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This form should be used to report a financial interest in, signature authority, or other authority over one or more financial accounts in foreign countries, as required by the Department of the Treasury Regulations 31 CFR 1010.350 . No report is required if the aggregate value of the accounts did not exceed $10,000.
See help text Instructions for definitions.
PRIVACY ACT AND PAPERWORK REDUCTION ACT NOTICE
Pursuant to the requirements of Public Law 93-579 (Privacy Act of 1974), notice is hereby given that the authority to collect information on FinCEN 114 in accordance with 5 USC 552a (e) is Public Law 91-508; 31 USC 5314; 5 USC 301; 31 CFR 1010.350. The principal purpose for collecting the information is to assure maintenance of reports where such reports or records have a high degree of usefulness in criminal, tax, or regulatory investigations or proceedings. The information collected may be provided to those officers and employees of any constituent unit of the Department of the Treasury who have a need for the records in the performance of their duties. The records may be referred to any other department or agency of the United States upon the request of the head of such department or agency for use in a criminal, tax, or regulatory investigation or proceeding. The information collected may also be provided to appropriate state, local, and foreign law enforcement and regulatory personnel in the performance of their official duties. Disclosure of this information is mandatory. Civil and criminal penalties, including in certain circ*mstances a fine of not more than $500,000 and imprisonment of not more than five years, are provided for failure to file a report, supply information, and for filing a false or fraudulent report. Disclosure of the Social Security number is mandatory. The authority to collect is 31 CFR 1010.350 (formerly 31 CFR 103.24) . The Social Security number will be used as a means to identify the individual who files the report. The estimated average burden associated with this collection of information is 60 minutes per respondent or record keeper, depending on individual circ*mstances. Comments regarding the accuracy of this burden estimate, and suggestions for reducing the burden should be directed to the Financial Crimes Enforcement Network, P. O. Box 39, Vienna, VA 22183, Attn: Office of RegulatoryPolicy.
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Filing Instructions
1. Complete the FBAR.Complete the form in its entirety with all requested or required data known to the filer.
For detailed information regarding the completion of your FBAR, please refer to User Quick Links at
https://bsaefiling.fincen.treas.gov/NoRegFBARFiler.html
2. Sign the completed FBAR. Click \u2018Sign the Form\u2019 (at the bottom of this page) once the FBAR is complete.
3. Submit the signed FBAR. Click \u2018Submit\u2019 (at the bottom of this page) once the FBAR is electronically signed.
4. Retain a copy of your submission.Download a copy (read-only) of your FBAR from your submission confirmation page and retain for record keeping purposes.
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Enter the calendar year being reported as a numeric 4-position entry in the format: CCYY, e.g. 2013."}]},{"_class":"border","children":[{"_class":"corner","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"margin"}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","baselineShift":"0pt","size":"8pt"},{"_class":"margin"},{"_class":"para","marginLeft":"0pt","marginRight":"0pt","spaceAbove":"0pt","spaceBelow":"0pt","textIndent":"0pt","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":"* 1 This report is for calendar year ended 12/31"}]}],"reserve":"68.5488mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1322","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_55","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].BSAForm[0].Part1[0].FilingInfoSub[0].CalYear[0]","name":"FS_SOM"},{"_class":"text","_value":"* 1 This report is for calendar year ended 12/31","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].BSAForm[0].FilerInformation[0].CalendarYear[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].BSAForm[0].Part1[0].FilingInfoSub[0].CalYear[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"167818060","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"0,0,128"}]}],"typeface":"Arial","size":"8pt","weight":"bold"},{"_class":"margin","bottomInset":"1mm","leftInset":"1mm","rightInset":"1mm","topInset":"1mm"},{"_class":"para","vAlign":"middle"},{"_class":"traversal","children":[{"_class":"traverse","ref":"Amended[0]"}]},{"_class":"ui","children":[{"_class":"textEdit","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"margin"}],"hScrollPolicy":"off"}]},{"_class":"bind","ref":"FilerInformation.CalendarYear","match":"dataRef"},{"_class":"validate","children":[{"_class":"message","children":[{"_class":"text","_value":"Item 1- Calendar Year is required. 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Select the appropriate option to indicate the type of number entered in item 3."}]},{"_class":"caption","children":[{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color"}]}],"typeface":"Arial","size":"8pt"},{"_class":"margin"},{"_class":"para","vAlign":"middle"},{"_class":"value","children":[{"_class":"text","_value":" 3a TIN type"}]}],"reserve":"49.6142mm"},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"1329","name":"FS_TAB_INDEX"},{"_class":"text","_value":"_66","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].BSAForm[0].Part1[0].TINSubForm[0].TINTYPE[0]","name":"FS_SOM"},{"_class":"text","_value":" 3a TIN type","name":"FS_CAPTION_TEXT"},{"_class":"text","_value":"xfa[0].datasets[0].data[0].BSAForm[0].FilerInformation[0].TINTYPE[0]","name":"FS_DATA_SOM"},{"_class":"text","_value":"xfa[0].template[0].BSAForm[0].Part1[0].TINSubForm[0].TINTYPE[0]","name":"FS_TEMPLATE_ID"},{"_class":"text","_value":"167818820","name":"FS_DATA_ID"}],"name":"FS_EXTRAS"}]},{"_class":"font","children":[{"_class":"fill","children":[{"_class":"color","value":"0,0,128"}]}],"typeface":"Arial","size":"8pt","weight":"bold"},{"_class":"items","children":[{"_class":"text","_value":" "},{"_class":"text","_value":"EIN"},{"_class":"text","_value":"SSN/ITIN"}]},{"_class":"items","children":[{"_class":"text"},{"_class":"text","_value":"A"},{"_class":"text","_value":"B"}],"presence":"hidden","save":"1"},{"_class":"margin","bottomInset":"0.5mm","leftInset":"1mm","rightInset":"0mm","topInset":"0.5mm"},{"_class":"para","marginLeft":"10pt","vAlign":"middle"},{"_class":"traversal","children":[{"_class":"traverse","ref":"PassportOthersub[0].ForeignIdtext[0]"}]},{"_class":"ui","children":[{"_class":"choiceList","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}]},{"_class":"fill","children":[{"_class":"color"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"margin"}],"commitOn":"exit"}]},{"_class":"bind","ref":"FilerInformation.TINTYPE","match":"dataRef"},{"_class":"validate","children":[{"_class":"message","children":[{"_class":"text","name":"formatTest"},{"_class":"text","name":"scriptTest"},{"_class":"text","_value":"Item 3a - TIN type is required.","name":"nullTest"}]}],"nullTest":"error"},{"_class":"value","children":[{"_class":"text"}]},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"FFBAR.ifTwoThenDisableOtherField(this, TIN, PassportOthersub.AccountType, false);\nFFBAR.ifTwoThenDisableOtherField(this, TIN, PassportOthersub.Number, true);\nFFBAR.ifTwoThenDisableOtherField(this, TIN, PassportOthersub.Country, true);\nCommon.processFieldExit(this);\n","contentType":"application/x-javascript"}],"activity":"exit","name":"event__exit"},{"_class":"event","children":[{"_class":"script","_parentClass":"event","_value":"FFBAR.ifTwoThenDisableOtherField(this, TIN, PassportOthersub.AccountType, false);\nFFBAR.ifTwoThenDisableOtherField(this, TIN, PassportOthersub.Number, true);\nFFBAR.ifTwoThenDisableOtherField(this, TIN, PassportOthersub.Country, true);\n","contentType":"application/x-javascript"}],"activity":"initialize","name":"event__initialize"}],"extras":{"htmlId":"_66","dataId":"167818820","caption":" 3a TIN type","tabIndex":"1329","dataSom":"xfa[0].datasets[0].data[0].BSAForm[0].FilerInformation[0].TINTYPE[0]"},"h":"7.2mm","name":"TINTYPE","w":"100.073mm","x":"0.4mm","y":"12.013mm"}],"extras":{"htmlId":"_64","tabIndex":"-1","dataSom":"$"},"h":"19.213mm","name":"TINSubForm","w":"191.503mm"},{"_class":"instanceManager","name":"_PassportOthersub"},{"_class":"subform","children":[{"_class":"border","children":[{"_class":"edge","children":[{"_class":"color"}],"presence":"hidden"},{"_class":"fill","children":[{"_class":"color","value":"234,244,255"},{"_class":"solid"}]},{"_class":"margin"}]},{"_class":"extras","name":"","children":[{"_class":"extras","children":[{"_class":"text","_value":"_67","name":"FS_ID"},{"_class":"text","_value":"xfa[0].form[0].BSAForm[0].Part1[0].PassportOthersub[0]","name":"FS_SOM"},{"_class":"text","_value":"-1","name":"FS_TAB_INDEX"},{"_class":"text","_value":"$","name":"FS_DATA_SOM"}],"name":"FS_EXTRAS"}]},{"_class":"occur"},{"_class":"traversal","children":[{"_class":"traverse","ref":"DobLastSub[0]"},{"_class":"traverse","operation":"first","ref":"countryTxt[0]"}]},{"_class":"bind","match":"none"},{"_class":"field","children":[{"_class":"assist","children":[{"_class":"toolTip","_value":"Foreign Identification (Item 4). 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Check the box if this report amends (adds missing data) or corrects errors in the prior report. 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*23 Country/
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