Member FDIC - Equal Housing Lender

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Account Change Form
Submitter Information (Required)
First Name
Last Name
Resolve the errors marked in red before submitting again.
Contact Information
Phone Number:Email Address:

Mailing Address (required)

We will not update our records with this information. If this information needs updated, please submit an "address/contact change form".

Contact Preference
If we have questions about this form, how would you like us to contact you? (required)
Account Type
What account type is the product you are wishing to make a change to?
What is the account number you wish to make a change to?
Remove Inactive or Dormant Status
I would like to remove the inactive or dormant status from my above listed account.
CD Interest Changes
How would you like the interest to be paid on your CDs?
If depositing to a Farmers checking or savings account, what is the account number?
Would you like the interest deposited monthly or quarterly?
If depositing to an account that is not at Farmers, please enter the information below:
Bank Name:
Routing Number:
Account Number:
Type of Account:
Would you like the interest deposited monthly or quarterly?
CD Terms Change

To utilize this option, the CD must be in the grace period upon maturity, otherwise an early withdrawal penalty will be assessed.

Current CD term in months:
CD term I would like changed to (in months):
Please list any additional details:
Account Type Change

You may change an account type if it stays in it's current category of accounts.  For example, a checking/money market may be changed to another type of checking/money market, however, it cannot be chnaged to a savings account.

Current Account Type:
Specific account name as found on your account statement:
The account type you would like the above account changed to:
Specific account name you would like the above account changed to:

Certain account type changes may require new disclosures to be sent via secure email or to be mailed.