Open New Account for Business or Personal

New Account Procedures For Opening A New Account

The USA Patriot Act requires all financial institutions to help in the fight against money laundering activities, identity theft, and the spread of terrorism. This law requires all financial institutions to obtain, verify and record more information from an individual or legal entity to help establish identity.

We are asking for your help when you open a new account or request a loan. We will ask for your full legal name, your physical and mailing addresses, date of birth and we may ask for additional information to help establish and confirm your identity.

All customers “new” to Farmers Savings Bank are encouraged to stop into any of our six locations in Wisconsin for verification purposes in order to open an account.

 

Thank you!

For existing customers: Please provide all the requested information. When you have completed the form, press the Submit button to send your form to Farmers Savings Bank. All our online forms use the newest Internet Security. However, if you prefer, you may print this form out and mail or fax to the address below. Upon receipt of your request one of our knowledgeable Personal Bankers will contact you.

Farmers Savings Bank
PO Box 251
Mineral Point, WI 53565-0251
FAX (608) 987-2401

 

Open Account Form

(If opening multiple accounts, please use a separate form for each account.)

Account Type:  
Savings:
Checking:
Amount account will be opened with: $
Source of Deposit:  
Please transfer from my current Farmers Savings Bank account number:
I will transfer funds from another financial institution
I will mail in a check or money order
I will send a wire transfer
Other. Please explain:
Personal Information:  
Name:
Please enter your name.
Name of joint account owner if any:
(see below)
Address:
City:
State:
ZIP:
Country:
E-Mail:
Home Phone Number:
Please enter your phone number.
Work Phone Number:
Social Security Number:
Taxpayer ID Number
(if different from SSN):
Date of Birth (00/00/00)::

Mother's Maiden Name for account verification:

Other instructions or needs you may have:

         
If this is an individual account, you may submit now. If this is a joint account, please fill out the following section as well. Thank you!
   
Joint Account Personal Information:  
Name of joint account owner:
Address:
City:
State:
ZIP:
Country:
E-Mail:
Home Phone Number:
Work Phone Number:
Social Security Number:
Taxpayer ID Number
(if different from SSN):
Date of Birth (00/00/00)::
         

 

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