eSTATEMENTS AUTHORIZATION APPLICATION

I hereby request an electronic statement from Iowa State Bank for each account listed on the following form.

By choosing to receive electronic statements I agree to no longer receive hardcopy statements through the mail unless I contact Iowa State Bank.

This may also include any notices or disclosures pertaining to this account.

I understand that I must have a valid email address and access to a computer with an internet connection with Adobe Acrobat Reader 6.0 or greater installed.  My electronic statement will be sent to me as a digitally-encrypted, password protected, PDF email attachment.  The time required to download statements to my computer will vary based on my internet connection and statement size.  I understand that in order to keep my electronic statements for permanent record and to prevent loss, I must take the necessary steps to regularly back up my data and/or print my statements.  Statement records will be kept by Iowa State Bank.  Charges may apply to receive copies.

To ensure that I receive my electronic statement, it is important that the Iowa State Bank has an accurate email address for my account.  It is my responsibility to notify the Iowa State Bank of any changes to my email address so that they may provide me with the best service possible.  If my electronic statement is returned to Iowa State Bank as undeliverable, they will print a paper copy of my statement and send it to me via US Mail.  I may, at any time, change my statement format from electronic back to hard copy, but Iowa State Bank requests written notice at least seven days in advance of my statement cutoff.

Note: e-Statements require the free Adobe Acrobat Reader for viewing. If necessary, you can get it by clicking on the Acrobat Reader icon to the right.