If you are unable to visit one of our locations, please print and complete the form you need and mail or fax back to us at:
Kentucky Farmers Bank
6313 US Route 60
Ashland, Ky 41102
IMPORTANT NOTICE: You must download and save the blank application before entering any information and then print or mail the completed form from your computer. Do not save a completed form from the web browser.
|Change of Address||To change your address or phone #. We will need separate forms for EACH account holder.|
|Stop Payment Request||To stop single or recurring ACH Payments and checks. Please note this service will debit a $25.00 fee to your account.|
|Confirmation of Revoked Authorization||Written confirmation that the debiting company has been notified of the payment cancelation AFTER applying the initial Stop Payment.|
|Written Statement of Unauthorized Debit||Attest that an electronic, ACH, payment was unauthorized.|
|Cardholder Statement of Dispute||Fraud - Dispute a debit card transaction as fraudulent. Please cancel your card if you have incurred any unauthorized charges.
Non-Fraud - Dispute an authorized charge to your account due to reasons of cancelation, returns, processing error, etc.
|e-Document Release||To authorize a Signer or other non-account holder to receive account statements via eDocument access.|
|International Wire Transfer Request - Outgoing||To send money from your Kentucky Farmers Bank account to a deposit account at another financial institution outside of the United States.|
|Domestic Wire Transfer Request - Outgoing||To send money from your Kentucky Farmers Bank account to a deposit account at another financial institution within the United States.|
|Affidavit of Forgery||To dispute a check that has a forged endorsement, forged drawer's signature, or an alteration made after the drawer's final possession.|
|Consumer Authorization for Direct Payment via ACH||To transfer funds from another financial institution to a loan at Kentucky Farmers Bank.|
|Consumer Authorization for Direct Deposit via ACH||To transfer funds from a Kentucky Farmers Bank deposit account to a deposit account or a loan at another financial institution.|