Notice of Changes in Temporary FDIC Insurance Coverage for Transaction Accounts: All funds in a “noninterest-bearing transaction account” are insured in full by the Federal Deposit Insurance Corporation from December 31, 2010, through December 31, 2012. This temporary unlimited coverage is in addition to, and separate from, the coverage of at least $250,000 available to depositors under the FDIC’s general deposit insurance rules. For more information about temporary FDIC insurance coverage of transaction accounts, visit www.fdic.gov.

Online Banking Application

APPLY TODAY

Start enjoying the convenience and added privileges of FCB Online Banking today. To apply, print and complete this application and deliver it to the First Community Bank of Bedford County location nearest you. Once your enrollment is complete, you will receive a welcome package via postal mail. This package will contain your Online Banking ID and will walk you through the new user setup. Before you know it, access to your accounts will be as close as your keyboard.

ONLINE BANKING AND BILL PAYMENT APPLICATION

All accounts in which you are listed as an owner are accessible through First Community Bank's Online Banking. We will not pass any account numbers over the internet, nor will any of our employees will ask you for your account numbers over the internet. Please print this form and bring into any one of our offices OR mail to:

First Community Bank
PO Box 1027
Shelbyville, TN 37162
Attention: Internet Banking

Please sign me up for Online Banking:

E-mail address: ____________________________________________

Name: ___________________________________________________

Address: _________________________________________________

City:_____________________________________________________

State: ___________________________________ Zip: ____________

Phone: ____________________ Business Phone: ________________

Social Security Number:______________________________________

Please sign me up for the following services:

______ Account Access

______ Please give me access to and the ability to transfer funds between ONLY the following listed accounts on which I am an owner.(please indicate account types:CHK/SAV/LON/CD)

Account Number _______________________ Type _____________

______ Free Bill Payment

Please read before signing:

I understand the information in this form is only general information. I will read the full First Community Bank Online Banking Agreement. By using Online Banking through First Community Bank Online Banking Agreement and such other terms and conditions or amendments thereto, as may be established by First Community Bank and communicated to me. I hereby authorize First Community Bank to verify any information included in this application and allow access to all the accounts listed above on which I am an owner.

By signing below, I hereby agree to the above state conditions.

Signature:__________________________________________

Date: _____________________

To speak with a Online Banking representative, contact Support at 931-684-5800 or e-mail fcb@first-community.net.