Deposit Account Application

Complete the information below. You must be 18 years of age or older to apply. When you have finished you may choose to submit your application online or print the information you have entered and bring it to one of our convenient locations, or mail or fax it to:
 

Kentucky Farmers Bank
6313 US RT 60
Ashland KY 41102
Fax: 606-928-3690

Account Information

Note: Fields * are required
*I am a New Customer Present Customer Former Customer
*Type of Account: Individual Joint
   
*I would like to open:  
Checking: Savings:
Free Checking
Statement Checking
Interest Checking
Business Checking
BankOn Checking
Student Savings
Savings
Individual Retirement Account
Money Market
Certificate of Deposit
Online Promotional Code
   

 

Personal Information


*Name
(First, Middle, Last)
*Present Address
*City
*State
*Zip
*Do you
*Date of Birth
*Sex
*Home Phone
*Employer
*Work Phone
*Social Security Number
*Driver's License Number
*Driver's License State
Email Address
Yes, please email me about news and specials at the bank.
I understand my email address will not be sold, nor will it be shared with others outside the bank unless the bank is compelled to do so by law.

 

Joint Information


*Name
(First, Middle, Last)
*Present Address
*City
*State
*Zip
*Do you
*Date of Birth
*Sex
*Home Phone
Employer
Work Phone
Social Security Number
Driver's License Number
Driver's License State

 

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To help the government fight the funding of terrorism and money laundering activities, Ferdal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
 

I certify that everything have stated in this application is correct. You may keep this application whether or not it is approved. By clicking Submit I authorize you to check my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.

For most accounts and services, submission of this online application will not replace the necessity for you to personally visit one of our convenient locations to complete the process.