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Bank Supervision: Reports & Notices

Last Updated: October 21, 2020

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 noted, all forms are less than 250k.

Form Title/Number Available via FDICconnect?
Form 3: Initial Statement of Beneficial Ownership of Securities
FDIC 6800/03 (OMB 3064-0030, Expiration Date 02/28/2023)
(Formerly Form F-7)
Form 3 Instructions - word
Form 3 Instructions - pdf
Form 4: Statement of Changes in Beneficial Ownership of Securities
FDIC 6800/04 (OMB 3064-0030, Expiration Date 02/28/2023)
(Formerly Form F-8)
Form 4 Instructions - word
Form 4 Instructions - pdf
Form 5: Annual Statement of Beneficial Ownership of Securities
FDIC 6800/05 (OMB 3064-0030, Expiration Date 02/28/2023)
(Formerly Form F-8A)
Form 5 Instructions - word
Form 5 Instructions - pdf
Interagency Bank Merger Act Application
FDIC 6220/01 (OMB 3064-0015, Expiration Date 06/30/2021)
 
Interagency Biographical and Financial Report
FDIC 6200/06 (OMB 3064-0006, Expiration Date 06/30/2021)
 
Interagency Notice of Change in Control
FDIC 6822/01 (OMB 3064-0019, Expiration Date 06/30/2021)
 
Interagency Notice of Change in Director of Senior Executive Officer
FDIC 6822-02 (OMB 3064-0097, Expiration Date 06/30/2021)
 
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
 
Notice by Financial Institutions of Government Securities Broker or Government Securities Dealer Activities (G-FIN).
(OMB 3064-0093, Expiration Date 04/30/2022)
G-FIN Instructions
 
Notice by Financial Institutions of Termination of Activities as a Government Securities Broker or Government Securities Dealer (G-FINW).
(OMB 3064-0093, Expiration Date 04/30/2022)
G-FINW Instructions
 
Notification of Performance of Bank Services
FDIC 6120/06 (OMB 3064-0029, Expiration Date 04/30/2023)
 
Registered Transfer Agents
Transfer Agent Registration and Amendment Form (Form TA-1)
FDIC 6342/01 (OMB 3064-0026, Expiration Date 01/31/2023)
 
Registered Transfer Agent
Request for Deregistration for Registered Transfer Agents (Form TA-W)
FDIC 6342/12 (OMB 3064-0027, Expiration Date 04/30/2021)
 
Disclosure form for persons associated with a Financial Institution Government Securities Broker or Dealer (G-FIN-4)
(OMB 3064-0093, Expiration Date 04/30/2022)
 
Uniform Termination Notice for Persons Associated with a Financial Institution Government Securities Broker or Dealer (G-FIN-5)
(OMB 3064-0093, Expiration Date 04/30/2022)
 
Application for registration as a municipal securities dealer or amendment of the same (Form MSD)
(OMB 3235-0083, Expiration Date 11/30/2022)
 
Form for reporting activities of transfer agents registered pursuant to Section 17A of the Securities Exchange Act of 1934 (TA-2)
(OMB 3235-0337, Expiration Date 02/28/2022)
 
Uniform Application for Municipal Securities Principal or Municipal Securities Representative Associated With a Bank Municipal Securities Dealer (MSD-4)
FDIC 6200/54 (OMB 3064-0022, Expiration Date 04/30/2021)
MSD-4 Instructions

 
Uniform Termination Notice for Municipal Securities Principal or Municipal Securities Representative Associated with a Bank Municipal Securities Dealer (MSD-5)
FDIC 6200/55 (OMB 3064-0022, Expiration Date 04/30/2021)
MSD-5 Instructions

 
Notice of Withdrawal From Registration as a Municipal Securities Dealer
Pursuant to Rule 15Bc3-1 (17 CFR 240.15Bc3-1) (MSD-W)
(OMB 3235-0087, Expiration Date 12/31/2022)
 
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Notification of Branch Closing  
FDIC Post Examination Surveys