First State Bank - Privacy Opt-Out Request

Privacy Preference Election

You have the option to restrict the sharing of personal and financial information with our affiliates (companies we own) and non-affiliates (outside companies) that we do business with.

To limit your sharing, please fill out and submit your information below.

1: Identify Yourself

For joint accounts, this election will apply to all holders listed on the account(s) and all accounts owned. If you own multiple accounts, you only need to choose one account.

Primary Authorized Account Signer:

First Name *

Last Name *

Last 4 digits of SSN *

Last 4 digits of primary account *

Joint Authorized Account Signer:

First Name

Last Name

Last 4 digits of SSN

* Required Fields + Click here to add more account signers

2. Select Your Privacy Preferences:

Do not share information about my creditworthiness with your affiliates for their everyday business purposes.

AND/OR

Do not allow your affiliates to use my personal information to market to me.

AND/OR

Do not share my personal information with nonaffiliates to market their products and services to me.

3. Submit Your Request

YES. I want First State Bank to limit my Privacy Preferences as detailed above.

If at any time, you wish to change your privacy elections, please call 866-372-1275.