Form 8966 - Fatca Report - 2017 Page 2
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Form 8966 (2017)
Page
Part V
Pooled Reporting Type
1 Check applicable pooled reporting type (check only one):
Recalcitrant account holders with U.S. Indicia
Recalcitrant account holders without U.S. Indicia
Dormant accounts
Non-Participating FFI
Recalcitrant account holders that are U.S. Persons
Recalcitrant account holders that are passive NFFEs
2 Number of accounts
3 Aggregate payment amount
4 Aggregate account balance
5 Currency code
8966
Form
(2017)
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Parent category: Financial