First Midwest Bank

APPLICATION REQUIREMENTS

U.S. Citizen & at least 18 yrs old
Social Security Number
Personal Identification
(Driver's license, State Issued ID, Military ID)
Physical U.S. Address (no P.O. boxes)
Phone Number & Email Address
Funding Account Information
(Checking or Savings)
Minimum $50 Opening Deposit
(May vary by account type)
Adobe Acrobat Reader ®

PERSONAL IDENTIFICATION

Important Information about 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 to 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 documentation. If you are an existing customer, we may ask for these documents to update our files.

FAQS

Frequently Asked Questions

LET'S GET STARTED

Are you currently an active account holder at First Midwest Bank?Existing customers can save time with pre-filled personal information.

New Customer

Existing Customer

Resume Application

Application ID

Are you a U.S. Person?By selecting Yes, you are confirming that you are a U.S. citizen or legal resident alien with a valid Social Security #.

Yes

Email Address *

Confirm Email Address *

Mother's Maiden Name *

How did you hear about us? *

Social Security # *

Account # *

Account Type *

CANCEL & EXIT CONTINUE

ACCOUNT PREFERENCE

Find the Personal Checking or Personal Savings that best fits your needs.

ACCOUNT TYPE

ACCOUNT SERVICES

Which of the following services would you like included with your new account?

Full Suite —I would like to include all of the services listed below to my new account.

Debit Card (For checking accounts only)

Online & Mobile Banking

Unlimited Bill Pay (For checking accounts only)

eStatements

ADDITIONAL BENEFITS

Overdraft Privilege

Your checking account is eligible for a Discretionary Overdraft Privilege of up to $100 on checks and automatic bill payments. This Privilege amount can save the embarrassment and inconvenience of a declined transaction by enabling the bank to pay any debits (up to $100) on your account that would cause your account to be overdrawn. An overdraft fee of $28 will be charged for each item paid. As always, the payment of overdrafts is at the bank’s discretion and can be discontinued at any time by request.

Discretionary Overdraft Privilege Service Disclosure

Overdraft Protection Education

CANCEL & EXIT PREVIOUS STEP CONTINUE

ACCOUNT OWNERSHIP

Individual or Joint* By selecting Joint, you are confirming that your joint applicant has authorized you to apply for a joint account in both your names.

Individual

Joint

PERSONAL INFORMATION (Applicant)

First Name *

Middle Initial

Last Name *

Suffix

PHYSICAL ADDRESS (Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Mailing Address same as Physical Address?*

Yes

MAILING ADDRESS (Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Applicant)

Mobile Phone # *

Work Phone #

Extension

Preferred Method *

Email Address *

Mobile/Email Consent*

IDENTIFICATION (Applicant)

Social Security # *

Date of Birth *

Employer *

Occupation *

IDENTIFICATION TYPE (Applicant)

Must be unexpired, government issued, have evidence of nationality or residence, and bear a recent photograph.

IdentificationType *

Identification # *

Branch Issued *

Issue Date *

Expiration Date *

State *

Issue Date *

Expiration Date *

(Front) *

Browse...

Issue Date *

Expiration Date *

(Profile Page) *

Browse...

PAYABLE ON DEATH BENEFICIARY

Do you plan to include a Payable on Death Beneficiary for this account?*

Yes

Full Name *

Date of Birth

Primary Phone # *

Relationship *

AUTHORIZATION (Applicant)

Authorization —* I authorize First Midwest Bank to verify all information provided and to obtain additional information regarding my personal financial history from a consumer reporting agency or agencies and/or other financial institutions. I understand that this information will only be used in conjunction with First Midwest Bank products and services requested by me and that it will remain in force for the duration of my association with First Midwest Bank.

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

PERSONAL INFORMATION (Joint Applicant)

First Name *

Middle

Last Name *

Suffix

PHYSICAL ADDRESS (Joint Applicant)

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

CONTACT INFORMATION (Joint Applicant)

Mobile Phone # *

Work Phone #

Extension

Preferred Method *

Email Address *

Confirm Email Address *

Mobile/Email Consent —* Subsequent use of your information will be in accordance with our privacy notice, which will be emailed to you as part of the application process. First Midwest Bank may also use this information to contact you by means of phone call, email, or text message to assist with the completion of the application process. First Midwest Bank will also email you other relevant documents and disclosures for your review during and after the application process.

IDENTIFICATION (Joint Applicant)

Social Security # *

Date of Birth *

Employer *

Occupation *

IdentificationType *

Identification # *

State *

Issue Date *

Expiration Date *

Issue Date *

Expiration Date *

Branch Issued *

Issue Date *

Expiration Date *

(Front) *

Browse...

(Profile Page) *

Browse...

AUTHORIZATION (Joint Applicant)

CANCEL & EXIT PREVIOUS STEP VERIFY IDENTITY

Hidden Account Type

Now the legal details. Please carefully review the following documents and acknowledge your consent by checking the corresponding “I agree” or "I have read” boxes.

* I have read and agree to the Deposit Account Agreement & Disclosures

* I have read the Overdraft Services Disclosure and Consent Form. I understand that if I Opt-Out of Overdraft Privilege (if available), then I cannot Opt-In to Overdraft Protection to cover my ATM and everyday debit card transactions. I also understand that if I Opt-In for Overdraft Protection now, I can have this service removed by calling (573) 815-7500 or by notifying the bank in writing at:

First Midwest Bank, Attn: Deposit Operations, PO Box 160, Poplar Bluff, MO 63902

Opt-In: I want First Midwest Bank to authorize and pay overdrafts on my ATM and everyday debit card transactions.

Opt-Out: I do not want First Midwest Bank to authorize and pay overdrafts on my ATM and everyday debit card transactions.

Information Integrity —* I hereby certify that all information provided within this application is true and correct to the best of my knowledge.

If you have trouble viewing, printing or downloading the Disclosure Information, please call our Customer Service Center at (573) 624-3571.

CANCEL & EXIT CONTINUE

Now let's set up up your opening deposit and decide how you'll add money to your new account.

Applicant Name

New Account + Minimum Deposit

Select Account Funding Option *

Note — Account information must match your Name and Address.

Routing # *

Account # *

Account Type *

Deposit Amount *

ACH Authorization —* Subsequent use of your information will be in accordance with our privacy notice, provided with our disclosures. First Midwest Bank may also use this information to contact you by means of a phone call, email or text message to assist with the completion of the application process. First Midwest Bank will also email you other relevant documents for your review during and after the application process.By checking this box, if my application is approved, I sign and agree to authorize First Midwest Bank (or its agent) ("Bank") to immediately initate a one-time ACH (or other) debit transaction from the deposit account listed above in the amount specified for credit to the "Deposit Account" held at First Midwest Bank. I certify that I am authorized to make this debit transaction from the deposit account. I acknowledge that the origination of ACH transactions to my deposit account must comply with provisions of U.S. Law.

Cardholder First Name *

Cardholder Last Name *

Card Number *

Exp Month

Exp Year *

CVV *

Deposit Amount *

Note - The name and address on your application must match the information on file for your current account.

Account # *

Deposit Amount *

Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

VISIT A BRANCH:Please visit a local branch to deposit money into your new account.
Locations & Hours

Funds AvailabilityWhen depositing into a new bank account, open less than 30 days, the bank is allowed to hold checks for up to 9 business days before making any funds available to you.

Note — Please include your new account number in the memo.

MAIL CHECKS TO:First Midwest Bank
PO Box 158
Dexter, MO 63841

CANCEL & EXIT PREVIOUS STEP REVIEW SUBMIT APPLICATION

Step 1 — Get Started

Step 2 — Account Setup

Step 3 — Personal Information

Step 3A — Joint Applicant

Step 4 — Terms & Conditions

Step 5 — Fund Account