Forms
Deposit Claims & Asset Sales
Information on downloading and using these files is at: Word Help. Unless otherwise noted, all forms are less than 250k
| Form Title/Number | |
|---|---|
| Declaration for Government Deposit FDIC 7200/04, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for Trust FDIC 7200/05, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration of Independent Activity FDIC 7200/06, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration of Independent
Activity for Unincorporated Association FDIC 7200/07, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for Joint
Ownership Deposit FDIC 7200/08, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for Testamentary Deposit FDIC 7200/09, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for Defined
Contribution Plan FDIC 7200/10, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for IRA/KEOGH
Deposit FDIC 7200/11, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for Defined
Benefit Plan FDIC 7200/12, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for Custodian Deposit FDIC 7200/13, OMB 3064-0143 (08/31/2020) |
Word file |
| Declaration for Health and Welfare Plan FDIC 7200/14, OMB 3064-0143 (08/31/2020) |
Word file |
|
Declaration for Plan and
Trust FDIC 7200/15, OMB 3064-0143 (08/31/2020) |
Word file |
|
Declaration for Power of
Attorney FDIC 7200/16 |
Word file |
| Declaration for Irrevocable
Trust FDIC 7200/18, OMB 3064-0143 (08/31/2020) |
Word file |
| Depositor Interview Form FDIC 7200/26, OMB 3064-0143 (08/31/2020) |
Word file |
| Purchaser Eligibility
Certification FDIC 7300/06, OMB 3064-0135 (10/31/2021) The Purchaser Eligibility Certification for a specific sale will be available on the website of the loan sale advisor responsible for that sale. Purchasers will complete that form and provide it to the loan sale advisor. In order to self screen, Potential Purchasers can review this sample copy of the Purchaser Eligibility Certification. |
Word file |