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Phone: 1-800-335-3078
Email: info@cnob.com

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301 Sylvan Avenue
Englewood Cliffs, New Jersey
Phone 201-816-8900, Fax 201-816-8911

www.connectonebank.com

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* First Name:   
* Last Name:   
* Street Address:   
* City:   
* State:   
* Zip Code:   
* Home Phone:  ( ) -
* Email Address:   
* Social Security Number:    - -
* Date of Birth: (mm/dd/yyyy)    / /
* Mother's Maiden Name:   
* 1st ID: (Type, #, issue $ exp date)   
* 2nd ID: (Type, #, issue $ exp date)   
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NOTICE OF EXPIRATION OF THE TEMPORARY FULL FDIC INSURANCE COVERAGE FOR NONINTEREST-BEARING TRANSACTION ACCOUNTS
By operation of federal law, beginning January 1, 2013, funds deposited in a noninterest-bearing transaction account (including an Interest on Lawyer Trust Account) no longer will receive unlimited deposit insurance coverage by the Federal Deposit Insurance Corporation (FDIC). Beginning January 1, 2013, all of a depositor’s accounts at an insured depository institution, including all noninterest-bearing transaction accounts, will be insured by the FDIC up to the standard maximum deposit insurance amount ($250,000), for each deposit insurance ownership category.

For more information about FDIC insurance coverage of noninterest bearing transaction accounts, visit http://www.fdic.gov/index.html

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