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Federal Free Printable Form 8938 (Rev. November 2021) for 2022 Federal Statement of Foreign Financial Assets

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Statement of Foreign Financial Assets
Form 8938 (Rev. November 2021)

8938 Statement of Specified Foreign Financial Assets Form ▶ Go to www.irs.gov/Form8938 for instructions and the latest information. (Rev. November 2021) ▶ Attach to your tax return. Department of the Treasury For calendar year 20 or tax year beginning , 20 , and ending Internal Revenue Service If you have attached additional statements, check here OMB No. 1545-2195 Attachment Sequence No. 938 , 20 Number of additional statements 1 Name(s) shown on return 3 Type of filer Specified individual b Partnership c Corporation d Trust a If you checked box 3a, skip this line 4. If you checked box 3b or 3c, enter the name and TIN of the specified individual who closely holds the partnership or corporation. If you checked box 3d, enter the name and TIN of the specified person who is a current beneficiary of the trust. (See instructions for definitions and what to do if you have more than one specified individual or specified person to list.) a Name b TIN 4 Part I 5 6 7 8 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ . $ ▶ . . $ Yes No . . . . . . . . . . . . . . Yes No $ Summary of Tax Items Attributable to Specified Foreign Financial Assets (see instructions) (a) Asset category 13 Foreign deposit and custodial accounts 14 Other foreign assets Part IV . . . . . Other Foreign Assets Summary Number of foreign assets (reported in Part Vl) . . . . . . Maximum value of all assets (reported in Part Vl) . . . . . Were any foreign assets acquired or sold during the tax year? Part III Taxpayer identification number (TIN) Foreign Deposit and Custodial Accounts Summary Number of deposit accounts (reported in Part V) . . . . . . . . . Maximum value of all deposit accounts . . . . . . . . . . . . Number of custodial accounts (reported in Part V) . . . . . . . . Maximum value of all custodial accounts . . . . . . . . . . . Were any foreign deposit or custodial accounts closed during the tax year? Part II 10 11 12 2 (b) Tax item a b c d e f g a b c d e f g Interest Dividends Royalties Other income Gains (losses) Deductions Credits Interest Dividends Royalties Other income Gains (losses) Deductions Credits Where reported (d) Form and line (e) Schedule and line (c) Amount reported on form or schedule $ $ $ $ $ $ $ $ $ $ $ $ $ $ Excepted Specified Foreign Financial Assets (see instructions) If you reported specified foreign financial assets on one or more of the following forms, enter the number of such forms filed. You do not need to include these assets on Form 8938 for the tax year. 15 Number of Forms 3520 16 Number of Forms 3520-A 17 Number of Forms 5471 18 Number of Forms 8621 19 Number of Forms 8865 For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 37753A Form 8938 (Rev. 11-2021) Page 2 Form 8938 (Rev. 11-2021) Part V Detailed Information for Each Foreign Deposit and Custodial Account Included in the Part I Summary (see instructions) If you have more than one account to report in Part V, attach a separate statement for each additional account. See instructions. Deposit 21 Account number or other designation 20 Type of account a b Custodial Account opened during tax year b Account closed during tax year 22 Check all that apply a Account jointly owned with spouse d No tax item reported in Part III with respect to this asset c 23 Maximum value of account during tax year . . . . . . . . . . . . . . . . . . . . . $ 24 Did you use a foreign currency exchange rate to convert the value of the account into U.S. dollars? . . Yes No 25 If you answered “Yes” to line 24, complete all that apply. (a) Foreign currency in which (b) Foreign currency exchange rate (c) Source of exchange rate used if not from U.S. account is maintained used to convert to U.S. dollars Treasury Department’s Bureau of the Fiscal Service 27 b Global Intermediary Identification Number (GIIN) (Optional) . . . Mailing address of financial institution in which account is maintained. Number, street, and room or suite no. 28 City or town, state or province, country, and ZIP or foreign postal code 26a Name of financial institution in which account is maintained Part VI Detailed Information for Each “Other Foreign Asset” Included in the Part II Summary (see instructions) If you have more than one asset to report in Part VI, attach a separate statement for each additional asset. See instructions. 30 Identifying number or other designation Description of asset 29 31 a b c 32 a e 33 34 Complete all that apply. See instructions for reporting of multiple acquisition or disposition dates. Date asset acquired during tax year, if applicable . . . . . . . . . . . . . . . . . . Date asset disposed of during tax year, if applicable . . . . . . . . . . . . . . . . . Check if asset jointly owned with spouse d Check if no tax item reported in Part III with respect to this asset Maximum value of asset during tax year (check box that applies) $0–$50,000 b $50,001–$100,000 c $100,001–$150,000 d $150,001–$200,000 If more than $200,000, list value . . . . . . . . . . . . . . . . . . . . . . . . $ Did you use a foreign currency exchange rate to convert the value of the asset into U.S. dollars? . . . Yes No If you answered “Yes” to line 33, complete all that apply. (a) Foreign currency in which asset (b) Foreign currency exchange rate (c) Source of exchange rate used if not from U.S. is denominated used to convert to U.S. dollars Treasury Department’s Bureau of the Fiscal Service 35 If asset reported on line 29 is stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset. Name of foreign entity b GIIN (Optional) . . . c Type of foreign entity (1) Partnership (2) Corporation (3) Trust (4) Estate d Mailing address of foreign entity. Number, street, and room or suite no. a e City or town, state or province, country, and ZIP or foreign postal code 36 If asset reported on line 29 is not stock of a foreign entity or an interest in a foreign entity, enter the following information for the asset. Note: If this asset has more than one issuer or counterparty, attach a separate statement with the same information for each additional issuer or counterparty. See instructions. a Name of issuer or counterparty Check if information is for Issuer Counterparty b Type of issuer or counterparty Individual (2) Partnership (3) Corporation (4) Trust (5) Estate (1) c Check if issuer or counterparty is a U.S. person Foreign person d Mailing address of issuer or counterparty. Number, street, and room or suite no. e City or town, state or province, country, and ZIP or foreign postal code Form 8938 (Rev. 11-2021)
Extracted from PDF file 2021-federal-form-8938.pdf, last modified December 2021

More about the Federal Form 8938 Other TY 2021

We last updated the Statement of Foreign Financial Assets in January 2022, so this is the latest version of Form 8938, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form 8938 directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 8938 from the Internal Revenue Service in January 2022.

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Historical Past-Year Versions of Federal Form 8938

We have a total of eleven past-year versions of Form 8938 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2021 Form 8938

Form 8938 (Rev. November 2021)

2020 Form 8938

2020 Form 8938

2019 Form 8938

2019 Form 8938

2018 Form 8938

2018 Form 8938

2017 Form 8938

2017 Form 8938

2016 Form 8938

2016 Form 8938

Statement Of Specified Foreign Financial Assets 2015 Form 8938

2015 Form 8938

Statement Of Specified Foreign Financial Assets 2014 Form 8938

Form 8938 (Rev. December 2014)

Statement Of Specified Foreign Financial Assets 2013 Form 8938

Form 8938 (December 2013)

Statement Of Specified Foreign Financial Assets 2012 Form 8938

Form 8938 (November 2012)

Statement Of Specified Foreign Financial Assets 2011 Form 8938

Form 8938 (November 2011)


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