United Bank & Trust Co.
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United Bank & Trust Co.
Its the easiest way to Switch banks!
1.
Open a United Bank account at any of our three 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.
United Bank
& Trust Co.
member FDIC
United With Woodford County
1
Print Form
P
LEASE
P
RINT
Name 1
Name 2
Street Address
Street Address (if different)
City
State
Zip
City
State
Zip
Mailing Address (if different)
Mailing Address (if different
Date of Birth
SSN
Date of Birth
SSN
Phone Number
2
nd
Number - Work or Cell
Phone Number
2
nd
Number - Work or Cell
Email Address
Employer/Occupation
Email Address
Employer/Occupation
To assist us in identifying your current and future needs, please indicate accounts and services you
currently use or would be interested in using:
Checking Account
Savings Account
Personal Loan
Internet Banking/Bill Pay
Savings/Investments
Home Loan
Debit Card
Certificate of Deposit
Home Equity Line of Credit
Telephone Banking
Safe Deposit Box
Trust Services*
Electronic Statements
Money Market Accounts
Insurance Services*
Accounts can be opened at any of our offices:
Main Office, 100 United Drive, Versailles KY
Locust Street Branch, 146 Locust Street, Versailles, KY
Midway Office, 206 North Gratz Street, Midway, KY
*Trust and Insurance services are offered through affiliated companies - Farmers Bank & Capital Trust Co. and Farmers Capital Insurance Corp.
Personal Information
Services Requested
United Bank
& Trust Co.
member FDIC
United With Woodford County
2
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 United Bank account.
Direct Deposits
Payroll Direct Deposit
Government Deposits
Brokerage Deposits
Transfers from Other Bank Accounts
Child Support
Other Court ordered Deposits
Other Deposits
Utility Payments
Gas
Electric
Local/Long Distance Telephone Service
Cellular Phone Service
Water
Cable or Satellite TV
Other
Other Payments
Insurance
Internet Service
Loans
Mortgages
Auto Loans
Other Loans
Account Transfers to Other Bank Accounts
Child Support or Court ordered Payments
Deposit and Payment Checklist
United Bank
& Trust Co.
member FDIC
United With Woodford County
3
To help us determine which United Bank checking Account is right for
you, please answer the following questions:
Please check the amount that best describes your average daily balance:
$2,500 or more
$2,499 - $1,000
$999 - 500
Less than $500
Please check the items which are important to you:
Drawing interest on my checking account balance
Unlimited transactions
No monthly fees
Rewards program
No Minimum balance
Internet Banking
Returned check images
Electronic Bill Payment
Free check orders
Secure Electronic Statements
Benefits such as added insurance, travel options, identity protection
Account Placement Survey
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 United Bank
(does not include ATM owners fee)
4 rebated foreign ATM withdrawals per month
Free internet banking, online billpay and debit card
Required: valid email address and internet banking
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 $100.00 is maintained
Free TABS and ebankingcenter
(internet banking)
Travelers checks at no issue fee
50% Discount on:
Cashiers Checks
Safe Deposit Box Rental (limit one 3 x 5 box and
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 Watch and Identity Theft 911
Prescription Drug Discounts
Hearing Instruments Discounts
Prescription Eyewear Discounts
Periodic Specials on CD Rates
Group Travel opportunities detailed in Quarterly Newsletter
Living Family Journal
$20,000 Common Carrier Insurance AD&D
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
Premium Money Market Account
- tiered for higher interest rates
Christmas Club
Statement Savings
Certificates of Deposit
Individual Retirement Accounts
United Bank
& Trust Co.
member FDIC
United With Woodford County
4
See all our accounts on our website
www.unitedbankwoodford.com
Attach a new United Bank voided check here.
Direct Deposit Change Form
Complete this form and provide it to your employers Human
Resources or Payroll Department or any other direct deposit
Companies
I _________________________ am closing my checking account with _______________________.
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 United Bank account as listed below:
Checking Account number:______________________________
Routing/Transit number:
___0421-0201-8_________________
Effective Date:
______________________________
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
Date
Your Name
Current Bank
Account Number
United Bank
& Trust Co.
member FDIC
United With Woodford County
5
Attach a new United Bank voided check here.
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 _______________________.
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
bank listed above to my new United Bank account as listed here:
Checking Account number: ______________________________
Routing/Transit number: ___0421-0201-8_________________
- or -
Debit Card number: ______________________________ Expiration Date: ____________
Effective Date of change: ______________________________
Date of next payment: _______________
Name (or name on account): __________________________
Address __________________________________________
City, State, Zip _____________________________________
Thank you for your attention to this matter.
Signature
Date
Joint Account Holder Signature
Date
Your Name
Current Bank
account # with this company
United Bank
& Trust Co.
member FDIC
United With Woodford County
6
if applicable
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:
Account Number:
______________________
Type (Checking / Savings):
______________________
Account Number:
______________________
Type (Checking / Savings):
______________________
Account Number:
______________________
Type (Checking / Savings):
______________________
Account Number:
______________________
Type (Checking / Savings):
______________________
Please prepare a cashier 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
Date
Joint Account Holder Signature
Date
United Bank
& Trust Co.
member FDIC
United With Woodford County
7