Foreign Account Questionnaire

Results

Based on your entries, we believe you are required to file the forms below. If you feel this is not accurate, please contact our office for assistance.
Form 114

Due: This form is due April 15th (6-month automatic extension to October 15th)

Penalties: Civil monetary penalties are adjusted annually for inflation. For civil penaltyassessment prior to Aug 1, 2016, if non-willful, up to $10,000; if willful, up to the greater of $100,000 or 50% of account balances; criminal penalties may also apply.
Form 8938

Due: This form is attached to your annual return and due on the date of that return, including any applicable extensions.

Penalties: Up to $10,000 for failure to disclose and an additional $10,000 for each 30 days of non-filing after IRS notice of a failure to disclose, for a potential maximum penalty of $60,000; criminal penalties may also apply.

Filer Information

Please complete the following.
Type of Filer*
Other:*
Full Legal Name*
Individual, Entity or Organization
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

U.S. Identification
U.S. Taxpayer ID Number
SSN, EIN or ITIN
U.S. ID Type

Foreign Identification
Foreign ID
Other:
Foreign ID Number
SSN, EIN or ITIN
Country of Issuance

Foreign Assets

Please provide the following information for each foreign bank account and other foreign assets held during the year.
You must report your financial accounts maintained by a foreign financial institution. Examples of financial accounts include Savings, deposit, checking, and brokerage accounts held with a bank or broker-dealer.

And, to the extent held for investment and not held in a financial account, you must report stock or securities issued by someone who is not a U.S. person, any other interest in a foreign entity, and any financial instrument or contract held for investment with an issuer or counterpart that is not a U.S. person. Examples of these assets that must be reported if not held in an account include:
- Stock or securities issued by a foreign corporation;
- A note, bond or debenture issued by a foreign person;
- An interest rate swap, currency swap, basis swap, interest rate cap, interest rate floor, commodity swap, equity swap, equity index swap, credit default swap or similar agreement with a foreign counterpart;
- An option or other derivative instrument with respect to any of these examples or with respect to any currency or commodity that is entered into with a foreign counterpart or issuer;
- A partnership interest in a foreign partnership;
- An interest in a foreign retirement plan or deferred compensation plan;
- An interest in a foreign estate;
- Any interest in a foreign-issued insurance contract or annuity with a cash-surrender value.

Accounts Owned Separately
Please complete all applicable information below for each foreign account or asset NOT owned jointly. Enter "N/A" not applicable or leave blank if unknown.

Accounts Owned Jointly
Please complete all applicable information below for each foreign account or asset.

Accounts Where Filer Has No Financial Interest
Please complete all applicable information below for each foreign account or asset.

Accounts Where Filer Filer is Filing a Consolidated Report
Please complete all applicable information below for each foreign account or asset.

Declaration

By signing below you agree this form is accurate and true to the best of your knowledge and any applicable documents not attached to this form will be provided to Hawk Tax Solutions prior to the preparation of your return.
Additional Comments, Questions, or Concerns Not Listed Elsewhere:
By signing below, you attest that the information contained in this organizer, fully and truthfully discloses all foreign income and assets for the year.*
Should be Empty:

Foreign Account Questionnaire

Results

Results

Filer Information

Foreign Assets

Declaration