/we agree to be bound by the provisions of the applicable disclosure(s) for products I/we have selected. Reform Commercial Savings Bank will furnish such applicable disclosure(s) to me/us within the time frame(s) prescribed by regulation and I/we will inform Reform Commercial Savings Bank if I/we do not receive full disclosure(s).

I/we authorize Reform Commercial Savings Bank to obtain credit reports on me/us from time to time. I/We understand that Reform Commercial Savings Bank will use the credit reports in evaluating my/our credit worthiness for various credit products offered by the institution.