Limiting Personal Information Sharing

Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information.

Your choice to limit sharing will not expire. You may exercise your right to limit personal information sharing at any time.

To limit sharing contact us:

By Telephone: 1-888-558-1888 OR

Complete the form below:

NOTE: Information provided on this form ensures that we are able to properly identify you and fulfill your request to limit sharing. The information you submit will be sent to us in a secure encrypted format to protect your privacy. Information that you provide on this form will not update your contact information in our records for your accounts. If you wish to update this information please contact your Personal Banker.

Your choices will apply to everyone on your account -- unless you tell us otherwise.

Required fields are indicated by (*).

First Name: (*)

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Middle Initial:

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Last Name: (*)

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Social Security Number: (*)

Please enter a valid Social Security or Taxpayer Identification Number
Address:

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City:

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Zip:

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Best way to contact me with questions about this form:

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Phone:

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Filled Out By:

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Bank Employee Name (optional):

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