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Specific Instructions

Before You Begin

There are five parts to Form 8966. A filer completes only the relevant parts of the form applicable for that filer, as set forth in the following chart.

Form 8966 Completion

FILER SEPARATE FORM 8966 FOR EACH COMPLETE PARTS
PFFI U.S. account held by a specified U.S. person I, II, and IV
  Substantial U.S. owner (or, in the case of a Reporting Model 2 FFI, controlling person) of a passive NFFE (passive NFFE is holder of the U.S. account) I, II, III, and IV
  Specified U.S. person owning certain equity or debt interests in an ODFFI for which you act as a designated withholding agent I, II, III, and IV
  Account held by nonparticipating FFI (unless pooled reporting is applicable) I, II, IV
  Pooled reporting for recalcitrant account holders (or non-consenting U.S. accounts) or nonparticipating FFIs I and V
WITHHOLDING AGENT Specified U.S. person owning certain equity or debt interests in an ODFFI to which the withholding agent makes a withholdable payment I, II, III, and IV
  Substantial U.S. owner of a passive NFFE to which the withholding agent makes a withholdable payment I, II, III, and IV
DIRECT REPORTING NFFE Substantial U.S. owner of a direct reporting NFFE I, III, and IV

Special instructions for filers not specifically listed in chart.   For purposes of applying the specific instructions (including this chart), a withholding agent includes a U.S. branch or Territory Financial Institution treated as a U.S. person. A Reporting Model 2 FFI files consistent with the requirements of a PFFI unless otherwise indicated. A Sponsoring Entity of a Sponsored FFI files under the requirements of a PFFI. A RDC FFI files under the requirements of a PFFI with respect to an account it is required to report as a condition of its deemed-compliant status. A trustee of a Trustee-Documented Trust files under the requirements of a PFFI. A Sponsoring Entity of a Sponsored Direct Reporting NFFE files under the requirements of a Direct Reporting NFFE. A limited branch or limited FFI, to the extent it is permitted to report, files under the requirements of a PFFI unless otherwise indicated. Entities filing consistent with a PFFI should substitute their chapter 4 status for PFFI where that term is used in the instructions, except as otherwise noted.

Amount and character of payments.   The amount and character of payments made with respect to an account may be determined under the same principles that the filer uses to report information on resident account holders to its domestic tax authority. Thus, the amount and character of items of income required to be reported need not be determined in accordance with U.S. federal tax principles. If any type of payment is not reported to domestic tax authorities, such amounts may be determined in the same manner as used for reporting to the account holder. Otherwise, reporting must either be in accordance with U.S. federal tax principles, or with any reasonable method consistent with the accounting principles applied by the PFFI. IRS consent is required to change such method, except that a change to rely on U.S. federal income tax principles is automatically permitted. See Regulations section 1.1471-4(d)(4)(iv)(E).

Currency translation.    Account balance or value, and any reportable payment, may be reported in U.S. dollars or in the currency in which the account or payment is denominated. In the case of an account, or payments denominated in multiple currencies, the filer may elect to report the account balance or value, or payments, in a currency in which the account or payments are denominated and is required to identify the currency, including the applicable currency code, in which the account is reported. See Regulations section 1.1471-4(d)(4)(iv)(B) and (F). If an account balance or payment is reported in U.S. dollars, the filer must calculate the amount in the manner described in Regulations section 1.1471-5(b)(4).

Rounding off to whole currency amounts.    You may round fractional currency amounts up (or down) to the closest non-fractional (whole) currency amount. If the fractional currency amount is equal to or greater than half the value of the basic currency unit, round up to the next whole currency amount. If the fractional currency amount is less than half the value of the basic currency unit, round down to the next whole currency amount. If you choose to round currency amounts, you must round all currency amounts reported.

  The following illustrates the application of this rule to U.S. dollar amounts. To round off amounts to the nearest whole dollar, drop amounts under 50 cents and increase amounts from 50 to 99 cents to the next dollar. For example, $1.39 becomes $1 and $2.50 becomes $3. If you have to add two or more amounts to figure the amount to enter on a line, include cents (your fractional currency amount) when adding and only round off the total.

Correcting a previously filed Form 8966: Corrected, Amended, and Voided Reports.   If you are filing Form 8966 to correct or amend a previously filed Form 8966, submit the corrected information on the Form 8966 applicable to the year of the initial reporting as follows:

Corrected report.    If you are filing Form 8966 to correct information submitted to the IRS in a previously filed Form 8966 in response to an IRS notification, complete Form 8966 containing the corrected information as if it were the original Form 8966 for the year in question and check the box “Corrected report.” You do not need to include a Form 8966 marked “Voided report” with the corrected Form 8966.

  
If the Form 8966 that you are correcting was filed electronically with the IRS, then the corrected Form 8966 must also be filed electronically with the IRS. If the Form 8966 that you are correcting was filed in paper format with the IRS, then the corrected Form 8966 must also be filed in paper format with the IRS. Failure to follow this rule will result in your corrected Form 8966 not being processed by the IRS.

Amended report.    If you are filing Form 8966 to correct a previously filed Form 8966 and you have not been contacted by the IRS, complete Form 8966 containing the corrected information as if it were the original Form 8966 and check the box “Amended report.” A Form 8966 marked “Voided report” must be filed with the amended Form 8966.

  
If the Form 8966 that you are amending was filed electronically with the IRS, then the amended Form 8966 and accompanying voided Form 8966 must be filed electronically with the IRS. If the Form 8966 that you are amending was filed in paper format with the IRS, then the amended Form 8966 and accompanying voided Form 8966 must be filed in paper format with the IRS. Failure to follow this rule will result in your amended Form 8966 not being processed by the IRS.

Voided report.   If you are filing an amended report, also file a copy of the Form 8966 as originally filed with the IRS, updated by checking the “Voided report” box.

No accounts to report.   A Direct Reporting NFFE or a Sponsoring Entity reporting on behalf of a Sponsored Direct Reporting NFFE that has no substantial U.S. owners to report during the calendar year should check this box and complete Part I only. This box is optional for filers other than Direct Reporting NFFEs and Sponsoring Entities filing on behalf of a Sponsored Direct Reporting NFFE.

Part I – Identification of Filer

Use Part I to provide identifying information about the Form 8966 filer. All filers must complete lines 1a through 3c. Filers provide information on lines 4 through 10 as required by the specific instructions for those lines.

Line 1a.   Enter the filer's name.

  
A Direct Reporting NFFE must identify itself as the filer and provide its identifying information on lines 1a through 3c.

  
A Sponsoring Entity or trustee that has agreed to assume the reporting obligations of a Sponsored FFI, a Sponsored Direct Reporting NFFE, or Trustee-Documented Trust, as applicable, must identify itself as the Form 8966 filer and must provide its identifying information on lines 1a through 3c. Sponsored FFIs, Sponsored Direct Reporting NFFEs, and Trustee-Documented Trusts are identified on line 6.

Line 1b.   Enter one of the filer category codes listed below. For calendar year 2015, this line is optional for filers other than Direct Reporting NFFEs and Sponsored Entities filing on behalf of Sponsored Direct Reporting NFFEs. A Direct Reporting NFFE filing Form 8966 for calendar year 2015 must enter code 06 in line 1b and a Sponsored Entity filing Form 8966 for calendar year 2015 on behalf of a Sponsored Direct Reporting NFFE must enter code 08 in line 1b.
  • PFFI (other than a Reporting Model 2 FFI and including a U.S. branch of a PFFI not treated as a U.S. person) – Enter code 01.

  • RDC FFI – Enter code 02.

  • Limited Branch or Limited FFI – Enter code 03.

  • Reporting Model 2 FFI – Enter code 04.

  • QI, WP, or WT – Enter code 05.

  • Direct Reporting NFFE – Enter code 06.

  • Sponsoring Entity of a Sponsored FFI – Enter code 07.

  • Sponsoring Entity of a Sponsored Direct Reporting NFFE – Enter code 08.

  • Trustee of a Trustee-Documented Trust – Enter code 09.

  • Withholding Agent (including a U.S. branch of a PFFI, Reporting Model 1 FFI, Reporting Model 2 FFI, or RDC FFI treated as a U.S. person and a U.S. branch of a Reporting Model 1 FFI (including any other RDC FFI) or Limited FFI that is not treated as a U.S. person) – Enter code 10.

  • Territory Financial Institution treated as a U.S. person – Enter code 11.

Lines 2 through 3c.   Enter the filer’s mailing address, including country and postal code. If the filer is a PFFI, provide the mailing address of the office of the branch that maintains the account reported in Part II. If the filer’s post office does not deliver mail to a street address and the filer has a post office box, enter the filer’s post office box number instead of the filer’s street address.

Line 4.    If the filer has been assigned a GIIN by the IRS, enter it on line 4. Use the GIIN of the branch of an FFI that maintains the account (if applicable). If the filer is a Direct Reporting NFFE, enter its GIIN, regardless of whether or not the account is maintained by a branch. A Sponsoring Entity or trustee filing Form 8966 on behalf of a Sponsored FFI, Sponsored Direct Reporting NFFE, or Trustee-Documented Trust, as applicable, should enter the Sponsoring Entity’s or trustee’s GIIN.

  
A Sponsoring Entity should enter its Sponsoring Entity GIIN, not a separate GIIN (if any) it receives when registering as a PFFI or RDC FFI. A trustee should enter the GIIN it receives when it registers to act as a trustee of a Trustee-Documented Trust, not a separate GIIN (if any) it receives when registering itself as a PFFI or RDC FFI.

Line 5.    If the filer has been assigned a U.S. taxpayer identification number (TIN) by the IRS, enter it on line 5. If you entered a GIIN on line 4, do not complete line 5. A QI, WP, or WT enters on line 5 the employer identification number (EIN) that was issued by the IRS to be used by the QI, WP, or WT when acting in its capacity as such. The filer is not required to obtain a U.S. TIN in order to file Form 8966 if the filer has not been issued a U.S. TIN. Do not enter a foreign TIN. If the filer does not have a U.S. TIN, leave this line blank.

Lines 6 through 10.    Lines 6 through 10 only need to be completed if the filer is a Sponsoring Entity or a trustee of a Trustee-Documented Trust, or if the filer is making a payment to a Territory Financial Institution that is acting as an intermediary and is not treated as a U.S. person or to a certified deemed-compliant FFI that is acting as an intermediary and providing the filer with information on a substantial U.S. owner of a passive NFFE account holder or payee.

  Enter the information required by lines 6 through 10 to report the indicated information relating only to one of the following:
  • A Sponsored FFI on behalf of which a Sponsoring Entity is filing Form 8966.

  • A Sponsored Direct Reporting NFFE on behalf of which a Sponsoring Entity is filing Form 8966.

  • A Trustee-Documented Trust on behalf of which a trustee is filing Form 8966.

  • A Territory Financial Institution not treated as a U.S. person that is acting as an intermediary and that receives a withholdable payment from the filer of Form 8966.

  • A certified deemed-compliant FFI that is acting as an intermediary and providing the filer with information on a substantial U.S. owner of a passive NFFE account holder or payee.

Lines 6 through 8c.    Follow the instructions for lines 1a through 3c to provide the information required by lines 6 through 8c. Enter the name and mailing address, including country and postal code, of the Sponsored FFI, Sponsored Direct Reporting NFFE, Trustee-Documented Trust, Territory Financial Institution, or a certified deemed-compliant FFI acting as an intermediary. If the post office does not deliver mail to a street address and the entity identified on line 6 has a post office box, enter the post office box number instead of the street address.

Line 9.    If the entity reported on line 6 is a Sponsored FFI (other than a sponsored, closely held investment vehicle) or a Sponsored Direct Reporting NFFE, enter the Sponsored Entity's GIIN on line 9, if the entity has obtained a GIIN. If the entity reported on line 6 is a Territory Financial Institution, Trustee-Documented Trust, Sponsored FFI that is a sponsored, closely held investment vehicle, or certified deemed-compliant FFI acting as an intermediary, leave this line blank.

  
Do not enter the GIIN of the Sponsoring Entity or trustee of a Trustee-Documented Trust on line 9. That information is reported on line 4.

Line 10.   If the entity shown on line 6 has been issued a U.S. TIN, enter the TIN on line 10. If you entered the entity's GIIN on line 9, do not complete line 10. If the entity shown on line 6 is a Territory Financial Institution that has not been issued a TIN by the IRS, report the EIN assigned to the entity by the relevant U.S. territory. If the entity shown on line 6 does not have either a GIIN or a TIN, enter nine zeros on line 10.

Part II – Account Holder or Payee Information

See the chart at Specific Instructions and Special instructions for filers not specifically listed in chart, earlier, before you begin this part to determine whether you are required to complete Part II.

Direct Reporting NFFEs and Sponsored Direct Reporting NFFEs.   If you are a Direct Reporting NFFE or a Sponsoring Entity filing Form 8966 on behalf of a Sponsored Direct Reporting NFFE, do not complete Part II. Identifying information about the Direct Reporting NFFE or Sponsored Direct Reporting NFFE should be provided in Part I of the Form 8966.

Jointly held accounts. If you are reporting a jointly held account in Part II, you must report each account holder that is a specified U.S. person on a separate Form 8966.

Lines 1a through 5.    Account holder or payee information. Complete lines 1a through 5 as follows to report information with respect to:
  • A U.S. account held by a specified U.S. person and maintained by a PFFI.

  • A passive NFFE with substantial U.S. owners or an ODFFI with certain equity or debt interests held by specified U.S. persons that:

    1. Is an account holder of a PFFI, or

    2. Receives a withholdable payment from a withholding agent, unless the withholding agent receives the certification from a PFFI or Reporting Model 1 FFI described in Withholding Agent Reporting under Accounts and Withholdable Payments Required to be Reported, earlier.

  • An account held by a nonparticipating FFI that is not included in a reporting pool.

  See specific instructions for Direct Reporting NFFEs and Sponsored Direct Reporting NFFEs, later, on how to complete Part II.

Line 1a.    Enter the name of the account holder or payee.

Line 1b.   Check the appropriate box to indicate whether the account holder or payee is an individual or entity.

Lines 2 through 3c.   Enter the account holder’s or payee’s residence address, including country and postal code, on lines 2 through 3c. If a residence address cannot be reported as required, report the address used for account or payee mailings by the FFI or withholding agent.

Line 3c.   If you are reporting an address in the United States, enter only the 9-digit zip code (zip + 4) for that address.

Line 4.   If the account holder or payee has been assigned a TIN, enter that number on line 4. If the account holder or payee does not have a TIN, enter nine zeros on line 4.

Line 5.    Check the appropriate box on line 5 that describes the account holder or payee reported on line 1a.

Part III – Owner Information (File a separate report for each U.S. Owner that is a specified U.S. Person)

See the chart at Specific Instructions and Special instructions for filers not specifically listed in chart, earlier, before you begin this part to determine whether you are required to complete Part III.

Use Part III to report information about substantial U.S. owners of a passive NFFE, substantial U.S. owners of a Direct Reporting NFFE, substantial U.S. owners of a Sponsored Direct Reporting NFFE, and specified U.S. persons owning certain equity or debt interests in an ODFFI identified in Part II, line 1a. Complete lines 1 through 4 to report U.S. owner information as follows:

Line 1.    Enter the U.S. owner’s name.

Lines 2 through 3c.   Enter the U.S. owner’s residence address, including country and postal code, on lines 2 through 3c.

Line 3c.    If you are reporting an address in the United States, enter only the 9-digit zip code (zip + 4) for that address.

Line 4.    Enter the social security number (SSN), individual taxpayer identification number (ITIN), or employer identification number (EIN) of the U.S. owner.

  
U.S. owners. If you are a PFFI or withholding agent reporting substantial U.S. owners of a passive NFFE, or specified U.S. persons owning certain equity or debt interests in an ODFFI, you are required to file a separate Form 8966 to report information required in Part III for each such substantial U.S. owner or specified U.S. person. If you are a Direct Reporting NFFE or a Sponsoring Entity filing on behalf of a Sponsored Direct Reporting NFFE, you are required to file a separate Form 8966 to report each substantial U.S. owner.

Part IV – Financial Information

See the chart at Specific Instructions and Special instructions for filers not specifically listed in chart, earlier, before you begin this part to determine whether you are required to complete Part IV.

Use Part IV to provide financial information about:

  • An account maintained by a PFFI and held by a specified U.S. person, passive NFFE with substantial U.S. owners, ODFFI with specified U.S. persons holding certain equity or debt interests in the ODFFI, or a nonparticipating FFI reported on Part II, line 1a.

  • A withholdable payment made to a passive NFFE with a substantial U.S. owner or an ODFFI with a specified U.S. person holding certain equity or debt interests in the ODFFI reported on Part II, line 1a by a withholding agent that is not a PFFI.

  • The value of each substantial U.S. owner’s equity interest in the Direct Reporting NFFE or the Sponsored Direct Reporting NFFE.

  • The total of all payments made to each substantial U.S. owner of a Direct Reporting NFFE or a Sponsored Direct Reporting NFFE during the calendar year by such NFFE with respect to each such owner's equity interest in the NFFE.

PFFI Filers

Enter the following information on lines 1 through 4d for each account required to be reported by a PFFI and held by a specified U.S. person, a passive NFFE with respect to its substantial U.S. owners, an ODFFI with respect to certain equity or debt interests held by more than one specified U.S. person, or a nonparticipating FFI.

Line 1.   Enter the account number on line 1. The account number is the identifying number assigned by the PFFI for a purpose other than the filing of this form, or, if no such number is assigned to the account, a unique serial number or other number the PFFI assigns to the account for purposes of filing this form that distinguishes it from other accounts maintained by the PFFI. For example, the account number may be the account number of a custodial account or depository account, the code (ISIN or other) related to a debt or equity interest (if not held in a custody account), or the identification code of a cash value insurance contract or annuity contract. If the PFFI has no account numbering system, enter NANUM for no account number.

Line 2.   If the amounts reported in lines 3a and 4a through 4d are not reported in U.S. dollars, enter the code for the currency in which the amounts are reported. The currency code must be a valid three-character ISO 4217 currency code. If the amounts are reported in U.S. dollars, enter “USD.

Line 3a.   Enter the average calendar year account balance or value if that amount is reported to the account holder. Otherwise, report the account balance or value as of the end of the calendar year. See Regulations section 1.1471-5(b)(4) for detailed rules for determining an account’s balance or value.

  
If an account is closed or transferred in its entirety by an account holder during the calendar year, enter the amount or value withdrawn or transferred from the account in connection with the closure or transfer on line 3a and check the box in line 3b for “Account closed during the year.

  
Each holder of a jointly held account is attributed the entire balance or value of the joint account.

Line 3b. Account closed during the year.   Check this box if the account reported in Part IV was closed or transferred in its entirety during the calendar year. If an account holder rolls over the amounts in one type of account into another type of account with the same FFI during the calendar year, do not report the account as closed. For calendar year 2015, this line is optional.

Line 4a.   Enter the aggregate gross amount of interest paid or credited to the account being reported for the calendar year.

Line 4b.    Enter the aggregate gross amount of dividends paid or credited with respect to an account being reported for the calendar year.

Line 4c.   Enter the aggregate gross proceeds from the sale or redemption of property paid or credited to the account being reported for the calendar year.

Line 4d.    Enter the aggregate gross amount of all income paid or credited to an account for the calendar year, reduced by interest, dividends, and gross proceeds reported on lines 4a through 4c. For accounts described in Regulations sections 1.1471-5(b)(1)(iii) (certain debt or equity interests) or 1.1471-5(b)(1)(iv) (certain cash value insurance contracts and annuity contracts), enter the aggregate gross amounts paid or credited to the account during the calendar year, including payments in redemption (in whole or part) of the account.

For reports filed for calendar year 2015, the payment information on line 4c is not required, but the information on lines 4a, 4b, and 4d must be provided. For reports filed for calendar years after 2015, all of the information on lines 4a through 4d must be provided.

For calendar years 2015 and 2016, with respect to a nonparticipating FFI account holder receiving a payment of a foreign reportable amount, report the total payments of foreign reportable amounts made to the nonparticipating FFI either divided by type of payment on lines 4a through 4d, or as one amount entered on line 4d. As an alternative to reporting foreign reportable amounts the PFFI may instead report all income, gross proceeds, and redemptions (regardless of source) paid to the nonparticipating FFI during the calendar year. Enter this amount on line 4d.

If an account is closed or transferred in its entirety by an account holder during a calendar year, report the amounts paid or credited to the account for the calendar year until the date of transfer or closure on lines 4a through 4d. See Regulations section 1.1471-4(d)(4)(iv)(D).

Withholding Agents

A withholding agent that is not an FFI should enter the following information on lines 1 through 4d in connection with withholdable payments made to:

  • An account maintained by the withholding agent and held by a passive NFFE with a substantial U.S. owner or an ODFFI with a specified U.S. person owning certain equity or debt interests in the ODFFI.

  • A payment on an obligation made to a payee that the withholding agent treats as a passive NFFE with substantial U.S. owner(s) or an ODFFI with a specified U.S. person owning certain equity or debt interests in the ODFFI.

Line 1.    If the payment is made to an account, enter the account number on line 1. If the payment is not made to an account maintained by the payor, enter NANUM for no account number.

Line 2.   If the amounts reported in lines 3a and 4a through 4d are not reported in U.S. dollars, enter the code for the currency in which the amounts are reported. The currency code must be a valid three-character ISO 4217 currency code. If the amounts are reported in U.S. dollars, enter “USD.

Line 3a.   With respect to an account held by an ODFFI, enter the average calendar year account balance or value if that amount is reported to the account holder. Otherwise, report the account balance or value as of the end of the calendar year. See Regulations section 1.1471-5(b)(4) for detailed rules for determining an account’s balance or value. If the account holder is a passive NFFE, do not enter any information on this line.

Line 3b.   Do not check the box on line 3b.

Line 4a.    Enter the aggregate gross amount of interest paid (or credited to the payee’s account) that is a withholdable payment for the calendar year.

Line 4b.    Enter the aggregate gross amount of dividends paid (or credited to the payee’s account) that is a withholdable payment for the calendar year.

Line 4c.    Enter the aggregate gross proceeds paid (or credited to the payee’s account) that is a withholdable payment for the calendar year.

Line 4d.   Enter the aggregate gross amount of all income paid (or credited to the payee’s account) that is a withholdable payment for the calendar year, reduced by interest, dividends, and gross proceeds reported on lines 4a through 4c.

Direct Reporting NFFEs and Sponsored Direct Reporting NFFEs

If you are a Direct Reporting NFFE or a Sponsoring Entity filing Form 8966 on behalf of a Sponsored Direct Reporting NFFE, complete lines 1 through 4d as follows:

Line 1.    Do not enter any information on line 1.

Line 2.   If the amounts reported in lines 3a and 4a through 4d are not reported in U.S. dollars, enter the code for the currency in which the amounts are reported. The currency code must be a valid three-character ISO 4217 currency code. If the amounts are reported in U.S. dollars, enter “USD.

Line 3a.   Enter the value of equity interest in the NFFE of the substantial U.S. owner identified in Part III.

Line 3b.   Do not check the box on line 3b.

Lines 4a through 4d.    Enter the total of all payments made by the NFFE during the calendar year to the substantial U.S. owner identified in Part III (either divided by type of payment or as one amount on line 4d), including the gross amounts paid or credited to the substantial U.S. owner with respect to such owner’s equity interest in the NFFE during the calendar year, which include payments in redemption or liquidation (in whole or part) of the substantial U.S. owner’s equity interest in the NFFE.

Part V – Pooled Reporting Type

See the chart at Specific Instructions and Special instructions for filers not specifically listed in chart, earlier, before you begin this part to determine whether you are required to complete Part V.

If you are a PFFI, use Part V to report information about the accounts held by recalcitrant account holders (or, for Reporting Model 2 FFIs, non-consenting U.S. accounts) and amounts paid to nonparticipating FFIs you are reporting on a pooled basis. If you are required to report more than one type of pooled reporting account, file a separate Form 8966 for each type.

Direct Reporting NFFEs and Sponsored Direct Reporting NFFEs. Do not complete Part V.

Lines 1 through 5.    Complete lines 1 through 5 as follows to report information about accounts for which pooled reporting is permitted. A PFFI is not required to complete line 3 for accounts held by recalcitrant account holders (or for Reporting Model 2 FFIs, non-consenting U.S. accounts).

Line 1.   Check the appropriate box for the applicable pooled reporting type. See Accounts and Withholdable Payments Required To Be Reported: Accounts for which pooled reporting is permitted for the categories of pooled reporting accounts.

For calendar years 2015 and 2016, if a PFFI is prohibited under domestic law from reporting a nonparticipating FFI on a specific payee basis without consent from the nonparticipating FFI account holder and the PFFI has not been able to obtain such consent, the PFFI may report such accounts in a pool. See Regulations section 1.1471-4(d)(2)(ii)(F).

For pooled reporting of non-consenting U.S. accounts, report the type substituting “non-consenting U.S. account” for “recalcitrant account.

Line 2.   Enter the total number of accounts reported in Part V.

Line 3.   Only complete line 3 if you are reporting accounts held by nonparticipating FFIs.

For calendar years 2015 and 2016, if you are reporting accounts held by nonparticipating FFIs, enter the aggregate amount of foreign reportable amounts paid to the accounts reported in Part V. See the definition of foreign reportable amount, earlier. Instead of reporting foreign reportable amounts, you may report all income, gross proceeds, and redemptions (irrespective of source) paid to the accounts reported in Part V during the calendar year.

Line 4.   Enter the aggregate balance or value of the accounts held by recalcitrant account holders (or, for Reporting Model 2 FFIs, non-consenting U.S. accounts) at the end of the year. Do not complete line 4 if you are reporting accounts held by nonparticipating FFIs.

Line 5.   If the amounts reported in lines 3 and 4 (to the extent applicable) are not reported in U.S. dollars, enter the code for the currency in which the amounts are reported. The currency code must be a valid three-character ISO 4217 currency code. If the amounts are reported in U.S. dollars, enter “USD.


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