INSTRUCTIONS
A person who has NO interest in the securities must complete and sign this form, confirming the individual's identity. Unless
otherwise instructed in accompanying correspondence, mail this form to the Treasury Retail Securities site that requested it or to
the appropriate address below:
• Series H or Series HH savings bonds – Treasury Retail Securities Site, PO Box 2186, Minneapolis, MN 55480-2186
• Definitive (paper) savings bonds – Treasury Retail Securities Site, PO Box 214, Minneapolis, MN 55480-0214
• Book-entry savings bonds and marketable securities held in TreasuryDirect –
Treasury Retail Securities Site, PO Box 7015, Minneapolis, MN 55480-7015
• Marketable securities held in Legacy Treasury Direct – Treasury Retail Securities Site, PO Box 9150, Minneapolis,
MN 55480-9150
• Definitive (paper) marketable securities – Bureau of the Fiscal Service, PO Box 426, Parkersburg, WV 26106-0426
CERTIFICATION
Person who signs form - You must sign the form in the presence of an officer authorized to certify assignments or requests
for payment of United States savings and retirement securities. Authorized certifying officers are available at financial
institutions, including credit unions, in the United States. For complete lists of such officers, see Department Circulars, Nos.
300 and 530, and Public Debt Series, Nos. 3-80 and 2-98.
Certifying officer - The person appearing before you must establish identification by positive and reliable evidence before this
form is signed, unless he or she is personally known to you. You must complete and sign the certification form and affix your
organization's seal or stamp. If you are an employee (rather than an officer) authorized to certify, insert the words “Authorized
Signature” in the space provided for the title.
NOTICE UNDER PRIVACY ACT AND PAPERWORK REDUCTION ACT
The collection of the information you are requested to provide on this form is authorized by 31 U.S.C. CH. 31 relating to the
public debt of the United States. The furnishing of a Social Security Number, if requested, is also required by Section 6109 of
the Internal Revenue Code (26 U.S.C. 6109).
The purpose of requesting the information is to enable the Bureau of the Fiscal Service and its agents to issue securities,
process transactions, make payments, identify owners and their accounts, and provide reports to the Internal Revenue Service.
Furnishing the information is voluntary; however, without the information, the Fiscal Service may be unable to process
transactions.
Information concerning securities holdings and transactions is considered confidential under Treasury regulations (31 CFR, Part
323) and the Privacy Act. This information may be disclosed to a law enforcement agency for investigation purposes; courts
and counsel for litigation purposes; others entitled to distribution or payment; agents and contractors to administer the public
debt; agencies or entities for debt collection or to obtain current addresses for payment; agencies through approved computer
matches; Congressional offices in response to an inquiry by the individual to whom the record pertains; as otherwise authorized
by law or regulation.
We estimate that it will take you about 10 minutes to complete this form. However, you are not required to provide information
requested unless a valid OMB control number is displayed on the form. Any comments or suggestions regarding this form
should be sent to the Bureau of the Fiscal Service, Forms Management Officer, Parkersburg, WV 26106-1328. DO NOT SEND
completed form to this address; send to the appropriate address in the first paragraph of the Instructions.
FS Form 0385 Department of the Treasury | Bureau of the Fiscal Service 2
