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NetXpress Bill Pay

First Name(*)
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Middle Initial
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Last Name(*)
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Email Address(*)
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Social Security Number(*)
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Address(*)
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City(*)
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State(*)
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Zip Code(*)
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Primary Phone Number(*)
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Ex: 555-555-5555

Secondary Phone Number
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Ex: 555-555-5555

CNB NetXpress ID(*)
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Co Applicant - First Name
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Co Applicant - Middle Initial
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Co Applicant - Last Name
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Co Applicant - Social Security or Tax ID #
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I authorize Community National Bank to post payment transactions generated by CNB NetXpress Bill Pay to the account indicated above. I understand that I am in full control of my account. If at any time I decide to discontinue service, I will provide written notification to Community National Bank. My use of CNB NetXpress signifies that I have read and accepted these terms and conditions.

I understand that payments may take up to 5 business days to reach the vendor and that payments will be sent either electronically or by check. Community National Bank is not liable for any loss or penalty that I may incur due to a lack of sufficient funds or other conditions that may prevent the withdrawal of funds from my account. If my account is not kept in good standing, my access to Bill Pay may be revoked. If my Bill Pay account is inactive for more than 120 days, the bank may discontinue Bill Pay services until I apply for reactivation.

I received a Reg E disclosure which controls Electronic Funds Transfers, when I opened my account. The following identifies additional terms and conditions.

1) Charges I may incur are $26.75 for a stop payment; Charges for insufficient funds according to the fee schedule for my checking account.

Signature(*)
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NetXpress Bill Pay

First Name: .

Middle Initial: .

Last Name: .

Email Address: .

Social Security Number: .

Address: .

City: .

State: .

Zip Code: .

Primary Phone Number: .

Secondary Phone Number: .

CNB NetXpress ID: .

CNB Checking Account #: .

Co Applicant - First Name: .

Co Applicant - Middle Initial: .

Co Applicant - Last Name: .

Co Applicant - Social Security or Tax ID #: .

Signature: .