Receive Your Loan Documents Electronically

E-Sign Disclosure and Consent
We are pleased to offer you the opportunity to receive information about your account electronically. If you would like to receive correspondence from us via email, instead of paper copies through the mail, please review this notice and provide your consent. This notices applies to all documents, notices and disclosures that we provide to you relating to the account for which you are applying, except as otherwise prohibited by law.

Please read this E-Sign Disclosure and Consent carefully and print a copy for your records. You can record your consent to the E-Sign disclosure by reviewing and agreeing to the terms and conditions of listed online. By checking the box on the webpage, you consent to the electronic delivery of any disclosures, agreements, change notices, changes to the terms and conditions of your account and any other documents or notices (together, the “Documents”) that we provide to you relating to your account. You have the right to request a paper copy of disclosures; we will not provide you with paper (non-electronic) copies of any Documents unless specifically requested by you. You may incur a fee for paper copies. Please contact us for more information about the fee by calling (573)756-4547.

Method of Providing Communications to You in Electronic Form
All Communications that we provide to you in electronic form will be provided either (1) via e-mail, (2) by access to a web site that we will designate in an e-mail notice we send to you at the time the information is available.

How to Withdraw Consent
You may withdraw your consent to receive communications in electronic form by sending an email request to We may treat your provision of an invalid email address or the subsequent malfunction of a previously valid address as a withdrawal of your consent to receive electronic statements. Any withdrawal of your consent to receive electronic statements will be effective only after we have a reasonable period of time to process your withdrawal.

How to Update Your Records
It is your responsibility to provide and maintain a current e-mail address, contact, and other information related to this Disclosure and your account (s), and to maintain and update promptly any changes in this information. . You can update information (such as your e-mail address). If you change your email address, please notify the bank via email to or by contacting us using the contact information on our website.

Hardware and Software Requirements
In order to access, view, and retain electronic Communications that we make available to you, you must have:

  • Internet browser that supports 128 bit encryption.
  • Sufficient electronic storage capacity on your computer's hard drive or other data storage unit.
  • An e-mail account with an Internet service provider and e-mail software in order to participate in our electronic communications programs.
  • A personal computer.
  • An operating system and an Internet connection capable of receiving, accessing, displaying, and either printing or storing Communications received from us in electronic form via a plain text-formatted e-mail or by access to our web site using one of the browsers specified above.

Requesting Paper Copies
We will not send you a paper copy of any Communication, unless you request it or we otherwise deem it appropriate to do so. You can obtain a paper copy of an electronic Communication by printing it yourself or by requesting that we mail you a paper copy, provided that such request is made within a reasonable time after we first provided the electronic Communication to you. To request a paper copy, please submit your request to

Communications in Writing
All Communications in either electronic or paper format from us to you will be considered "in writing." You should print or download for your records a copy of this Disclosure and any other Communication that is important to you.

In order for you to receive disclosures and documents electronically, First State Community Bank must have your consent to provide such disclosures and documents in electronic format to the extent First State Community Bank provides such documents electronically.

By using First State Community Bank's website, you agree, for yourself and all accountholders on a particular account, that First State Community Bank may provide statements, notices, disclosures, agreements and other information concerning your account(s), products, or services (personal and business), electronically.

By selecting "Yes, I consent to E-Communication," you consent to receive all Disclosures in an electronic format. You further agree that your computer satisfies the hardware and software requirements specified above and that you have provided us with a current e-mail address at which we may send electronic communications to you.

Please complete the following information to receive your documents electronically.

(if applicable)

First Name (required)

Last Name (required)

Last 4 Digits of Social (required)