Fbar & Form 8938 - Report On Foreign Bank And Financial Account And Statement Of Specified Foreign Financial Assets
Download a blank fillable Fbar & Form 8938 - Report On Foreign Bank And Financial Account And Statement Of Specified Foreign Financial Assets in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Fbar & Form 8938 - Report On Foreign Bank And Financial Account And Statement Of Specified Foreign Financial Assets with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
23
FBAR & FORM 8938 ORGANIZER FOR:
1) “Report On Foreign Bank And Financial Accounts”
(FinCEN Form 114 (formerly Form TD F 90-22.1) - “FBAR”), and
2) “Statement Of Specified Foreign Financial Assets” - (IRS Form 8938)
THIS QUESTIONNAIRE IS FOR OUR INTERNAL USE ONLY - IT WILL NOT GO TO THE IRS
FOR TAX RETURN YEAR ENDED ______________
CURRENT DATE _________________
(Spouses and children must each complete a separate organizer).
1.
Name ____________________________________ Phones: Office ____________________Home (US)___________________
2.
Address __________________________________________Home (Non-US) __________________ Cell __________________
________________________________________________ Fax __________________ Email ___________________________
3.
U.S. taxpayer identification number, if any ____________________________
Birth Date_____________________________
Part I
Form FinCEN Form 114 - “FBAR”
(MAXIMUM POTENTIAL CIVIL PENALTY FOR NONCOMPLIANCE IS THE GREATER OF $100,000 OR 50% OF THE
VALUE OF THE ACCOUNT)
Explanation: Each U.S. citizen, U.S. resident or US entity (corporation, partnership, trust, or estate) must file U.S. reports on their
involvement with certain foreign (non-US) financial accounts including bank accounts, stockbrokerage accounts, trust accounts, RRSP
and RRIF accounts, LIRAs, LIFs, Tax Free Savings Accounts (TFSAs), Registered Education Savings Plans (RESPs), Life insurance
policies, mutual funds held directly with a mutual fund company, and similar accounts, if the aggregate maximum amount of all
accounts at any time during the year exceeded $10,000. The potential civil penalty for missing or incorrect information varies from
$10,000, up to the greater of $100,000 or 50% of the value of each account.
Criminal penalties and prison time are applicable in
limited circumstances.
THE FILING MUST BE RECEIVED BY THE GOVERNMENT BY JUNE 30 – NO EXTENSION IS AVAILABLE
4.
Therefore, for each foreign account that was in your name, or for which you were the owner of record, or for which you have
legal title, or for which you were the beneficial owner, please provide the following information: (Use an additional sheet if
necessary).
Account 1
Account 2
Account 3
Name of Institution where the account is located
for the bank account, stockbrokerage, Trust co., RRSP,
RRIF, LIRA, LIF, TFSA, RESP, Life insurance policy,
etc., and mutual fund account held directly
with the mutual fund company, etc
____________
____________
______________
Address of Institution
____________
____________
______________
Type of account (Bank, Securities, RRSP), etc,
____________
____________
______________
Name on account
____________
____________
______________
Account number
____________
____________
______________
Account is owned [ ] Solely [ ] Jointly
____________
____________
______________
Maximum balance during the year for each account:
____________
____________
______________
Balance on December 31
____________
____________
______________
Name and address of joint owner
____________
____________
______________
5. The name of the currency in which each of the above
accounts is maintained (i.e. Canadian dollars, US dollars) ____________
____________
______________
6.
During the year did you have signature authority over any non-U.S. account of the type mentioned above (e.g. a corporate,
partnership, trust, or estate account) without having any ownership interest in the account?
[ ] Yes [ ] No
If yes, please provide all the above information on a separate sheet.
7.
During the year were you a part owner or investor of any corporation, partnership, trust or estate that had a non-US. Account
of the type mentioned above without having a signature authority over the account?
[ ] Yes [ ] No
(Answer “yes” only if your ownership of the corporation or partnership exceeded 50%, or your beneficial interest in the trust
or estate exceeded 50%). If yes, provide all the above information on a separate sheet.
If you have not answered all questions & supplied all documents requested on this organizer, please explain, or call us -
THE ABOVE PENALTIES MAY APPLY.
otherwise your tax filing may be delayed, or incorrect, and/or
THIS QUESTIONNAIRE IS FOR OUR INTERNAL USE ONLY - IT WILL NOT GO TO THE IRS
Please complete reverse side also
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial