Express Account Opening Form

XPRESS ACCOUNT OPENING FORM

Available to Connecticut, Massachusetts, and Rhode Island Residents Only

Please read the instructions, PRINT OUT the application and Mail the completed form, your deposit, and two copies of bank approved identification (see list) to People's United Bank, P O Box 7001, Bridgeport, CT 06601-9940, or visit your nearest People's United Bank branch, whichever is more convenient for you. Please use the night deposit box after hours.

___ Plus Checking Initial Deposit $ ____________		___ Plus Checking with Interest Initial Deposit $ ____________
___ e.Plus Checking (for college students only) Initial Deposit $ ____________		___ Plus Special Savings Initial Deposit $ ____________
___ Advantage Plus Checking Initial Deposit $ ____________		___ Plus Money Market Account (Plus PMA) Initial Deposit $ ____________
___ Advantage Plus Premier Checking Initial Deposit $ ____________		___ Plus Certificate of Deposit (CD) Initial Deposit $ ____________

(Please note that all Plus Deposit Accounts recquire a related checking account.)

Customer Information (Please Print)

Primary Account Owner

Are you an existing People's United Bank customer: ___ Yes ___ No

First Name____________________MI____Last Name__________________________
Home Address_________________________________________ How long: ________
City_____________________________________State________Zip______________
Previous Address (if less than two years) _____________________________________
Social Security #___________________________Birthdate______________________
Work Phone (Area Code) - ________________Home Phone (Area Code) - __________
Employer________________________________
Employer Address____________________________________________

Joint Account Owner

Are you an existing People's United Bank customer? ___ Yes ___ No

AUTHORIZED SIGNATURE(S) - Please Sign Below

I/We have read a copy of the Universal Deposit Account Contract, Funds Availability Policy and Electronic Fund Transfers Disclosure Statement and Agreement, and agree to its terms and conditions.

Primary Account Owner Signature _____________________________________ Date___________

Joint Account Owner Signature _______________________________________ Date___________

Certification of Taxpayer Identification Number: Under penalties of perjury, I certify that (1) the number shown on this form is my correct taxpayer identification number and (2) (a) I am not subject to backup withholding for the reason checked below, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) I am a U.S. person (including a U.S. resident alien). You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.

Primary Account Owner__________________________________________Date___________

I am exempt from backup withholding because I am an:
___ Exempt Payee (Form W-9 will be sent to you.) ___ Non-Resident Alien (Form W-8 will be sent to you.)

CHECKING ACCOUNTS ONLY
Please order a People's United MasterMoney^®Card for the following account owners:
[_]Primary Account Holder [_]Joint Account Holder

Authorizations:
I (we) are applying for a People's United MasterMoney^® Debit Card. I (we) understand that this is not a credit card and that the dollar amount of purchases made with this card will be deducted from the People's United Plus checking account. By signing below, I (we) authorize People's United Bank to verify the information which has been provided and to request a credit report if necessary. I (we) understand that the MasterMoney Debit Card is available to qualified customers only and other requirements apply. This application must be signed by all Plus checking account owners.

Signature #1_____________________________

Signature #2_____________________________

PERSONAL IDENTIFICATION NUMBER (PIN) (For electronic access to your Plus Checking package)
Please memorize your Personal Identification Number. This number will not be kept on record.
______ _____ _____ _____

CHECKING ACCOUNTS ONLY - Check Order Information
(Please print the name and address information you would like to appear on your checks)

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

BANK USE ONLY
Account #1:_______________________Account # 2:____________________________

Account #3:_______________________Account # 4:____________________________

ID#: ____________________ Exp.: _____ ID#: ___________________ Exp.: ______

Date Opened: _________ Social Security Issue Year: _______ State of Issue: ________

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