File Your FBAR - Foreign Bank Account Report FinCEN 114

Section I. Filing Information

Prefer to fill out by hand and send in by fax, email or mail?
Click here to download and print a blank form.

Filing name*

This report is for calendar year ended 12/31*

Filer Information

Choose one method of identification from the list below*SSN/ITIN ( Social Security Number/Individual Taxpayer Identification Number )Enter a 9 digit numberEIN ( Employer identification Number - if filing as a corporation )Enter a 9 digit numberForeign identification

Individual's date of birth

Last name or organization's name*

First name*

Middle name

Suffix

Filer Address

Country/Region*

Street Address

City

Does the filer have a financial interest in 25 or more financial accounts?YesNo

Does the filer have signature authority over but no financial interest in 25 or more financial accounts?YesNo

Section II . Information on Financial Account(s) Owned Separately

To add an account for Section II, please click on the "add acount" button for as many accounts needed

To record information on jointly-owned accounts only, please skip to Section III.

To record information on accounts for which you have signature authority, but no financial interest in, please skip to Section IV.

If this section is not relevant to you, please leave blank.

[-] Remove this account

Do you know the maximum account value?YesNo

Specify the amount and currency*

Type of account*

Financial institution name*

Account number or other designation*

Financial Institution Address

Country/Region*

Address

City

Foreign postal code

[-] Remove this account

Do you know the maximum account value?YesNo

Specify the amount and currency*

Type of account*

Financial institution name*

Account number or other designation*

Financial Institution Address

Country/Region*

Address

City

Foreign postal code

Section III . Information on Financial Account(s) Owned Jointly

To add an account for Section III, please click on the "add acount" button for as many accounts needed

If this section is not relevant to you, please leave blank.

[-] Remove this account

Account Information

Do you know the maximum account value?YesNo

Specify the amount and currency*

Type of account*

Financial institution name*

Account number or other designation*

Financial Institution Address

Country/Region*

Address

City

Foreign postal code

Number of joint owners*Enter a number

Principal Joint Owner Information

Taxpayer Identification Type

Last name or organization name

First name

Middle name

Suffix

Principle Joint Owner Address

Country/Region

Address

City

ZIP/postal code

[-] Remove this account

Account Information

Do you know the maximum account value?YesNo

Specify the amount and currency*

Type of account*

Financial institution name*

Account number or other designation*

Financial Institution Address

Country/Region*

Address

City

Foreign postal code

Number of joint owners*Enter a number

Principal Joint Owner Information

Taxpayer Identification Type

Last name or organization name

First name

Middle name

Suffix

Principle Joint Owner Address

Country/Region

Address

City

ZIP/postal code

Section IV . This section reports information on financial account(s) where filer has signature or other authority but no financial interest in the account(s).

To add an account for Section IV, please click on the "add acount" button for as many accounts needed

If this section is not relevant to you, please leave blank.

[-] Remove this account

Account Information

Do you know the maximum account value?YesNo

Specify the amount and currency*

Type of account*

Financial institution name*

Account number or other designation*

Financial Institution Address

Country/Region*

Address

City

Foreign postal code

Owner Information

Taxpayer Identification Type

Last name or organization name

First name

Middle name

Suffix

Filer's title with this owner

Owner Address

Country/Region

Address

City

ZIP/postal code

[-] Remove this account

Account Information

Do you know the maximum account value?YesNo

Specify the amount and currency*

Type of account*

Financial institution name*

Account number or other designation*

Financial Institution Address

Country/Region*

Address

City

Foreign postal code

Owner Information

Taxpayer Identification Type

Last name or organization name

First name

Middle name

Suffix

Filer's title with this owner

Owner Address

Country/Region

Address

City

ZIP/postal code

Contact Information

First Name*

Last Name*

Phone number*

Email address*

Re-enter email address* Email fields must match

I agree that the information provided is accurate and truthful and by checking this box I agree to the Terms and Conditions of Service.

E-File Your FBAR in 3 Easy Steps

Section I. Filing Information

Filer Information

Filer Address

Section II . Information on Financial Account(s) Owned Separately

Financial Institution Address

Financial Institution Address

Section III . Information on Financial Account(s) Owned Jointly

Account Information

Financial Institution Address

Principal Joint Owner Information

Principle Joint Owner Address

Account Information

Financial Institution Address

Principal Joint Owner Information

Principle Joint Owner Address

Section IV . This section reports information on financial account(s) where filer has signature or other authority but no financial interest in the account(s).

Account Information

Financial Institution Address

Owner Information

Owner Address

Account Information

Financial Institution Address

Owner Information

Owner Address

Contact Information