Form 8957
(Rev. June 2018)
Department of the Treasury
Internal Revenue Service
Foreign Account Tax Compliance Act (FATCA) Registration
▶
Go to www.irs.gov/Form8957 for instructions and the latest information.
OMB No. 1545-2246
• All applicants must complete Part 1.
• This form will not be processed if it is not signed.
• DO NOT fill out this form if you have begun registering at www.irs.gov/FATCA.
•
The IRS strongly recommends that applicants register by accessing the online version of this form at www.irs.gov/FATCA. The use
of this paper form will take longer for the IRS to process and if any information is missing or incomplete the delay in registration
may be significant.
•
This form should be mailed to:
FATCA, Stop 6099 AUSC
3651 South IH 35
Austin, Texas 78741
Part 1
Financial Institution Registration
1 Select Financial Institution Type (check only one)
Single (not a member of an Expanded Affiliated Group)
Lead of an Expanded Affiliated Group
Member (not Lead) of an Expanded Affiliated Group. If a Member, you must provide the FATCA ID issued for such Member and provided
by your Lead:
Sponsoring Entity
2
Legal Name of the Financial Institution
3 a
What is the Financial Institution’s country/jurisdiction of residence for tax purposes?
b
What is the Financial Institution’s country/jurisdiction tax ID?
4 Select the Financial Institution’s FATCA classification in its country/jurisdiction of tax residence (check only one)
Direct Reporting NFFE
Participating FFI, including a Reporting Financial Institution under a Model 2 IGA
Registered Deemed-Compliant FFI that is a Local FFI
Registered Deemed-Compliant FFI that is a Non-Reporting Member of a PFFI Group
Registered Deemed-Compliant FFI that is a Qualified Collective Investment Vehicle
Registered Deemed-Compliant FFI that is a Qualified Credit Card Issuer or Servicer
Registered Deemed-Compliant FFI that is a Restricted Fund
Reporting Financial Institution under a Model 1 IGA
Sponsoring Entity of Sponsored Direct Reporting NFFEs
Sponsoring Entity of Sponsored FFIs
Sponsoring Entity of Sponsored FFIs and Sponsored Direct Reporting NFFEs
Trustee of a Trustee-Documented Trust
U.S. Financial Institution
5 Mailing Address of Financial Institution
Country/Jurisdiction
Address Line 1
Address Line 2
City State/Province/Region ZIP/Postal Code
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 37778V
Form 8957 (Rev. 6-2018)