Miscellaneous Forms and Links
If you are unable to visit one of our locations, please print and complete the form you need and mail or fax back to us at:
Kentucky Farmers Bank
Attn: Operations
6313 US Route 60
Ashland, Ky 41102
Fax: 606-929-5199
6313 US Route 60
Ashland, Ky 41102
Fax: 606-929-5199
IMPORTANT NOTICE:
You must download and save the blank application before entering any information and then print or mail the completed form from your computer. Do not save a completed form from the web browser.
| Change of Address | To change your address or phone #. We will need separate forms for EACH account holder. |
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To stop single or recurring ACH Payments and checks. Please note this service will debit a $25.00 fee to your account. |
| Confirmation of Revoked Authorization |
Written confirmation that the debiting company has been notified of the payment cancellation AFTER applying the initial Stop Payment. |
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Attest that an electronic, ACH, payment was unauthorized.
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| Cardholder Statement of Dispute | Fraud - Dispute a debit card transaction as fraudulent. Please cancel your card if you have incurred any unauthorized charges. Non-Fraud - Dispute an authorized charge to your account due to reasons of cancellation, returns, processing error, etc. |
| e-Document Release |
To authorize a Signer or other non-account holder to receive account statements via e-Document access. |
| International Wire Transfer Request - Outgoing |
To send money from your Kentucky Farmers Bank account to a deposit account at another financial institution outside of the United States. |
| Domestic Wire Transfer Request - Outgoing |
To send money from your Kentucky Farmers Bank account to a deposit account at another financial institution within the United States. |
| Affidavit of Forgery |
To dispute a check that has a forged endorsement, forged drawer's signature, or an alteration made after the drawer's final possession. |
| Consumer Authorization For Direct Payment Via ACH |
To transfer funds from another financial institution to a loan at Kentucky Farmers Bank.
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| Consumer Authorization for Direct Deposit via ACH |
To transfer funds from a Kentucky Farmers Bank deposit account to a deposit account or a loan at another financial institution. |