Td F 90 22 1 PDF Details

The Form TD F 90-22.1, known as the Report of Foreign Bank and Financial Accounts (FBAR), plays a crucial role in ensuring U.S. persons comply with the United States Department of the Treasury's regulations concerning foreign financial accounts. This requirement, which underwent revision in January 2012, mandates the reporting of financial interest, signature authority, or other forms of control over foreign bank and financial accounts if the aggregate value of those accounts exceeded $10,000 at any point during the calendar year. Designed not to be filed with the federal tax return but rather sent directly to the address indicated by the Department of the Treasury, it encompasses various types of filers, including individuals, corporations, partnerships, and others. The form gathers detailed information about the accounts being reported, such as maximum values during the reported year, types of accounts, account numbers, and details regarding the financial institutions where these accounts are held. It also contains sections for reporting accounts owned jointly, where the filer has signature authority but no financial interest, and for consolidated reporting in certain cases. Submitting this form is critical as failure to do so can result in severe civil and criminal penalties. Additionally, it emphasizes the importance of transparency in financial matters, aiding regulatory and law enforcement agencies in their efforts to prevent financial crimes. With privacy and Paperwork Reduction Acts notices included, filers are informed about their rights, the mandatory disclosure of their Social Security number, and the intended use of their information, aiming to balance the requirement for financial transparency with individual privacy rights.

QuestionAnswer
Form NameTd F 90 22 1
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namestd f 90 22 1, irs bank account, td f bank, td f 90 22 1 form

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TD F 90-22.1

(Rev. January 2012) Department of the Treasury

Do not use previous editions of

this form

REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS

Do NOT file with your Federal Tax Return

OMB No. 1545-2038

1This Report is for Calendar Year Ended 12/31

Amended

Part I Filer Information

2Type of Filer

a

Individual

b

Partnership c

Corporation d

Consolidated e

Fiduciary or Other—Enter type

3

U.S. Taxpayer Identification Number

4 Foreign identification (Complete only if item 3 is not applicable.)

 

5

Individual’s Date of Birth

 

 

a Type:

Passport

Other

 

 

MM/DD/YYYY

 

 

 

 

 

If filer has no U.S. Identification

 

 

 

 

 

 

 

 

Number complete Item 4.

b Number

 

 

 

c Country of Issue

 

 

 

 

 

 

 

 

 

 

 

6

Last Name or Organization Name

 

 

 

7 First Name

 

8

Middle Initial

 

 

 

 

 

 

 

 

 

 

9Address (Number, Street, and Apt. or Suite No.)

10City

11State

12Zip/Postal Code

13Country

14Does the filer have a financial interest in 25 or more financial accounts?

Yes If “Yes” enter total number of accounts

(If “Yes” is checked, do not complete Part II or Part III, but retain records of this information)

No

Part II Information on Financial Account(s) Owned Separately

15Maximum value of account during calendar year reported

16 Type of account a

Bank b

Securities c

Other—Enter type below

17Name of Financial Institution in which account is held

18Account number or other designation

19Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

20City

21State, if known

22Zip/Postal Code, if known

23Country

Signature

44Filer Signature

45Filer Title, if not reporting a personal account

46Date (MM/DD/YYYY)

File this form with: U.S. Department of the Treasury, P.O. Box 32621, Detroit, MI 48232-0621

This form should be used to report a financial interest in, signature authority, or other authority over one or more financial accounts in foreign countries, as required by the Department of the Treasury Regulations 31 CFR 1010.350 (formerly 31 CFR 103.24). No report is required if the aggregate value of the accounts did not exceed $10,000. See Instructions For Definitions.

PRIVACY ACT AND PAPERWORK REDUCTION ACT NOTICE

Pursuant to the requirements of Public Law 93-579 (Privacy Act of 1974), notice is hereby given that the authority to collect information on TD F 90-22.1 in accordance with 5 USC 552a (e) is Public Law 91-508; 31 USC 5314; 5 USC 301; 31 CFR 1010.350 (formerly 31 CFR 103.24).

The principal purpose for collecting the information is to assure maintenance of reports where such reports or records have a high degree of usefulness in criminal, tax, or regulatory investigations or proceedings. The information collected may be provided to those officers and employees of any constituent unit of the Department of the Treasury who have a need for the records in the performance of their duties. The records may be referred to any other department or agency of the United States upon the request of the head of such department or agency for use in a criminal, tax, or regulatory investigation or proceeding. The information collected may also be provided to appropriate state, local, and foreign law enforcement and regulatory personnel in the performance of their official duties. Disclosure of this information is mandatory. Civil and criminal penalties, including in certain circumstances a fine of not more than $500,000 and imprisonment of not more than five years, are provided for failure to file a report, supply information, and for filing a false or fraudulent report. Disclosure of the Social Security number is mandatory. The authority to collect is 31 CFR 1010.350 (formerly 31 CFR 103.24) . The Social Security number will be used as a means to identify the individual who files the report.

The estimated average burden associated with this collection of information is 75 minutes per respondent or record keeper, depending on individual circumstances. Comments regarding the accuracy of this burden estimate, and suggestions for reducing the burden should be directed to the Internal Revenue Service, Bank Secrecy Act Policy, 5000 Ellin Road C-3-242, Lanham MD 20706.

Cat. No. 12996D

Form TD F 90-22.1 (Rev. 1-2012)

Part II

CONTINUED—Information on Financial Account(s) Owned Separately

 

 

Form TD F 90-22.1

Complete a Separate Block for Each Account Owned Separately

 

 

Page Number

 

 

 

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This side can be copied as many times as necessary in order to provide information on all accounts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 Filing for calendar

3–4 Check appropriate Identification Number

6 Last Name or Organization Name

 

 

 

 

 

 

 

 

 

 

year

Taxpayer Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreign Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter identification number here:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15 Maximum value of account during calendar year reported

16 Type of account a Bank b

Securities c Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

 

23

Country

 

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account a

Bank

b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

 

23

Country

 

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account a

Bank

b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

 

23

Country

 

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account a

Bank

b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

 

23

Country

 

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account a

Bank

b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

 

23

Country

 

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account a

Bank

b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18Account number or other designation

19Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

20City

21State, if known

22Zip/Postal Code, if known

23Country

Form TD F 90-22.1 (Rev. 1-2012)

Part III

Information on Financial Account(s) Owned Jointly

 

 

Form TD F 90-22.1

Complete a Separate Block for Each Account Owned Jointly

 

 

Page Number

 

 

 

of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This side can be copied as many times as necessary in order to provide information on all accounts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 Filing for calendar

3–4 Check appropriate Identification Number

6 Last Name or Organization Name

 

 

 

 

 

 

 

 

 

 

year

Taxpayer Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreign Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter identification number here:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15 Maximum value of account during calendar year reported

16 Type of account a Bank b

Securities c Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

23 Country

 

 

 

 

 

 

 

 

24

Number of joint owners for this account

25

Taxpayer Identification Number of principal joint owner, if known. See instructions.

 

 

 

 

 

 

 

26

Last Name or Organization Name of principal joint owner

27

First Name of principal joint owner, if known

28 Middle initial, if known

 

 

 

 

 

 

 

 

29Address (Number, Street, Suite or Apartment) of principal joint owner, if known

30

City, if known

31 State, if known

32

Zip/Postal Code, if known

33

Country, if known

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account a

Bank b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

23 Country

 

 

 

 

 

 

 

 

24

Number of joint owners for this account

25

Taxpayer Identification Number of principal joint owner, if known. See instructions.

 

 

 

 

 

 

 

26

Last Name or Organization Name of principal joint owner

27

First Name of principal joint owner, if known

28 Middle initial, if known

 

 

 

 

 

 

 

 

29Address (Number, Street, Suite or Apartment) of principal joint owner, if known

30

City, if known

31 State, if known

32

Zip/Postal Code, if known

 

33

Country, if known

 

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account a

Bank

b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

23 Country

 

 

 

 

 

 

 

 

24

Number of joint owners for this account

25

Taxpayer Identification Number of principal joint owner, if known. See instructions.

 

 

 

 

 

 

 

26

Last Name or Organization Name of principal joint owner

27

First Name of principal joint owner, if known

28 Middle initial, if known

 

 

 

 

 

 

 

 

29Address (Number, Street, Suite or Apartment) of principal joint owner, if known

30

City, if known

31 State, if known

32 Zip/Postal Code, if known

33 Country, if known

 

 

 

 

 

Form TD F 90-22.1 (Rev. 1-2012)

Part IV

Information on Financial Account(s) Where Filer has Signature Authority but No

 

Form TD F 90-22.1

 

 

 

Financial Interest in the Account(s)

 

 

Page Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete a Separate Block for Each Account

 

 

 

of

This side can be copied as many times as necessary in order to provide information on all accounts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 Filing for calendar

3–4 Check appropriate Identification Number

6 Last Name or Organization Name

 

 

 

 

 

 

 

 

year

Taxpayer Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreign Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter identification number here:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15Maximum value of account during calendar year reported

16 Type of account a

Bank b

Securities c

Other—Enter type below

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

20

City

21

State, if known

22 Zip/Postal Code, if known

23

Country

 

 

 

 

 

 

34

Last Name or Organization Name of Account Owner

 

35

Taxpayer Identification Number of Account Owner

 

 

 

 

 

 

 

36First Name

37Middle initial

38Address (Number, Street, and Apt. or Suite No.)

39City

40State

41Zip/Postal Code

42Country

43Filer's Title with this Owner

15

Maximum value of account during calendar year reported

16 Type of account a

Bank b

Securities c

Other—Enter type below

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

 

 

20

City

21

State, if known

22

Zip/Postal Code, if known

23

Country

 

 

 

 

 

 

 

 

34

Last Name or Organization Name of Account Owner

 

 

35

Taxpayer Identification Number of Account Owner

 

 

 

 

 

 

 

 

36

First Name

 

 

37 Middle initial

38

Address (Number, Street, and Apt. or Suite No.)

 

 

 

 

 

 

 

 

 

39City

40State

41Zip/Postal Code

42Country

43Filer's Title with this Owner

15

Maximum value of account during calendar year reported

16 Type of account a

Bank b

Securities c

Other—Enter type below

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

20

City

21

State, if known

22 Zip/Postal Code, if known

23

Country

 

 

 

 

 

 

34

Last Name or Organization Name of Account Owner

 

35

Taxpayer Identification Number of Account Owner

 

 

 

 

 

 

 

36First Name

37Middle initial

38Address (Number, Street, and Apt. or Suite No.)

39City

40State

41Zip/Postal Code

42Country

43Filer's Title with this Owner

Form TD F 90-22.1 (Rev. 1-2012)

Part V

Information on Financial Account(s) Where the Filer is Filing a

 

 

Form TD F 90-22.1

 

 

 

Consolidated Report

 

 

 

Page Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete a Separate Block for Each Account

 

 

 

 

of

This side can be copied as many times as necessary in order to provide information on all accounts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 Filing for calendar

3–4 Check appropriate Identification Number

6 Last Name or Organization Name

 

 

 

 

 

 

 

 

 

year

Taxpayer Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreign Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter identification number here:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15 Maximum value of account during calendar year reported

16 Type of account a Bank b

Securities c Other—Enter type below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

20

City

21

State, if known

22 Zip/Postal Code, if known

23

Country

 

 

 

 

 

 

 

34

Corporate Name of Account Owner

 

 

 

35

Taxpayer Identification Number of Account Owner

 

 

 

 

 

 

 

38Address (Number, Street, and Apt. or Suite No.)

39

City

40 State

41 Zip/Postal Code

42 Country

 

 

 

 

 

15Maximum value of account during calendar year reported

16 Type of account a

Bank b

Securities c

Other—Enter type below

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

20

City

21

State, if known

22 Zip/Postal Code, if known

23

Country

 

 

 

 

 

 

 

34

Corporate Name of Account Owner

 

 

 

35

Taxpayer Identification Number of Account Owner

 

 

 

 

 

 

 

38Address (Number, Street, and Apt. or Suite No.)

39

City

40 State

41

Zip/Postal Code

 

 

42

Country

 

 

 

 

 

 

 

 

 

 

 

15

Maximum value of account during calendar year reported

16

Type of account

a

Bank b

Securities c

Other—Enter type below

 

 

 

 

 

 

 

 

 

 

17Name of Financial Institution in which account is held

18

Account number or other designation

19

Mailing Address (Number, Street, Suite Number) of financial institution in which account is held

 

 

 

 

 

 

 

20

City

21

State, if known

22 Zip/Postal Code, if known

23

Country

 

 

 

 

 

 

 

34

Corporate Name of Account Owner

 

 

 

35

Taxpayer Identification Number of Account Owner

 

 

 

 

 

 

 

38Address (Number, Street, and Apt. or Suite No.)

39

City

40 State

41 Zip/Postal Code

42 Country

 

 

 

 

 

Form TD F 90-22.1 (Rev. 1-2012)

How to Edit Td F 90 22 1 Online for Free

This PDF editor was created with the intention of making it as simple and user-friendly as it can be. All of these steps will help make managing the irs bank account easy and fast.

Step 1: The initial step is to click the orange "Get Form Now" button.

Step 2: You will find all the actions which you can use on the document as soon as you've accessed the irs bank account editing page.

Prepare the irs bank account PDF and enter the details for every single part:

fbar extension form empty fields to fill in

Complete the Information on Financial Accounts, Part II, Maximum value of account during, Type of account a, Bank, Securities c, OtherEnter type below, Name of Financial Institution in, Account number or other designation, Mailing Address Number Street, City, State if known, ZipPostal Code if known, Country, and Signature space using the data demanded by the program.

step 2 to filling out fbar extension form

Inside the segment dealing with Part II ContinuedInformation on, Complete a Separate Block for Each, This side can be copied as many, Form TD F Page Number, Filing for calendar year, Check appropriate Identification, Last Name or Organization Name, Taxpayer Identification Number, Foreign Identification Number, Enter identification number here, Maximum value of account during, Type of account a, Bank b, Securities c, and OtherEnter type below, you will need to note down some essential particulars.

stage 3 to entering details in fbar extension form

The space City, State if known, ZipPostal Code if known, Country, Maximum value of account during, Type of account a, Bank b, Securities c, OtherEnter type below, Name of Financial Institution in, Account number or other designation, Mailing Address Number Street, City, State if known, and ZipPostal Code if known should be where to place all sides' rights and responsibilities.

City, State if known, ZipPostal Code if known, Country, Maximum value of account during, Type of account a, Bank b, Securities c, OtherEnter type below, Name of Financial Institution in, Account number or other designation, Mailing Address Number Street, City, State if known, and ZipPostal Code if known in fbar extension form

Finish by checking all of these fields and filling out the proper data: Maximum value of account during, Type of account a, Bank b, Securities c, OtherEnter type below, Name of Financial Institution in, Account number or other designation, Mailing Address Number Street, City, State if known, ZipPostal Code if known, Country, and Form TD F Rev.

fbar extension form Maximum value of account during, Type of account a, Bank b, Securities c, OtherEnter type below, Name of Financial Institution in, Account number or other designation, Mailing Address Number Street, City, State if known, ZipPostal Code if known, Country, and Form TD F Rev blanks to fill

Step 3: Once you press the Done button, your ready form may be exported to all of your devices or to email specified by you.

Step 4: Ensure you keep away from upcoming difficulties by getting at least 2 duplicates of your document.

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