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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    
Application for registration as a municipal securities dealer or amendment of the same (Form MSD) PDF file    
Form for reporting activities of transfer agents registered pursuant to Section 17A of the Securities Exchange Act of 1934 (TA-2) PDF 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    
Suspicious Activity Report
FDIC 6710/06
PDF file Word file  
Notification of Branch Closing yes
FDIC Post Examination Surveys yes