The First State Bank Columbus, TX

Electronic Statement Application

Sign up for Electronic Statements

  1. Read the Frequently asked Questions for eStatements.
  2. Read the Electronic Statements terms & Conditions.
  3. Complete the eStatement Application below (one for each account).
  4. Submit the Application.


Before you submit the eStatement Application, you must read the Electronic Statement Terms & Conditions. By choosing to submit the eStatement Application, you are agreeing to the terms, conditions, and fees set out in the Electronic Statement Agreement.


Account Name: _______________________________________________


Address: ____________________________________________________


City: _______________________________________________________


State: ____________________________   Zip: _____________________


Home Phone #: ______________________________________________


Work Phone #: ______________________________________________


Cell Phone #: ________________________________________________


Email Address (Primary): ______________________________________


Email Address (Secondary): ____________________________________


Account Number/Numbers: _____________________________________



I have received, read and agree to the terms, conditions and fees set out in The First State Bank's Electronic Statement Terms & Conditions. I understand my rights and obligations as a consumer of the eStatement service. I also understand the rights and the obligations of The First State Bank as the provider of these services.


Signed: ______________________________________________________


Printed Name: ________________________________________________


Date: _______________________________________________________

Please click here for a New Accounts application, or contact our New Accounts Officer, John J. Polach, Jr. at 979-732-2332 or email us .


© 2014 First State Bank of Columbus Texas.  All Rights Reserved
420 Walnut - Post Office Box 9, Columbus, Texas 78934-0009
Phone: 979 732.2332 - Fax: 979 732.2016
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