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Personal Account Application


 

This online form is the initial step to open a deposit account. A Customer Service Representative will contact you to visit the branch to verify your identity and sign paperwork to complete the account opening process. Completing this online form will help expedite the account opening process but is not required. You are always welcome to open an account by visiting your local branch. This form should only be submitted by individuals aged 18 or older. If you are a minor, please visit your local branch to open an account.

Account Type

Select applicable Account Type(s) you wish to apply for

Personal Checking Personal Savings HSA IRA Other
Source of Funds

Source of Funds

Cash Check Transfer Other
Individual or Joint Account

Do you wish to open an Individual or Joint Account?

Individual Account Joint Account

Applicant Information

Citizen/Resident Alien?

Are you a US Citizen/Resident Alien?

Yes No
Non-Resident Alien

Are you a Non-Resident Alien?

Yes No

Is this a Marijuana related business?

Is this a Marijuana related business?

Yes No
Checking Acct 5 Yr

Have you had a checking account any time during the last 12 months?

Yes No

Closed Acct

Have you had a checking account closed by a financial institution without your consent during the last 12 months?

Yes No

Convicted 24 Mo

Have you been convicted of a criminal offense related to check use during the last 24 months?

Yes No
Beneficiary

Do you wish to add a Beneficiary to the account?

Yes No
Age Requirement

This form should only be submitted by individuals aged 18 or older. If you are a minor, please visit your local branch to open an account.

I certify I am at least 18 years old.

By submitting this form, I am acknowledging this information to be true and accurate. First Farmers & Merchants Bank is authorized to verify this information and check my deposit and credit history.