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State of California Health and Human Services Agency DS 1891 7/2011 Department of Developmental Services APPLICANT/VENDOR DISCLOSURE STATEMENT GENERAL INSTRUCTIONS Every applicant or vendor must complete and submit a current Applicant/Vendor Disclosure Statement DS 1891 disclosure statement as part of a complete application packet for vendorization or upon request of the vendoring regional center. The following instructions are designed to clarify certain questions on the form* Instructions...
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DS 1891 is a form used for reporting information about foreign financial accounts to the Internal Revenue Service (IRS) in the United States.
Any individual or entity that has a financial interest in or signature authority over one or more foreign financial accounts with an aggregate value exceeding $10,000 at any time during the calendar year is required to file DS 1891.
DS 1891 can be filled out electronically through the Financial Crimes Enforcement Network's BSA E-Filing System or by mailing a paper form to the IRS.
The purpose of DS 1891 is to help the IRS identify and combat tax evasion by individuals or entities holding foreign financial accounts.
DS 1891 requires filers to provide information about the foreign financial accounts they hold, including the account number, the name of the financial institution, and the maximum value of the account during the reporting period.
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