Fillable Form 8966 2019 FATCA Report

Fill Online, Printable, Fillable, Blank Form 8966 2019 FATCA Report Form

Use Fill to complete blank online IRS pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 8966 2019 FATCA Report

On average this form takes 13 minutes to complete

The Form 8966 2019 FATCA Report form is 2 pages long and contains:

  • 0 signatures
  • 17 check-boxes
  • 45 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your IRS forms online.

The Internal Revenue Service (IRS) is a government agency responsible for collecting taxes and administering the federal statutory tax laws of the United States. The IRS provide tax assistance to taxpayers and pursue and resolve fraudulent tax filings.

BROWSE IRS FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Form
8966
Department of the Treasury
Internal Revenue Service
FATCA Report
▶
Go to www.irs.gov/Form8966 for instructions and the latest information.
OMB No. 1545-2246
2019
If you are filing paper Forms 8966, enter the three-digit identifier number used to identify this Form 8966 filing
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
▶
Check if report is being corrected, amended, voided, or there are no accounts to report:
Corrected report Amended report Voided report Check if no accounts to report (see instructions)
Part I
Identification of Filer
1a Name of filer
1b Enter the filer category (see instructions)
▶
2 Number, street, and room or suite no. (if P.O. box, see instructions)
3a City or town 3b State, province, or region 3c Country, including postal code
4 Global intermediary identification number (GIIN)
. . .
5 TIN
6 Name of sponsored entity or intermediary, if applicable
7 Number, street, and room or suite no. (if P.O. box, see instructions)
8a City or town 8b State, province, or region 8c Country, including postal code
9 GIIN
. . .
10 TIN
Part II
Account Holder or Payee Information
1a Name of account holder or payee
1b Indicate whether account holder or payee is an individual or entity
Individual Entity
2 Number, street, and room or suite no. (if P.O. box, see instructions)
3a City or town 3b State, province, or region 3c Country, including postal code
4 TIN
5 If account holder or payee is an entity, check applicable box to specify the entity type:
Owner-Documented FFI with specified U.S. Owner(s) Passive NFFE with substantial U.S. Owner(s)
Non-Participating FFI Specified U.S. Person
Part III Owner Information (File a separate report for each U.S. Owner that is a specified U.S. Person.)
1 Name of owner
2 Number, street, and room or suite no. (if P.O. box, see instructions)
3a City or town 3b State, province, or region 3c Country, including postal code
4 TIN of owner
Part IV Financial Information
1 Account number 2 Currency code (see instructions)
3a Account balance
3b Check if account closed during the year (see instructions)
4a Interest
4b Dividends
4c Gross proceeds/Redemptions
4d Other
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 55748F
Form
8966 (2019)
Form 8966 (2019)
Page 2
Part V Pooled Reporting Type
1 Check applicable pooled reporting type (check only one):
Recalcitrant account holders with U.S. Indicia
Dormant accounts
Recalcitrant account holders that are U.S. Persons
Recalcitrant account holders without U.S. Indicia
Non-Participating FFI
Recalcitrant account holders that are passive NFFEs
2 Number of accounts 3 Aggregate payment amount
4 Aggregate account balance 5 Currency code
Form
8966 (2019)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 8966 2019 FATCA Report

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 15 May 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document