Fs Form 1851 - Request To Reissue United States Savings Bonds To A Personal Trust
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For official use only:
Customer Name
Case Number
OMB No. 1530-0036
FS Form 1851 (revised February 2017)
Request To Reissue United States
Savings Bonds to a Personal Trust
IMPORTANT: Follow instructions in filling out this form. You should be aware that the making of any false, fictitious, or fraudulent claim or
statement to the United States is a crime that is punishable by fine and/or imprisonment. Print in ink or type all information.
NOTE: When we reissue a Series EE or Series I savings bond, we no longer provide a paper bond. The reissued bond
is in electronic form, in our online system TreasuryDirect. For information on opening an account in TreasuryDirect, go to
1. DESCRIPTION OF BONDS
(Note: Savings bonds within one month of final maturity cannot be reissued.)
I/We request reissue of the bonds described below, in the amount of $
(face amount).
REGISTRATION
ISSUE DATE
(Provide complete Social Security Number [for example,
FACE AMOUNT
BOND NUMBER
(mm/yy)
123-45-6789] and names, including
middle names or initials, on the bonds)
(If more space is needed, use a continuation sheet and attach it to this form.)
2. TRUST INFORMATION
Taxpayer Identification Number assigned to the trust:
*Grantor’s name:
*Trustee’s name:
Date the trust was created:
Name(s) of Beneficiary(ies), if an FBO trust:
* If more than one grantor or trustee, list all.
3. NEW BOND INSCRIPTION
T
I
N
:
OR
AXPAYER
DENTIFICATION
UMBER
(Social Security Number assigned to trust)
(Employer Identification Number assigned to trust)
:
REGISTRATION
M
A
:
AILING
DDRESS
Reissue Instructions (for Series EE or I bonds; see “NOTE” at top of page)
Please reissue my Series EE or Series I bond(s)
in electronic form to my TreasuryDirect trust account; the account number is:
Delivery Instructions (for Series HH bonds only)
(Name of Individual or Institution)
(Number and Street, Rural Route and Box, or P.O. Box)
(City)
(State)
(ZIP Code)
FS Form 1851
Department of the Treasury | Bureau of the Fiscal Service
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