F&M Bank offices will close at 2:00 PM on Wednesday, December 31 for New Year’s Eve and will be closed Thursday, January 1 for New Year’s Day. Normal business hours will resume Friday, January 2. F&M Mobile & Online Banking is available 24/7.

F&M Bank offices will close at 2:00 PM on Wednesday, December 31 for New Year’s Eve and will be closed Thursday, January 1 for New Year’s Day. Normal business hours will resume Friday, January 2. F&M Mobile & Online Banking is available 24/7.

F&M Bank offices will close at 2:00 PM on Wednesday, December 31 for New Year’s Eve and will be closed Thursday, January 1 for New Year’s Day. Normal business hours will resume Friday, January 2. F&M Mobile & Online Banking is available 24/7.

Personal Loan Application

Personal Loan Application Form

URL
This field is for validation purposes and should be left unchanged.
Farmers & Merchants Bank makes loans without regard to race, color, religion, national origin, sex, marital status, or age (provided the applicant has the capacity to contract).

Please feel free to call us at 540-896-8941 or visit one our local branches. This application is for personal loans not secured by real estate.
Check Appropriate Option:*
- Individual
- Joint
Branch most convenient for me:*
Co-maker for:*
Loan Purpose*
If Refinance, Loan #
and Payoff Amount
Amount*
Term*
First Payment Date*
MM slash DD slash YYYY
Rate*
Collateral*
Applicant
Name*
First Last
Applicant Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Age(s) of Dependant(s)
Address*
Street Address City State ZIP Code
How Long?
Is mailing address same as above?*
- Yes
- No
Address
Street Address City State ZIP Code
Applicant Home Status*
- Own
- Rent
If Owned, Cost
Mo. Payment
Phone*
Email*
Previous Address (if less than 2 years)
Street Address City State ZIP Code
Employment Info
Employer Name*
Self Employed:*
- Yes
- No
Employer Address*
Street Address City State ZIP Code
How Long?*
Position*
Gross Mo. Pay $*
Net Mo. Pay $*
Previous Employer
Previous Employer Address
Street Address City State ZIP Code
How Long?
Title
Monthly Income $
Co-Applicant
Name
First Last
Date of Birth
MM slash DD slash YYYY
Age(s) of Dependant(s)
Address
Street Address City State ZIP Code
How Long?
Is Co-Applicant's mailing address the same as above?
- Yes
- No
Address
Street Address City State ZIP Code
Co-Applicant's Home Status
If Owned, Cost
Mo. Payment
Phone
Email
Previous Address (if less than 2 years)
Street Address City State ZIP Code
Employment Info
Employer Name
Self Employed:
- Yes
- No
Employer Address
Street Address City State ZIP Code
How Long?
Position
Gross Mo. Pay $
Net Mo. Pay $
Other Income
Previous Employer
How Long?
Title
Monthly Income $
*Notice: Alimony, child support, or separate maintenance income need not be revealed if an Applicant does not choose to have it considered as a basis for repaying this loan.

Liabilities

Current obligations including banks, finance companies, department stores and credit cards. Indicate debts of Applicant with an "A" and debts of Co-applicant with a "C". Indicate debts on which both are jointly obligated with a "J".
First Mortgage - Financed By
Account Number
A/C/J
Mo. Pmt.
Balance
Second Mortgage - Financed By
Account Number
A/C/J
Mo. Pmt.
Balance
Auto Yr & Make
Financed By
A/C/J
Mo. Pmt.
Balance
Auto Yr & Make
Financed By
A/C/J
Mo. Pmt.
Balance
Other Debts - Purpose
Financed By
A/C/J
Mo. Pmt.
Balance
Other Debts - Purpose
Financed By
A/C/J
Mo. Pmt.
Balance
Are you Guarantor or Co-Signer for anyone?
- Yes
- No
Please list:
Schedule of Other Real Estate Owned
Location and Type of Property Owned
Owned by A/C/J
Name of Lender & Account #
Date Acquired
MM slash DD slash YYYY
Purchase Price
Current Value
Mo. Rental Income
Mo. Payment
Mortgage Balance
Location and Type of Property Owned
Owned by A/C/J
Name of Lender & Account #
Date Acquired
MM slash DD slash YYYY
Purchase Price
Current Value
Mo. Rental Income
Mo. Payment
Mortgage Balance
Location and Type of Property Owned
Owned by A/C/J
Name of Lender & Account #
Date Acquired
MM slash DD slash YYYY
Purchase Price
Current Value
Mo. Rental Income
Mo. Payment
Mortgage Balance
Miscellaneous Information (Indicate (A), (C), or (J) as appropriate).
Face Amount of Life Insurance
Banking Relationships - Name of Bank
Company
Checking Acct. #
Bal.
Value of Stocks & Bonds
Savings Acct. #
Bal.
Miscellaneous Information (Indicate (A), (C), or (J) as appropriate).
Name & Address of Nearest Relative Not Living With You (Applicant)
Relationship
Phone
Name & Address of Nearest Relative Not Living With You (Co-Applicant)
Relationship
Phone
Has either applicant ever been party to any suits, judgments, garnishments, bankruptcy, or other legal proceedings?
- Yes
- No
Please give particulars:
How did you hear about us?*
- Search Engine (Google, Bing)
- Social Media
- Recommended by friend or colleague
- Other
If "other" please describe
You may check my credit and employment history and answer questions about your credit experience with me. Everything I have stated in this application is correct and accurate to the best of my knowledge. Under penalties of perjury, I certify that I have provided my correct Social Security Number (Taxpayer Identification Number), and that I am not subject to Internal Revenue Service backup withholding. Name and Taxpayer Identification Number of Applicant will be used for IRS information reporting, if applicable.
CAPTCHA

Have Questions? Get In Touch

Instagram
This field is for validation purposes and should be left unchanged.
Name*
Email*
Phone*
Choose a location near you**
Question or Comment**
CAPTCHA

Have Mortgage Questions? Get In Touch

LinkedIn
This field is for validation purposes and should be left unchanged.
Name*
Email*
Phone*
Inquiry
CAPTCHA

nielsen builders testimonial

man holding bottle of wine at barren ridge vineyards

"F&M Bank was the financial institution
to best handle our needs."

That's My Bank

"F&M Bank heard our story and
believed in and supported our vision."

That's My Bank

View Testimonials

Corporate Office
P.O. Box 1111
Timberville, VA 22853
Get Directions
Office: 540-896-8941

Investor Relations

Financial Information

Wire Transfer Instructions

For Domestic And International Wires

Employment

Current Openings And Opportunities!

Subscribe Newsletter

Get latest updates and offers.

NMLS# 414464

Routing# 051404419

© Copyright F&M Bank | Website Designed & Developed By Estland

FDIC-Insured - Backed by the full faith and credit of the U.S. Government