Form Pd F 4000 E - Request To Reissue United States Savings Bonds Page 6
Download a blank fillable Form Pd F 4000 E - Request To Reissue United States Savings Bonds 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 Form Pd F 4000 E - Request To Reissue United States Savings Bonds 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
2
3
4
5
6PART C – SIGNATURES AND CERTIFICATIONS
SIGNATURES - Sign the form in ink, in the presence of an authorized certifying officer. The form must be signed as indicated in
Part B of the instructions. If the request is on behalf of a corporate fiduciary, the name of the corporation must be given, followed
by the signature and title of an authorized officer. If there are two or more fiduciaries, all must join in the request unless by
express statute, decree of court, or the terms of the instrument under which the fiduciaries are acting, one or more of them may
properly execute the request.
If an owner/coowner's name has been changed by marriage, divorce, court order, naturalization, or otherwise, he/she must sign
the form as follows: " (PRESENT LEGAL NAME) ", changed by (specify manner in which change occurred) from
" (NAME AS ON BONDS)." To support a change of name, other than by marriage, a complete statement should follow the
signature to show exactly how the change of name was authorized. Evidence may be required.
CERTIFICATION – Each person whose signature is required must appear before and establish identification to the satisfaction of
an authorized certifying officer. If a minor owner or coowner signs the request, the officer must be satisfied that the minor is of
sufficient competency to understand the nature of the transaction. The signatures to the form must be signed in the officer’s
presence. The certifying officer must affix the seal or stamp which is used when certifying requests for payment. Authorized
certifying officers are available at most financial institutions, including credit unions.
ADDITIONAL REQUIREMENTS FOR SERIES HH/H BONDS:
•
Under the Interest Dividend Tax Compliance Act of 1983 as implemented by Internal Revenue Service regulations,
the new owner or first-named coowner must complete IRS Form W-9 to certify that the social security number
furnished is correct, to indicate whether or not he/she is subject to backup withholding under the provision of Section
3406(a)(1)(C) of the Internal Revenue Code, and to verify that he/she is a United States person (including a U.S.
resident alien). Forms W-9 are available at financial institutions in the United States and Internal Revenue Offices.
These forms can also be found on the IRS website at the address
•
The furnishing of Direct Deposit information is a condition of reissue of Series HH bonds bearing issue dates of
October 1989 and thereafter. A Direct Deposit form, PD F 5396 or SF 1199A, must be completed for Series HH
bonds dated October 1989 and thereafter which are submitted for reissue. The Direct Deposit form must be
completed by the new owner or coowner providing the appropriate information for direct deposit of the semi-annual
interest payments. Forms SF 1199A are available at financial institutions in the United States. PD F 5396 is
available for download on the Internet using the "forms" link at the address The financial
institution designated to receive the payment can assist in the completion of the Direct Deposit form.
ADDITIONAL EVIDENCE – The Commissioner of the Public Debt, as designee of the Secretary of the Treasury, reserves the
right, in any particular case, to require the submission of additional evidence.
RETURN OF EVIDENCE - If the evidence submitted with this form is to be returned, provide a written request when the
evidence is submitted.
WHERE TO SEND – Unless otherwise instructed, the PD F 4000 and the bonds, as well as any other appropriate forms and
evidence, must be sent to one of the Treasury Retail Securities Sites shown below:
Treasury Retail Securities Site
Treasury Retail Securities Site
PO Box 299
PO Box 214
Pittsburgh, PA 15230-0299
Minneapolis, MN 55480-0214
1-800-245-2804
1-800-553-2663
6
PD F 4000
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Pd F 2513 - Application By Voluntary Guardian Of Incapacitated Owner Of United States Savings Bonds/notes
Legal
Form Pd F 2513 - Application By Voluntary Guardian Of Incapacitated Owner Of United States Savings Bonds / Notes
Legal
Form Pd F 5188 E - Durable Power Of Attorney For Securities And Savings Bonds Transactions Form
Legal
Form Pd F 1050 E - Creditor's Consent To Disposition Of United States Securities And Related Checks Without Administration Of Deceased Owner's Estate
Legal
Form Pd F 1522 E - Special Form Of Request For Payment Of U.s. Savings And Retirement Securities
Legal
Related Categories
Parent category: Legal