Important Information About Opening an 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.

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 ask to see your driver's license or other identifying documents.

Please answer the following

Applicant

Your personal information
Your current employer

Co-Applicant

Your personal information
Your current employer

Page 1 of 2

Applicant Income Information

Co-Applicant Income Information

Credit Request

Important Information You Need to Know When Applying For a Home Equity Line of Credit »

By submitting this application, you are authorizing Merchants Bank to respond electronically with a credit decision.

Page 2 of 2

Thank you for your submission! We will be in touch with you soon.