Fincen form 110 mailing address 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Part I, indicate the type of filing by checking one box: Initial designation, Biennial renewal, Exemption amended, or Exemption revoked. Enter the effective date of the exemption in MM/DD/YYYY format.
3. Move to Part II and provide the exempt person's information. Fill in the legal name, doing business as (DBA) if applicable, and complete the address fields including city, state, and ZIP code.
4. For Item 9, enter the EIN or SSN of the exempt person. In Item 10, check one box to specify the type of exempt person.
5. In Part III, enter the bank's name and address details. Complete Item 18 by indicating the bank’s primary federal regulator.
6. Finally, sign in Part IV where an authorized official must print their name, title, and date of signature. Ensure all required fields are filled accurately before submitting.

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