Personal Deposit Account Application

We are happy that you have decided to open an account with us! We will respond to your email within 24 hours. To expedite the process, please provide us with the information requested below.We will contact you to confirm your request, prepare the necessary paperwork, and direct you to one of our convenient branches to complete the opening of your account in person. It’s that simple.

Alternatively, please feel free to call us at 540-896-8941 or visit one of our local branches.

To view the Truth In Savings Disclosure (all the details) for all our deposit accounts, click here. This is an Adobe Acrobat .PDF document; you will need Adobe Acrobat Reader on your computer to view and print the document.

Please choose the branch you prefer:
APPLICANT
Name: 
Mailing Address: 
Physical Address: 
Phone: 
E-mail: 
Social Security Number: 
Birth Date: 
Occupation: 
Employer: 
Length of Employment:
Employer Phone:
Are you a F&M Customer Already? Yes | No
What documents will you bring in to verify your identity? A photo ID is preferred.
Type of Document Issue Date
Exp. Date Place of Issue
   
JOINT APPLICANT
Name: 
Mailing Address: 
Physical Address: 
Phone: 
E-mail: 
Social Security Number: 
Birth Date: 
Occupation: 
Employer: 
Length of Employment:
Employer Phone:
Are you a F&M Customer Already? Yes | No
What documents will you bring in to verify your identity? A photo ID is preferred.
Type of Document Issue Date
Exp. Date Place of Issue
 
As a reference, please tell us about other bank accounts you’ve had.
Held in this name:
First Previous Account
Bank Name Account Type Date Opened
Second Previous Account
Bank Name Account Type Date Opened
 
 
What type of account would you like to open at this time?
Personal Checking IRA
Savings Accounts Money Market Accounts
Certificates of Deposit  
Did you choose Farmers & Merchants Bank because:
Advertisement Friend’s Referral
Mail Offer Bank Employee
Convenience  
Best Method of Contact: 
 
SUBMIT - By clicking “Submit” I agree that everything that I have stated in the application is correct to the best of my knowledge. I understand that the bank will retain this application whether or not it is approved.You are authorized to check my credit and employment history and to answer questions about your credit experience with me.
Privacy statement - The information you are sending to us will be transmitted by through a secure socket layer connection. Click here to read our bank privacy statement.
Important Information About Procedures for Opening a New Account: To help the government fight the funding of terrorism and money laundering activities, Federal 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 a copy of your driver's license or other identifying documents.
205 S. Main St.     P.O. Box 1111     Timberville, VA 22853     (540) 896-8941