The FS Form 1522 is a special form used for requesting payment of United States Savings and Retirement Securities when detached requests are authorized. It is essential for individuals who are the owners or entitled to payment of the securities to accurately fill out this form to ensure proper processing. False, fictitious, or fraudulent claims can lead to prosecution.
For those looking to secure payment for their savings or retirement bonds, detailed instructions and requirements are outlined in the form to guide you through the process. Click the button below to start filling out your FS Form 1522 and move one step closer to claiming your funds.
Understanding the FS Form 1522 is crucial for individuals seeking payment for specific U.S. securities—namely United States Savings Bonds, Savings Notes, Retirement Plan Bonds, and Individual Retirement Bonds. This November 2021 revised form stands as a Special Form of Request for Payment when a detached request is authorized and is underlined by the necessity to follow instructions meticulously to avoid fraudulent claims, which are subject to prosecution. Users of the form are required to present detailed descriptions of the bonds, including serial numbers and the issue dates, as well as direct deposit payment instructions involving their Social Security or Employer Identification Number. A critical aspect of the form is the certification section; for bonds with a current redemption value totaling $1,000 or less, certification of the signature is not requisite, whereas bonds exceeding this value must be certified in the presence of a notary or certified officer, underscoring the importance of adhering to procedural details for successful processing. Additionally, this form serves not only as a request mechanism but also as a declaration under penalties of perjury regarding the applicant's taxation status, emphasizing the dual function of the FS Form 1522 as both a transactional and a declaratory document. The form clearly outlines who may fill it out, how to accurately complete it, and where to send it, integrating all necessary steps into a straightforward procedure designed to facilitate the smooth payment of these securities, providing an accessible route for rightful claimants to receive what is owed to them by the Department of the Treasury.
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For official use only:
Customer Name
Case or SR#
Customer No
FS Form 1522 (Revised November 2021)
OMB No. 1530-0028
Special Form of Request for Payment of
United States Savings and Retirement Securities
Where Use of a Detached Request Is Authorized
IMPORTANT: Follow instructions in filling out this form. Making any false, fictitious, or fraudulent claim or statement to the United States is a crime and may be prosecuted. Print in ink or type all information.
1. DESCRIPTION OF BONDS
I am the owner or person entitled to payment of the securities described below, which bear the name(s) of
_______________________________________________________________________________________________
Provide name(s) of the person(s) currently registered/listed on the securities.
ISSUE DATE
SERIAL NUMBER
(If you need more space, attach either a list or FS Form 3500 [see www.treasurydirect.gov].)
2. INSTRUCTIONS FOR DIRECT DEPOSIT PAYMENT
Payee must provide a Social Security Number OR Employer Identification Number:
______________________________________
OR __________________________________________
(Social Security Number of Payee)
(Employer Identification Number of Payee)
________________________________________________________________________________________
(Name/Names on the Account)
Bank Routing No. (nine digits and begins with 0, 1, 2, or 3 ): _______________________________
_________________________________________
Type of Account
(Depositor’s Account No.)
Checking
Savings
___________________________________________________
______________________________
(Financial Institution’s Name)
(Financial Institution’s Phone No.)
FS Form 1522
Department of the Treasury | Bureau of the Fiscal Service
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3. SIGNATURE
Under penalties of perjury, I certify that:
1.The number shown on this form is my correct Taxpayer Identification Number (or I am waiting for a number to be issued to me); and
2.I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3.I am a U.S. person (including a U.S. resident alien).
NOTE: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.
Certification. If the current redemption value (see Instructions) of your bonds totals $1,000 or less, your signature need not be certified; you may simply sign the form and enclose a current copy of your driver’s license, passport, state ID, or military ID. If the current redemption value of your bonds totals more than $1,000, sign this form in the presence of a notary or certifying officer.
Complete in ink. If required (see “Certification” above), sign in the presence of a notary or certifying officer.
Sign
Here: __________________________________________________________________________________________________
(Signature)
_____________________________________________________
______________________________________________
(Print Name)
(Social Security Number)
Home Address ________________________________________
(Number and Street or Rural Route)
(Daytime Telephone Number)
(City)
(State)
(ZIP Code)
(Email Address)
You may leave this blank if your bonds are worth $1,000 or less and you enclose an ID named above in “Certification.”
Instructions to Notary or Certifying Officer: 1. Name(s) of the person(s) who appeared and date of appearance MUST be completed. 2. If a Medallion stamp is used, an original signature is required. 3. Person(s) must sign in your presence.
I CERTIFY that ________________________________________________________________________ , whose identity(ies)
(Names of Persons Who Appeared)
is/are known or proven to me, personally appeared before me this _______________ day of _______________
__________
(Month)
(Year)
at ___________________________________________________ and signed this form.
(City, State)
________________________________________________________
(Signature and Title of Notary or Certifying Officer)
(Name of Financial Institution)
(Address)
(City, State, ZIP code)
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INSTRUCTIONS
USE OF FORM – Use this form to request payment of United States Savings Bonds, Savings Notes, Retirement Plan Bonds, and Individual Retirement Bonds.
WHO MAY COMPLETE – This form may be completed by the owner, coowner, surviving beneficiary, or legal representative of the estate of a deceased or incompetent owner, persons entitled to the estate of a deceased registrant, or such other persons who may be entitled to payment under the regulations governing United States Savings Bonds. A minor may sign this form if, in the opinion of the notary or certifying officer, he or she is of sufficient competency to understand the nature of the transaction. An incompetent person may not sign this form.
COMPLETION OF FORM – Print clearly in ink or type all information requested.
ITEM 1.DESCRIPTION OF BONDS – Provide the name(s) of the person(s) shown in the inscription of the bonds for which payment is requested. Describe the bonds by issue date and serial number.
ITEM 2.INSTRUCTIONS FOR DIRECT DEPOSIT PAYMENT
The payee's Taxpayer Identification Number must be provided. Furnish the Social Security Number if the payee is an individual. If an estate, trust, or other entity is involved and IRS has assigned an Employer Identification Number, provide that number. Furnish the name(s) on the account, the account number, the type of account, and the financial institution's name, the routing/transit number which identifies the institution, and the institution's phone number. You may need to contact the financial institution to obtain the routing number.
Please verify account information for accuracy and legibility to avoid a delay in deposit.
ITEM 3. SIGNATURE
The person(s) requesting payment of the bonds must sign the form in ink, print his or her name, and provide his or her address, daytime telephone number, and if applicable, e-mail address. If the name of a person requesting payment has been changed by marriage or in any other legal manner from the name in the inscription of the bonds, the signature to the request for payment must show both names and the manner in which the change was made; for example, "Miss Mary T. Jones now by marriage Mrs. Mary T. Smith.”
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CERTIFICATION – To find the current redemption value of savings bonds of Series EE, Series E, or Series I, or of savings notes, use the Savings Bond Calculator at TreasuryDirect.gov.
If the current redemption value of your bonds totals $1,000 or less, your signature need not be certified. Rather, when you sign the form, you may verify your identity by enclosing a current copy of your driver’s license, passport, state ID, or military ID.
If the current redemption value of your bonds totals more than $1,000, each person whose signature is required must appear before and establish identification to the satisfaction of a notary or authorized certifying officer. The signatures to the form must be signed in the presence of the notary or officer. The notary or certifying officer must affix the seal or stamp which is used when certifying requests for payment. Authorized certifying officers are available at financial institutions, including credit unions, in the United States. Examples of acceptable seals and stamps:
•The seal or stamp of a notary
•A financial institution’s official seal or stamp, including: Signature Guaranteed seal or stamp; Endorsement Guaranteed seal or stamp; Corporate seal or stamp (a corporate resolution isn’t required); or Issuing or paying agent seal or stamp (including name, location, and four-digit identification number or nine-digit routing number)
•The seal or stamp of Treasury-recognized Signature Guarantee Programs or other Treasury-approved Medallion Programs
WHERE TO SEND – Unless otherwise instructed, send this form and the bonds, as well as any other appropriate forms, evidence, or identification records, to the address below. Legal evidence or documentation you submit cannot be returned.
Treasury Retail Securities Services, P.O. Box 9150, Minneapolis, MN 55480-9150
(Phone: 844-284-2676--toll free.)
NOTICE UNDER THE PRIVACY AND PAPERWORK REDUCTION ACTS
The collection of the information you are requested to provide on this form is authorized by 31 U.S.C. CH. 31 relating to the public debt of the United States. The furnishing of a Social Security Number, if requested, is also required by Section 6109 of the Internal Revenue Code (26 U.S.C. 6109).
The purpose of requesting the information is to enable the Bureau of the Fiscal Service and its agents to issue securities, process transactions, make payments, identify owners and their accounts, and provide reports to the Internal Revenue Service. Furnishing the information is voluntary; however, without the information, the Fiscal Service may be unable to process transactions.
Information concerning securities holdings and transactions is considered confidential under Treasury regulations (31 CFR, Part 323) and the Privacy Act. This information may be disclosed to a law enforcement agency for investigation purposes; courts and counsel for litigation purposes; others entitled to distribution or payment; agents and contractors to administer the public debt; agencies or entities for debt collection or to obtain current addresses for payment; agencies through approved computer matches; Congressional offices in response to an inquiry by the individual to whom the record pertains; as otherwise authorized by law or regulation.
We estimate it will take you about 15 minutes to complete this form. However, you are not required to provide information requested unless a valid OMB control number is displayed on the form. Any comments or suggestions regarding this form should be sent to the Bureau of the Fiscal Service, Forms Management Officer, Parkersburg, WV 26106-1328. DO NOT SEND completed form to the above
address; send to the address shown in "WHERE TO SEND" above.
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Upon deciding to transact with United States savings and retirement securities, careful attention and precision are paramount to completing the FS Form 1522. This step-by-step guide is crafted to assist in navigating the complexities of the form efficiently, ensuring all necessary information is accurately conveyed. Following this guide will facilitate a smoother process for requesting payment of United States Savings Bonds, Retirement Plan Bonds, and other securities where a detached request is authorized, while also adhering to legal obligations.
Guidance through each step, from populating the form with precise details in the required fields to the authentication and subsequent dispatch to the designated address, streamlines the procedure. This meticulous approach guarantees the request adheres to the stipulated regulations, ensuring a legitimate and timely response to the submission of the FS Form 1522.
What is the FS Form 1522 used for?
FS Form 1522 is specifically designed for requesting the payment of United States Savings Bonds, Savings Notes, Retirement Plan Bonds, and Individual Retirement Bonds when a detached request is authorized. Its primary purpose is to streamline the process for individuals who are entitled to claim payment from these securities, ensuring the correct identification of the owner or claimant and the method for receiving payment.
Who is eligible to complete the FS Form 1522?
This form can be completed by a variety of individuals associated with the ownership or entitlement to the securities in question. Eligible parties include the owner, co-owner, surviving beneficiary, or legal representative of the estate of a deceased or incompetent owner. Also, individuals who are entitled to the estate of a deceased registrant or others who might be entitled to payment under the regulations governing United States Savings Bonds may fill out this form. A minor with sufficient competency to understand the transaction can complete the form as well, whereas an incompetent person cannot.
How do you fill out FS Form 1522?
To fill out this form, it's essential to print clearly in ink or type all requested information. The form requires details such as the description of the bonds (including the registrant’s name(s), issue date, and serial number), instructions for direct deposit payment (including Taxpayer Identification Number and banking information), and the signature of the person requesting payment. Direct deposit instructions are vital, requiring accurate and legible account information to avoid delays in the deposit process.
What needs to be done if the current redemption value of the bonds is over $1,000?
For bonds with a current redemption value exceeding $1,000, the FS Form 1522 requires the certification of the signature(s) of the person(s) requesting the payment. This means that each individual must sign the form in the presence of a notary or an authorized certifying officer and provide satisfactory proof of identification. The certifying officer must then affix the appropriate seal or stamp used for certifying requests for payment.
Are there any identification requirements when submitting FS Form 1522?
Yes, identification is required, especially if the current redemption value of your bonds totals more than $1,000. In such cases, individuals must enclose a current copy of an identifying document such as a driver’s license, passport, state ID, or military ID. For bonds worth $1,000 or less, enclosing one of these identification forms with the submission suffices, without the need for signature certification.
Where should the FS Form 1522 be sent after completion?
Complete forms, alongside the bonds and any other requisite forms, evidence, or identification, should be mailed to Treasury Retail Securities Services, P.O. Box 9150, Minneapolis, MN 55480-9150. It's crucial to ensure that all provided information is accurate and legible to avoid any delays in the processing of the request.
Is there any Privacy Act Notice associated with FS Form 1522?
Yes. The collection of information requested on this form is authorized by U.S. laws relating to the public debt. The main purpose for requesting this information includes issuing securities, processing transactions, making payments, identifying owners and their accounts, and reporting to the Internal Revenue Service. While furnishing the required information is voluntary, failure to do so may result in the inability of the Fiscal Service to process transactions. Information concerning securities holdings and transactions is considered confidential and is protected under relevant privacy regulations.
Filling out FS Form 1522, which is a request for payment of United States Savings and Retirement Securities, involves a degree of precision and attentiveness. Errors in completing this form can delay or even prevent the transaction you're hoping to make. Among the common mistakes made, the first to highlight is neglecting the importance of providing accurate owner information in the description of bonds. The form starts by requesting details of the securities' ownership, specifically the names as they are registered/listed on the securities. It’s imperative to ensure that these details mirror exactly what is on the bonds. If the name on the form does not match the name on the bonds due to a slight typo or using a nickname instead of a full legal name, it can lead to verification issues, subsequently stalling the process.
Another frequent misstep is incorrect or incomplete bank information under the instructions for direct deposit payment. Applicants often overlook the necessity of providing both the correct routing number–which must be nine digits and start with 0, 1, 2, or 3–and the accurate type of account, whether it is checking or savings. The Social Security Number (SSN) or Employer Identification Number (EIN) provided must also accurately correspond to the account into which the funds are to be deposited. Failure to verify this information with your bank before submitting the form can result in delays in receiving your funds or the funds being sent to the wrong account.
The requirement for signature certification also trips up many. This particular part of the form delineates a clear threshold: If the current redemption value of your bonds is $1,000 or less, a simple signature will suffice, provided that a current copy of an identifying document is enclosed. However, for bonds valued over $1,000, the form mandates that the signature must be certified in the presence of a notary or an authorized certifying officer. Skipping this step or assuming a self-attestation is enough for higher-value bonds can invalidate your submission.
Lastly, an error that can easily be avoided is the submission of outdated or incorrect identification for the certification process. The form explicitly requires a current copy of the signer’s driver's license, passport, state ID, or military ID if the bond’s value does not exceed $1,000. Using expired or incorrect forms of identification can cause unnecessary delays. Furthermore, ensuring that the name on your ID matches the name on the form and the securities themselves is critical for a smooth verification process. Overlooking the importance of this matching can lead you back to square one, with additional rounds of paperwork to correct the mismatch.
When dealing with the administration of United States Savings and Retirement Securities, especially in contexts requiring the FS Form 1522, individuals often find themselves needing additional documents to successfully navigate the process. This requirement stems from the need to provide comprehensive details and fulfill legal criteria related to ownership, death, incapacity, or transfers pertaining to these securities. Here's a rundown of commonly associated forms and documents that complement the FS Form 1522 in various circumstances.
The documents listed provide additional support and verification for various scenarios that can arise when managing or claiming U.S. Savings and Retirement Securities. It's important to ensure all documentation is complete and accurate to facilitate the process, whether it involves direct transactions, claims due to loss or theft, or dealings with an estate. The complementary use of these forms and documents with FS Form 1522 underscores the comprehensive nature of handling such securities and the necessity of adhering to the established legal and procedural frameworks.
The FS Form 1522 shares similarities with the IRS Form W-9, "Request for Taxpayer Identification Number and Certification." Both forms require the individual to provide their Taxpayer Identification Number (TIN), which could be a Social Security Number (SSN) or an Employer Identification Number (EIN). Each form also involves a certification section where the individual attests to the accuracy of the information provided, including tax status and identity verification. The emphasis on accurate and truthful reporting under penalty of perjury highlights the seriousness with which these documents must be treated, aiming to prevent fraud and ensure financial integrity.
Another document resembling the FS Form 1522 in function and design is the Direct Deposit Sign-Up Form (SF 1199A) used by the U.S. Government for setting up direct deposits for federal payments. Similar to section 2 of the FS Form 1522, which facilitates direct deposit of funds, the SF 1199A also collects banking details including the account number, type of account, and routing number. Both forms aim to streamline the process of transferring funds, ensuring they reach the proper recipient swiftly and securely.
The Standard Form 180, "Request Pertaining to Military Records," is akin to FS Form 1522 in the way it authorizes the release or request of specific documents under certain conditions. While the FS Form 1522 is used for the transaction of savings and retirement securities, the SF 180 allows individuals or their next of kin to request military records. Both forms serve as a bridge between individuals and government repositories, governing the access to personal or sensitive information held by federal agencies.
The Bankruptcy Proof of Claim Form (Official Form 410) also mirrors aspects of the FS Form 1522. Designed for creditors to file a claim in a bankruptcy case, this form, like the FS 1522, requires detailed identification and certification on the part of the claimant. Both documents facilitate a regulated process, ensuring claims—whether on financial assets like bonds or against a bankruptcy estate—are properly documented and legitimated through certified statements.
Similarly, the Power of Attorney and Declaration of Representative (Form 2848) used by the IRS enables individuals to authorize another person to represent them before the IRS, akin to how the FS Form 1522 allows bonds to be redeemed by persons other than the original owner under specific circumstances. Both forms involve strict identity verification processes and detailed instructions to ensure the proper execution of authority bestowed upon representatives or claimants.
The Unclaimed Property Claim or Affirmation Form, used by state treasuries to reclaim lost or unclaimed property, shares objectives with the FS Form 1522 in terms of returning assets to their rightful owners. These forms require claimants to detail their entitlement to the assets in question and provide personal identification to prevent fraudulent claims. The process emphasizes the safeguarding and correct distribution of financial properties, whether they be state-held unclaimed property or federally issued securities.
The Employment Eligibility Verification (Form I-9) issued by the United States Citizenship and Immigration Services (USCIS) parallels the FS Form 1522 through its requirement for identity and employment authorization documentation. Although serving different ends—one for employment verification and the other for securities payment—both documents necessitate the provision of legally valid identification and personal details to fulfill regulatory and statutory requirements.
Finally, the Change of Address/Name Form frequently used by financial institutions and government agencies echoes parts of the FS Form 1522's certification process, where any changes to the claimant's name or address must be clearly stated. This ensures that records are kept current and that all correspondences or transactions reach the intended party, further embodying the principle of maintaining accurate and up-to-date personal information within formal records.
When it comes to handling the FS1522 form, there are vital dos and don'ts that can significantly streamline the process. This guidance will ensure the request for payment of United States Savings and Retirement Securities is processed smoothly and efficiently.
Things You Should Do
Things You Shouldn't Do
When dealing with United States Savings and Retirement Securities transactions, individuals frequently encounter FS Form 1522. However, there are several misconceptions about this form that can lead to confusion. By clarifying these misunderstandings, individuals can navigate the process more smoothly.
Many people mistakenly believe that FS Form 1522 is exclusively for redeeming United States Savings Bonds. In reality, this form also applies to Retirement Plan Bonds, Individual Retirement Bonds, and Savings Notes. This broader scope allows holders of various securities to request payment when authorized, making it a versatile tool for managing investments.
Another common misconception is that providing direct deposit information is optional. However, for the efficient and secure transfer of funds, FS Form 1522 requires payees to provide detailed direct deposit information, including the type of account, account number, and the financial institution's routing number. This ensures the prompt processing of payments and reduces the risk of loss or theft.
There is also a misunderstanding that signatures on FS Form 1522 never need to be certified. While it's true that for securities with a current redemption value of $1,000 or less, certification of the signature is not necessary, for amounts exceeding $1,000, certification becomes a requirement. This certification must be conducted in the presence of a notary or authorized certifying officer, underscoring the importance of adhering to this rule for larger transactions.
Lastly, there is a misconception that personal identification must always be enclosed with FS Form 1522. In fact, identification such as a driver’s license, passport, state ID, or military ID is only necessary if the bonds' current redemption value is $1,000 or less and the signature does not need to be certified. This streamline process aims to simplify submissions for smaller amounts, while still maintaining security and verification standards for higher-value transactions.
Understanding these key points about FS Form 1522 can greatly aid individuals in the efficient handling of their United States Savings and Retirement Securities. Dispelling these misconceptions ensures that the process is both smooth and aligned with regulatory requirements.
Filling out the FS Form 1522 is a structured process that requires attention to detail to ensure the accurate and timely processing of United States Savings and Retirement Securities claims. Below are key takeaways that individuals should keep in mind when completing and using this form.
By adhering to these guidelines, individuals can ensure a smoother processing of their request for payment under the stipulated regulations governing United States Savings Bonds and related securities. It is always advisable to reach out to a professional or the issuing agency for clarification on any uncertainties during the completion process.
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