Pure Checking

Open Your Account

  1. Personal Information
  2. Identity Verification
  3. Opening Deposit

Secure Form

This form supports up to 256-bit SSL encryption to protect your personal information while it is in transit.

To learn more about what we do with personal information, view our Privacy Policy

Confirm Information

Please confirm this information before continuing. We'll use this information to help verify your identity.

Verify

Please answer the following questions to help us verify your identity. All questions must be answered within 10 minutes.

Fund Your Account

Now you'll setup your deposit into your new account. This money will be deposited once your new account is approved.

Thank You!

We are currently verifying your application. Here's what to expect next:

    Applicant Information

      Eligibility

        Farmers & Merchants State Bank is a community bank serving the residents of the states of Ohio, Indiana and Michigan. Before proceeding, please confirm your eligiblity below:

        OK Please acknowledge your eligibility
      • Do you grow/sell/buy marijuana or work at a marijuana dispensary (including medical marijuana)?

        OK Do you grow/sell/buy marijuana or work at a marijuana dispensary (including medical marijuana)? is required
      • Are you a Senior Foreign Political Figure or are you a close associate of a Senior Foreign Political Figure?

        OK Are you a Senior Foreign Political Figure or are you a close associate of a Senior Foreign Political Figure? is required
  • Please enter the code to confirm your ability to view the required Portable Document Format (PDF) files. If the code isn't visible, click here to see code in new window or visit your nearest branch to apply for an account.

  • OK Error - Please enter the code to verify that you can view the required Portable Document Format (PDF) files. If the code isn't visible you will need to visit your nearest branch to apply for an account.

Basic Info

  • OK First Name is required
  • OK Last Name is required
  • OK Email Address is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    OK Mailing address is different (Optional) is required

Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Issue Date is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Tax Status

    OK Please select one of the following.
  • What is this?

    If you have any questions about how to complete this section please download instructions.

Additional Information

  • OK Employer is required
  • OK Occupation is required
  • What range do you anticipate your monthly cash activity?

    OK What range do you anticipate your monthly cash activity? is required
  • What range do you anticipate your monthly wire activity?

    OK What range do you anticipate your monthly wire activity? is required
  • (optional) OK If you have a promotion code, please enter it here. is required
  • Are you applying for a HSA account?

    OK Are you applying for a HSA account? is required
  • OK Insurance Plan Effective Date is required
  • Coverage Type

    OK Coverage Type is required
  • Do you want a debit card issued on the account?

    OK Do you want a debit card issued on the account? is required
  • Do you wish to order checks?

    OK Do you wish to order checks? is required
  • Do you currently have a Health Savings Account at another financial institution that you would like to transfer to F&M?

    OK Do you currently have a Health Savings Account at another financial institution that you would like to transfer to F&M? is required
  • OK Please name a beneficiary. is required
  • (optional) OK Beneficiary No. 2 is required
  • (optional) OK Beneficiary No. 3 is required
  • (optional) OK Beneficiary No. 4 is required

Joint Applicant

  • Will this be a joint account?

    OK Will this be a joint account? is required

Co-Applicant Basic Info

  • OK First Name is required
  • OK Last Name is required
  • OK Email is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Co-Applicant Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    Optional OK Mailing address is different is required

Co-Applicant Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • OK Issue Date is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Co-Applicant Tax Status

    OK Please select one of the following.
  • What is this?

    If you have any questions about how to complete this section please download instructions.

Additional Information

  • OK Employer is required
  • OK Occupation is required

    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 your driver's license or other identifying documents.