It s the easiest way to Switch banks!

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1 It s the easiest way to Switch banks! 1. Open a Farmers Bank account at any of our locations. By filling out the following forms, you will help us personalize a deposit account for you. 2. Redirect your automatic payments and deposits. We have provided simple request forms for you. 3. Balance and close your old account at your old bank with the attached Account Closure Request Form. The bank will send you any remaining balance per your instruction. rev7/15 1

2 Personal Information Name 1 Name 2 Street Address Street Address (if different) City State Zip City State Zip Mailing Address (if different) Mailing Address (if different of Birth SSN of Birth SSN Phone Number 2 nd Number - Work or Cell Phone Number 2 nd Number - Work or Cell Address Employer/Occupation Address Employer/Occupation Services Requested To assist us in identifying your current and future needs, please indicate accounts and services you currently use or would be interested in using: q Checking Account q Savings Account q Personal Loan q Online Banking Services q Savings/Investments q Home Loan q Debit Card q Certificate of Deposit q Home Equity Line of Credit q Mobile Deposit q Safe Deposit Box q Trust Services q Electronic Statements q Money Market Accounts q Insurance Services* Accounts can be opened at any of our offices: Main Office Cardinal Hills East Branch West Branch 125 West Main St. 555 Versailles Rd. 154 Versailles Rd Louisville Rd. Frankfort KY Frankfort KY Frankfort KY Frankfort KY Franklin Square Lawrenceburg Main West Park Harrodsburg 1301 US 127 South 128 South Main St. 201 West Park Shopping Ctr. 838 North College St. Frankfort KY Lawrenceburg KY Lawrenceburg KY Harrodsburg KY Insurance services are offered through our subsidiary, Farmers Capital Insurance Corp. 2

3 Deposit and Payment Checklist To make the process easier, here is a checklist to help you determine all of your direct deposits and automatic payments in order to redirect them to your new Farmers Bank account. Direct Deposits q Payroll Direct Deposit q Government Deposits q Brokerage Deposits q Transfers from Other Bank Accounts q Child Support q Other Court ordered Deposits q Other Deposits Utility Payments q Gas q Electric q Local/Long Distance Telephone Service q Cellular Phone Service q Water q Cable or Satellite TV q Other Other Payments q Insurance q Internet Service q Loans q Mortgages q Auto Loans q Other Loans q Account Transfers to Other Bank Accounts q Child Support or Court ordered Payments 3

4 Account Placement Survey To help us determine which Farmers Bank Checking Account is right for you, please answer the following questions: Please check the amount that best describes your average daily balance: q $2,500 or more q $2,499 - $1,000 q $999 - $500 q Less than $500 Please check the items which are important to you: q No monthly fees q Mobile Deposit q Unlimited transactions q Online Banking Services q Electronic Bill Payment q Secure Electronic Statements q No Minimum balance q Benefits such as added insurance, travel options, identity protection efree Checking Account No monthly service charge No minimum balance Free bank-branded checks Secure and convenient estatements One NSF fee waived annually One stop payment fee waived annually No foreign ATM fee assessed by Farmers Bank 4 rebated foreign ATM withdrawals per month Free online banking services, online billpay and debit card Required: valid address and online banking Green Thumb Savings Account The campanion Savings for your Checking! Higher rate savings account when attached to a checking account $50 minimum balance Interest is paid quarterly into the existing checking account Convenience of a combined statement of Checking and Savings activity 6 withdrawals allow access to funds if needed. By being tied to a checking account, internet banking access gives the customer more options managing their savings Low minimum balance for the beginning saver Premier Members 1st Checking Account Packages Imaged checks returned with statement No minimum balance Unlimited check writing Personalized checks - two (2) single orders of checks per year Interest paid if minimum balance of $ is maintained Free Telephone and Online Banking Services 50% Discount on: Cashier s Checks Safe Deposit Box Rental (subject to availability) Free photocopies (limit 10 per month) Free Fax Machine Use (limit 3 per month) Hotel and Motel Discounts $10,000 AD&D Insurance Credit Card Registration Identity IQ - electronic identity theft deterrent Prescription Drug Discounts Hearing Instruments Discounts Prescription Eyewear Discounts Group Travel opportunities detailed in Quarterly Newsletter $10,000 Accidental Death and Dismemberment Insurance $20,000 Common Carrier Insurance Other discounts on Travel, Leisure and Shopping through Easy Saver (see fulfillment flyer for full details) Only $5.00 a month. Keep $10,000 in combined deposit relationships and all the above benefits are yours free! Other accounts: Money Market Account Statement Savings Certificates of Deposit Individual Retirement Accounts See all our accounts on our website 4

5 Direct Deposit Change Form Complete this form and provide it to your employer s Human Resources or Payroll Department or any other direct deposit Companies I am closing my checking account with _. Your Name Current Bank I hereby authorize you to change my direct deposit from the checking account you have on file, at the bank listed above to my new Farmers Bank account as listed below: Account Number Checking Account number: Routing/Transit number: Effective : q Split Deposit into multiple accounts 1. Account number: Type of account (checking / savings): Amount / percentage to be deposited: 2. Account number: Type of account (checking / savings): Amount / percentage to be deposited: Thank you for your attention to this matter. Signature Attach a new Farmers Bank voided check here. 5

6 Automatic Debit Change Form Complete this form for each company or organization where you have automatic payment. Once completed, mail the form directly to each company or organization. I am closing my checking account with _. Your Name Current Bank I hereby authorize you to change my account which has an automatic payment in the amount of $ to be changed from the checking account you have on file with the if applicable account # with this company bank listed above to my new Farmers Bank account as listed here: Checking Account number: Routing/Transit number: or - Debit Card number: Expiration : Effective of change: of next payment: Name (or name on account): Address City, State, Zip Thank you for your attention to this matter. Signature Joint Account Holder Signature Attach a new Farmers Bank voided check here. 6

7 Account Closure Request Complete this form to request that your current bank account be closed. Once completed, mail the form directly to your current bank. Dear Sir or Madam, I hereby request that the following accounts with you be closed: Type (Checking / Savings): Type (Checking / Savings): Type (Checking / Savings): Type (Checking / Savings): Please prepare a cashier s check for the balance of my account(s) made payable to me and mailed to: Name: Address: City, State, Zip: Phone: Thank you for your attention to this matter Signature Joint Account Holder Signature 7

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