Form 114A PDF Details

Are you a United States person with foreign financial interests? If so, you may need to file Form 114A. This form is used to report your foreign financial interests and activities, and it is important that you complete it accurately and timely. Failing to do so could result in significant penalties. So what exactly is Form 114A, and what do you need to know about it? In this blog post, we will answer those questions and provide some tips on how to complete the form correctly.

You can definitely find it beneficial to know the amount of time you will need to fill in this form 114a and exactly how lengthy the form is.

Form NameForm 114A
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesfincen 114a, file fincen 114, 114a, blank form fincen 114

Form Preview Example

Form 114a

Department of the Treasury

Financial Crimes Enforcement

Network (FinCEN)

May 2015

Record of Authorization to

Electronically File FBARs

(See instructions below for completion)

Do not send to FinCEN. Retain this form for your records. The form 114a may be digitally signed

Part I

Persons who have an obligation to file a Report of Foreign Bank and Financial Account(s)

1. Owner last name or entity’s legal name

2. Owner first name

3. Owner M. I.

4. Spouse last name (if jointly filing FBAR - see instructions below)

5. Spouse first name

6. Spouse M. I.

I/we declare that I/we have provided information concerning _______ (enter number of accounts) foreign bank and financial account(s) for the

filing year ending December 31, ________ to the preparer listed in Part II; that this information is to the best of my/our knowledge true, correct,

and complete; that I/we authorize the preparer listed in Part II to complete and submit to the Financial Crimes Enforcement Network (FinCEN) a Report of Foreign Bank and Financial Accounts (FBAR) based on the information that I/we have provided; and that I/we authorize the preparer listed in Part II to receive information from FinCEN, answer inquiries and resolve issues relating to this submission. I/we acknowledge that, notwithstanding this declaration, it is my/our legal responsibility, not that of the preparer listed in Part II, to timely file an FBAR if required by law to do so.

7. Owner signature (Authorized representative if entity)

8 Date


9 Owner or entity TIN

10 TIN
























11. Spouse signature

12 Date


13 Spouse TIN

14 TIN


























Part II

Individual or Entity Authorized to File FBAR on behalf of Persons who have an obligation to file.

15. Preparer last name


16. Preparer first name

17. Preparer


18. Preparer PTIN

















20 City

21 State


22 ZIP/postal code
























Preparer’s (item 15) employer’s (Entity) name

25. Employer EIN

26. Preparer’s signature























Instructions for completing the FBAR Signature Authorization Record

This is a fill and print form using Adobe Reader

This record may be completed by the individual or entity granting such authorization (Part I) OR the individual/entity authorized to perform such services. The completed record must be signed by the individual(s)/entity granting the authorization (Part I) and the individual/entity that will file the FBAR. The Preparer/filing entity must be registered with FinCEN BSA E-File system. (See for registra- tion).

Read and complete the account owner statement in Part I.

To authorize a third party to file the Foreign Bank and Financial Accounts Report (FBAR), the account owner should complete Part I, items 1 through 3 (as required), sign and date the document in Part I, Items 7/8 and complete items 9 and 10. Item 7 may be digitally signed.

Accounts Jointly Owned by Spouses (see exceptions in the FBAR instructions)

If the account owner is filing an FBAR jointly with his/her spouse, the spouse must also complete Part I, items 4 through 6. The spouse must also sign and date the report in items 11/12, (item 11 may be digitally signed) and complete items 13 and 14. A third party preparer may be one of the spouses of the jointly owned foreign account. In this case, both spouses must complete Part I of form 114a in its entirety. The third party preparer (spouse) that will file the FBAR on behalf of both spouses will complete Part II in its entirety (do not use such terms as SEE ABOVE, or SAME AS ITEM NUMBER X).

Complete Part II, items 15 through 18 with the preparer’s information. The address, items 19 through 23, is that of the preparer or the preparer’s employer if the preparer is an employee. Record the employer’s information (if any) in items 24 and 25. If the preparer does not have a PTIN, leave item 18 blank. The third party preparer must sign in item 26 (digital signature acceptable) of Part II indicating that the FBAR will be filed as directed by the authorizing authority.

The person(s) listed in Part I, and the person listed in Part II as authorized to file on behalf of the person(s) listed in Part I, should retain copies

of this record of authorization and the filing itself, both for a period of 5 years. See 31 CFR 1010. 430(d).


Rev. 10.7 May 21, 2015

How to Edit Form 114A Online for Free

Our PDF editor makes completing files simple and easy. It is very an easy task to enhance the [FORMNAME] document. Stick to these particular steps to be able to achieve this:

Step 1: Click the button "Get form here" to open it.

Step 2: So, you can start modifying your form 114a. Our multifunctional toolbar is at your disposal - add, erase, transform, highlight, and perform similar commands with the text in the document.

Feel free to type in the next details to complete the form 114a PDF:

writing file fincen 114 stage 1

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Step 4: Just be sure to create as many duplicates of your document as you can to prevent possible issues.

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