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Click ‘Get Form’ to open the TD F 90-2253 in the editor.
Begin by checking the appropriate box for your designation type: Initial Designation, Biennial Renewal, Exemption Amended, or Exemption Revoked.
In Part I, enter the Business Name or Name of Sole Proprietor and provide the Address details including City, State, and Zip/Postal Code.
Fill in the Taxpayer Identification Number and select the Basis for Exemption from options such as Bank, Government Agency, or Eligible Non-listed business.
Complete Part III by entering the Name of Bank and Primary Federal Regulator. Ensure to provide contact information for follow-up inquiries.
Finally, sign and date the form where indicated. Review all entries for accuracy before submission.
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