Download, fill out, and submit the following forms depending on use:
- Electronic Submission: For public use when digital signatures (via DocuSign) are required.
- Adobe PDF / MS Word Document: For public use when print-and-sign signatures are required.
- FDICconnect: For financial institutions conducting business with the FDIC. For each form identified as "Available via FDICconnect," a financial institution can submit the form electronically by accessing the FDICconnect transaction of the same name.
For more information on downloading and using these files, see PDF Help, MS Word Help, and FDICconnect Frequently Asked Questions.
| Form Title/Number | Available via FDICconnect? | |
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| Form 3: Initial Statement of Beneficial Ownership of Securities FDIC 6800/03 (OMB 3064-0030, Expiration Date 04/30/2026) (Formerly Form F-7) Form 3 Instructions - pdf |
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| Form 4: Statement of Changes in Beneficial Ownership of Securities FDIC 6800/04 (OMB 3064-0030, Expiration Date 04/30/2026) (Formerly Form F-8) Form 4 Instructions - pdf |
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| Form 5: Annual Statement of Beneficial Ownership of Securities FDIC 6800/05 (OMB 3064-0030, Expiration Date 04/30/2026) (Formerly Form F-8A) Form 5 Instructions - pdf |
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| Interagency Bank Merger Act Application FDIC 6220/01 (OMB 3064-0015, Expiration Date 07/31/2024) |
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| Interagency Biographical and Financial Report FDIC 6200/06 (OMB 3064-0006, Expiration Date 07/31/2024) Electronic Submission for FDIC 6200/06 |
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| Interagency Notice of Change in Control FDIC 6822/01 (OMB 3064-0019, Expiration Date 07/31/2024) |
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| Interagency Notice of Change in Director of Senior Executive Officer FDIC 6822/02 (OMB 3064-0097, Expiration Date 07/31/2024) |
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| 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 |
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| Notice by Financial Institutions of Government Securities Broker or Government Securities Dealer Activities (G-FIN). FDIC 6830/01 (OMB 3064-0093, Expiration Date 03/31/2025) G-FIN Instructions Electronic Submission for FDIC 6830/01 |
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| Notice by Financial Institutions of Termination of Activities as a Government Securities Broker or Government Securities Dealer (G-FINW). FDIC 6830/04 (OMB 3064-0093, Expiration Date 03/31/2025) G-FINW Instructions Electronic Submission for FDIC 6830/04 |
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| Notification of Performance of Bank Services FDIC 6120/06 (OMB 3064-0029, Expiration Date 04/30/2023) |
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| Registered Transfer Agents Transfer Agent Registration and Amendment Form (Form TA-1) FDIC 6342/01 (OMB 3064-0026, Expiration Date 02/28/2026) Electronic Submission for FDIC 6342/01 |
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| Registered Transfer Agent Request for Deregistration for Registered Transfer Agents (Form TA-W) FDIC 6342/12 (OMB 3064-0026, Expiration Date 02/28/2026) Electronic Submission for FDIC 6342/12 |
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| Disclosure form for persons associated with a Financial Institution Government Securities Broker or Dealer (G-FIN-4) FDIC 6830/02 (OMB 3064-0093, Expiration Date 03/31/2025) Electronic Submission for FDIC 6830/02 |
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| Uniform Termination Notice for Persons Associated with a Financial Institution Government Securities Broker or Dealer (G-FIN-5) FDIC 6830/03 (OMB 3064-0093, Expiration Date 03/31/2025) Electronic Submission for FDIC 6830/03 |
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| Application for registration as a municipal securities dealer or amendment of the same (Form MSD) (OMB 3235-0083, Expiration Date 11/30/2022) |
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| 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) |
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| 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 06/30/2024) MSD-4 Instructions Electronic Submission for FDIC 6200/54 |
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| 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 06/30/2024) MSD-5 Instructions Electronic Submission for FDIC 6200/55 |
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| 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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| The BSA E-Filing System supports electronic filing of Bank Secrecy Act (BSA) forms (either individually or in batches) through a FinCEN secure network. BSA E-Filing provides a faster, more convenient, more secure, and more cost-effective method for submitting BSA forms. Learn more about BSA E-Filing here. | ||
| Notification of Branch Closing | ||
| FDIC Post Examination Surveys | ||