Business Customer Inquiry

First Name*

Last Name*

Address

City and Zip Code

Business Name

Best Phone Number* (For Contact Purposes Only)

Best time to contact me is*:

Anytime

Email Address*

Please indicate your contact preference*:

Phone

In Person

I currently have an account at Farmers State Bank:

Yes

What is your business's estimated revenue?

$0 - $250,000.00

$250,000.00 - $1 Million

$1 Million - $10 Million

$10 Million or over

I am currently working with an FSB Loan Officer:

Yes

If yes, state the Loan Officer's name:

Have you been in business for more than 2 years?

Yes

Account(s) Interested In:

Real Estate Loan (Commercial, Agricultural, etc.)

Term Loans (Equipment, Machinery, Capital improvements, etc.)

Operating Line of Credit

Agricultural Financing

SBA Loans

Other

Does your company rent or own the premises?

Rent

Own

Questions/Comments:

(Important: Do not include account number or any other confidential information in an email.)

Thank you for your submission!

We will be in touch with you soon.

Report Stolen, Lost, or Compromised

Please call 888.492.7111 during business hours to cancel your card.

Please call 888.297.3416 during non-business hours to cancel your card.

For all other questions, comments, or concerns, please e-mail us at info@FarmersStateBank.com or submit the form to the left.

Warning: email address above is not secure and sensitive information should not be sent via email.