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Kentucky Farmers Bank
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ATM and Debit Card Application

Fill out the form below and we’ll be in touch soon!

* Required
Personal Information
Type Of Account *
Employer Information

**Notice: You need not list income from alimony, child support or separate maintenance if you do not want it considered.

Joint Account Information
Joint - First, Middle, Last Name *
Issue Another Card on tnis name*

**Notice: You need not list income from alimony, child support or separate maintenance if you do not want it considered.

Card Information

Please indicate below any additional accounts that you would like to have linked for ATM service.

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.

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