Debit Card Application › Monticello Banking Company

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* Required Fields

First Name *

Middle Initial

Last Name *

Suffix

Mailing Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

Work Phone Number

Last 4 of Social Security Number *

Date of Birth *

Last Deposit Amount *

Date of Last Deposit *

Card Information - Cardholders must be authorized on account signature card.

Type of Card *

Personal Debit

HSA Debit

Business Debit

Name to Print on Primary Card

Primary Card Line 1

Primary Card Line 2

Name to Print on Additional Card

Additional Card Line 1

Additional Card Line 2

Account to Access with Card *

Checking Account Number

Overdraft Authorization

NOT available for Business accounts.

Please read (and print for your records) the What You Need to Know About Overdrafts and Overdraft Fees Disclosure (PDF), then accept or decline overdraft authorization below:

I want Monticello Banking Company to authorize and pay overdrafts on my everyday debit card transactions.

I do NOT want Monticello Banking Company to authorize and pay overdrafts on my everyday debit card transactions.

If you authorize us to pay your overdrafts, you may revoke this consent at any time. To revoke this consent, call Monticello Banking Company at (606) 348-8411, or toll free at (800) 909-3420. You may also submit your request in writing to any of our branches, or by mail to P.O. Box 421, Monticello, KY 42633. We pay overdrafts at our discretion, which means we do not guarantee that we will always authorize and pay any type of transaction. If we do not authorize and pay an overdraft, your transaction will be declined.

A fee of $35.00 will be assessed for paying transactions that result in an overdraft. If you do not authorize us to pay your overdraft, your transactions will be declined.

Please verify all information is correct and click the Submit button to submit your application for processing.

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Competitive Rates, Not Annual Fee

Serviced right here at home by the people you know and trust.

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