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Forms for Treasury Marketable Securities

This page has links to forms you may need for Treasury Bills, Notes, Bonds, TIPS, and FRNs.

Signatures

Some forms require a certified signature. Read the instructions on the form carefully and wait to sign it until you are with the person who will certify your signature. For more about who can certify, see Signature certification.

Death certificates or other legal evidence

If a form asks for legal evidence, such as a death certificate, be sure to include it. A photocopy is fine, as long as the stamp or seal is legible. We don't return documents you send us.

Getting the form you need

For each of these forms, you can either:

  • download the form, fill it out, and print it
  • ask us to mail you a paper copy

Downloading the form

The forms are fillable PDFs. Download them with Adobe Acrobat Reader, which you can get for free from Adobe.

To use the downloaded form, you need a printer. You can:

  • fill out the form on the computer and then print it, or
  • print it and fill it out by hand

Asking us to mail you a paper copy

If you would rather, we will send you a copy of the form. Tell us:

  • your name, address, and phone number, and
  • which form you need

savbonds@fiscal.treasury.gov

844-284-2676 (free call)

Treasury Retail Securities Services
PO Box 214
Minneapolis, MN 55480-0214

Filling out, signing, and sending the form

Each form has instructions for filling out, signing, and mailing the form to us.

Treasury Marketable Securities

Form Number Title, Description, Size
FS Form 0385 Certificate of Identity
FS Form 1010 Resolution for Transactions Involving Treasury Securities
Authorizes individuals in an organization to conduct transactions regarding Treasury securities
FS Form 1014 Certificate of Incumbency of Officers (Corporation or Unincorporated Association)
FS Form 1022 Report/Application for Relief on Account of Loss, Theft, or Destruction of United States Bearer Securities (Organizations)
Apply for relief on account of loss, theft, or destruction of United States bearer securities owned by or in the custody of an organization at the time of loss
FS Form 1022-1 Report/Application for Relief on Account of Loss, Theft, or Destruction of United States Bearer Securities (Individuals)
Apply for relief on account of loss, theft, or destruction of United States bearer securities or bearer securities of other agencies or corporations for which the Treasury Department acts as transfer agent
FS Form 1025 Claim for Lost, Stolen, or Destroyed United States Registered Securities
Apply for relief on account of loss, theft, or destruction of United States registered securities and registered securities for which the Treasury Department acts as transfer agent
FS Form 1050 Creditor's Request for Payment of Treasury Securities Belonging to a Decedent's Estate Being Settled Without Administration
FS Form 1071 Supporting Statement of Ownership for Overdue United States Bearer Securities
Supports the payment of an overdue bearer security being presented to the Fiscal Service for payment
FS Form 1455 Request by Fiduciary for Distribution of United States Treasury Securities
Used by fiduciary to establish entitlement and request distribution of Treasury securities to the person lawfully entitled
FS Form 1832 Special Form of Assignment for U.S. Registered Definitive Securities
Used at the discretion of the Fiscal Service to certify assignments of U. S. registered definitive securities, to correct a defective assignment already made, to accommodate owners required to sign a large number of registered definitive securities, or to obtain the assignment of two or more geographically separated assignors
FS Form 1849 Disclaimer and Consent with Respect to United States Treasury Securities
FS Form 1980 Change of Address and/or Identification of Account for United States Registered Securities
Description of bonds to show new address for interest payments or to identify accounts
FS Form 2066 Application by Survivors for Payment of Bond or Check Issued Under the Armed Forces Leave Act of 1946, As Amended
Request payment of an Armed Forces Leave Bond or check, where the owner died without assigning the bond to the Administrator of Veterans Affairs prior to payment, or without presenting the check for payment
FS Form 2243 Supplemental Statement for United States Securities
Support claim made on FS Form 1048, 3062, or 3062-4
FS Form 2778-1 Certification Attachment
FS Form 3987 Information Concerning the Loss, Theft, or Destruction of United States Bearer or Registered Securities Assigned as Payable to Bearer
FS Form 5178 Transaction Request
Request changes to your Legacy TreasuryDirect account, such as address, direct-deposit instructions, account name
FS Form 5179 Security Transfer Request
Transfers securities from a Legacy TreasuryDirect account
FS Form 5188 Durable Power of Attorney for Securities and Savings Bonds Transactions
Assign a power of attorney for transactions involving Treasury securities
FS Form 5191 Application for Recognition as Natural Guardian of a Minor
Authorize an individual to act on behalf of a minor who owns Treasury securities in Legacy TreasuryDirect
FS Form 5235 Report of Nonreceipt, Loss, Theft, or Destruction of Fiscal Agency Check and Application for Replacement
Request replacement of check that is lost, stolen, or destroyed
FS Form 5336 Disposition of Treasury Securities Belonging to a Decedent's Estate Being Settled Without Administration
Use for disposition and/or payment according to the Order of Precedence For Voluntary Representatives
FS Form 5394 Agreement and Request for Disposition of a Decedent's Treasury Securities
Request disposition of securities in a closed estate or an estate being settled in accordance with state statute
FS Form 5444 TreasuryDirect® Account Authorization
FS Form 5446 TreasuryDirect® Offline Transaction Request
Use for certain TreasuryDirect transactions that can't be conducted online
FS Form 5511 TreasuryDirect® Transfer Request
Use to transfer securities you hold in TreasuryDirect
FS Form 5512 TreasuryDirect® Redemption and Bank Change Request
For an account in TreasuryDirect, use this form to redeem savings bonds or change bank information
FS Publication 009 Investing Directly with the U.S. Treasury
Booklet describes TreasuryDirect, Legacy TreasuryDirect, and Treasury bills, notes, bonds, TIPS, and Floating Rate Notes
FS Publication 0011 Interest Income Reporting for Marketable Treasury Securities
Publication covers taxation of Treasury bills, notes, bonds, and TIPS
FS Publication 0042 Treasury Inflation-Protected Securities (TIPS)
Publication explains these securities that are protected against inflation
FS Publication 0103 Trust Transactions: Legacy TreasuryDirect
Publication gives information on the forms and documents you need to conduct transactions involving trusts
FS Publication 0104 Power of Attorney: Legacy TreasuryDirect
Publication gives instructions for doing business through an attorney-in-fact

TAAPS Program

Institutions must fill out and submit the following forms to participate in TAAPS:

To establish your firm's End User Authorization Contact, please call (202) 504 - 3550.

Government Securities Act Forms

Our forms are available for download in Portable Document Format (PDF). To read or print a PDF document, you need the Adobe Acrobat Reader (v5.0 or higher) software installed on your computer. You can download the Adobe Acrobat Reader from the Adobe Website.

The G-FIN-4, G-FIN-5 and G-405 forms may be downloaded, and select forms are electronically fillable; but the forms must be printed, signed, and mailed to the appropriate regulatory agency or self-regulatory organization.

Note: If you need help downloading

Form Number Form Description By Downloading
G-FIN-4 (and instructions) Disclosure Form for Person Associated with a Financial Institution Government Securities Broker or Dealer - G-FIN-4 and Instructions PDF, file uploaded 3/30/2018, Fillable Form
G-FIN-5 (and instructions) Uniform Termination Notice for Person Associated with a Financial Institution Government Securities Broker or Dealer - G-FIN-5 and Instructions PDF, file uploaded 3/30/2018, Fillable Form
G-405 Part I (and instructions) Report on Finances and Operations of Government Securities Brokers and Dealers - Part I Form and Instructions PDF, file uploaded 4/16/2018
G-405 Part II Report on Finances and Operations of Government Securities Brokers and Dealers - Part II Form PDF, file uploaded 12/27/2018
G-405 Part II Instructions Report on Finances and Operations of Government Securities Brokers and Dealers - Part II Instructions PDF, file uploaded 12/27/2018
G-405 Part IIA Form Report on Finances and Operations of Government Securities Brokers and Dealers - Part IIA Form PDF, file uploaded 12/27/2018
G-405 Part IIA Instructions Report on Finances and Operations of Government Securities Brokers and Dealers - Part IIA Instructions PDF, file uploaded 12/27/2018
G-405 Schedule 1 (and instructions) Report on Finances and Operations of Government Securities Brokers and Dealers - Schedule 1 Form and Instructions PDF, file uploaded 4/16/2018, Fillable Form
G-405 Part III (and instructions) Report on Finances and Operations of Government Securities Brokers and Dealers - Part III Form and Instructions PDF, file uploaded 12/27/2018

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