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Longview Bank

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Bill Payment/Mobile Deposit Access Form

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Date of Birth*
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Bill Pay
I acknowledge that Bill Pay assesses a separate Overdraft Fee of $20 for each item in addition to the bank’s Overdraft Fee.
Mobile Deposit
Acknowledgement*
The terms and conditions of the “Online Banking Agreement,” “Mobile Services Agreement,” “Terms and Conditions of The Bill Payment Service,” and/or “Electronic Disclosure and Consent,” and you request Longview Bank to establish you as a Bill Payment and/or Mobile Deposit Customer as designated above.

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