1216 Form 8966-C (PDF)

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/f8966c.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

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DO NOT STAPLE

Please return this entire page to the Internal Revenue Service.

Sign Here

I declare that I have examined this return and accompanying documents and, to the best of my knowledge and belief, they are true, correct, and complete.

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Purpose of form. Use this form to transmit paper Forms 8966, FATCA Report, to the Internal Revenue Service. Use a separate Form 8966-C to transmit each type of Form 8966 (see the instructions for line 1). Electronic filing requirement. Unless you have a hardship waiver, you must file Forms 8966 electronically. If you submit Forms 8966 electronically, do not use Form 8966-C. Where and when to file. Send Form 8966-C (and the paper Forms 8966 being transmitted) to:

Internal Revenue Service FATCA, Stop 6052 AUSC 3651 South IH 35 Austin, Texas 78741 Send Form 8966-C and paper Forms 8966 by the due date specified in the instructions for Form 8966.

Identifying information at top of form. The identifying information of the filer named on this form must be the same as the information entered on Forms 8966. If you have been assigned a GIIN by the IRS, enter that number on the line for GIIN. If you do not have a GIIN, enter your EIN on the line for TIN. Line 1. Check the box for the type of paper Forms 8966 (original, amended, corrected, or voided) you are transmitting. Check only one box. Each type must be transmitted with a separate Form 8966-C. See the Instructions for Form 8966 for when to file an amended, corrected, or voided Form 8966. Line 2. Enter the number of paper Forms 8966 attached to the Form 8966-C. Please ensure all attached Forms 8966 submitted under this cover sheet are correctly marked and consistent with the box checked on line 1. Paperwork Reduction Act Notice. The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time is 7 minutes.

For Paperwork Reduction Act Notice, see Form 8966. Cat. No. 67369U Form 8966-C (Rev. 12-2016)