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Federal Deposit
Insurance Corporation

Each depositor insured to at least $250,000 per insured bank

Forms

Applications, Notices, & Reporting Forms
Bank Supervision: Reports & Notices

The forms are Adobe® PDF file or Microsoft® Word files. Information on downloading and using these files is at: PDF Help & Word Help. Unless otherwise notes, all files are less than 250k.

Form Title     Available via FDICconnect?

Form 3: Initial Statement of Beneficial Ownership of Securities
FDIC 6800/03
(Formerly Form F-7)
Form 3 Instructions

PDF file
(379k)
Word file yes
Form 4: Statement of Changes in Beneficial Ownership of Securities
FDIC 6800/04
(Formerly Form F-8)
Form 4 Instructions
PDF file
(274k)
Word file yes
Form 5: Annual Statement of Beneficial Ownership of Securities
FDIC 6800/05 
(Formerly Form F-8A)
Form 5 Instructions
 
PDF file
(260k)
Word file yes
Interagency Bank Merger Act Application
FDIC 3064-0015
PDF file
(129k)
Word file
(97k)
 
Interagency Biographical and Financial Report
FDIC 3064-0006
PDF file
(540k)
Word file
(450k)
 
Interagency Notice of Change in Control
FDIC 3064-0019
PDF file
(303k)
Word file
(138k)
 
Interagency Notice of Change in Director of Senior Executive Officer
FDIC 3064-0097
PDF file    
Notice and Authorization Pertaining to Consumer Reports Pursuant to the Fair Credit Reporting Act of 1970, 15 U.S.C. § 1681, et seq.
FDIC 1600/10
PDF file Word file  
Notice by Financial Institutions of Government Securities Broker or Government Securities Dealer Activities
G-FIN
PDF file    
Notice by Financial Institutions of Termination of Activities as a Government Securities Broker or Government Securities Dealer
G-FINW
PDF file    
Notification of Performance of Bank Services
FDIC 6120/06
PDF file Word file  
Registered Transfer Agents  
Form for Registrations and Updating Amendments
Form TA-1
PDF file    
Registered Transfer Agent
Request for Deregistration
FDIC 6342/12   Form TA-W
  Word file  
Disclosure form for persons associated with a Financial Institution Government Securities Broker or Dealer  
(www.treasurydirect.gov)
G-FIN-4
PDF file    
Uniform Termination Notice for Persons Associated with a Financial Institution Government Securities Broker or Dealer
G-FIN-5
PDF file Word file  
Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities Dealer
MSD-4
PDF file
(900k)
   
Uniform Termination Notice for Municipal Securities Principal or Municipal Securities Representative Associated with a Bank Municipal Securities Dealer
MSD-5
PDF file
(450k)
   
Notice of Withdrawal From Registration as a Municipal Securities Dealer
Pursuant to Rule 15Bc3-1 (17 CFR 240.15Bc3-1)
(www.sec.gov)
PDF file    
Uniform Termination Notice for Person Associated with a Financial Institution Government Securities Broker or Dealer
GFIN-5 
PDF file    
Suspicious Activity Report
FDIC 6710/06
PDF file Word file  
Notification of Branch Closing yes
FDIC Post Examination Surveys yes