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For official use only: Customer NameCase No.FS Form 1071 Department of the Treasury Bureau of the Fiscal Service (Revised November 2022)SUPPORTING STATEMENT OF OWNERSHIP FOR OVERDUE UNITED STATES
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Individuals or entities required to report financial transactions or assets to the relevant authorities may need to fill out FS Form 1071 statement.
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Financial institutions, businesses, or organizations dealing with certain types of transactions may also need to complete this form.
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FS Form 1071 statement is a form used to report certain foreign bank and financial accounts to the Financial Crimes Enforcement Network (FinCEN).
US persons who have a financial interest in or signature authority over foreign financial accounts with an aggregate value exceeding $10,000 at any time during the calendar year are required to file FS Form 1071 statement.
FS Form 1071 statement can be filled out electronically through the BSA E-Filing System or manually by completing the required fields with accurate information about the foreign financial accounts.
The purpose of FS Form 1071 statement is to help identify potential tax evasion, money laundering, and other financial crimes by tracking foreign financial accounts held by US persons.
FS Form 1071 statement requires information such as the account holder's name, address, type of account, account number, name and address of the foreign financial institution, and the maximum value of the account during the reporting period.
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