User Guide›October 2022›Chapter 6: Application Instructions
Part 1 Instructions for WPs and WTs
1022 Publ 5262 (PDF) · 2026-10-03 edition · updated 2026-10-04 · United States
Table 6: Part 1 instructions for WPs and WTs
| Part 1 Question | Instructions for WPs and WTs | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Applicant is applying for | Applicant is applying for | Applicant is applying for | Applicant is applying for | Applicant is applying for | Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
Select the option applicable to your applicant type. Only one selection may be made. A foreign partnership or foreign trust may not select “Qualifed Intermediary.” A foreign reverse hybrid entity must select “Withholding Foreign Partnership.” To change the entity type, the QI, WP, or WT must submit a notice of termination to terminate its QI, WP, or WT agreement and reapply as the desired entity type. |
| If you accou FATCA |
If you accou FATCA |
** have a** nt, pro ** ID** |
** registration** ** vide the** |
** registration** ** vide the** |
Enter the FATC applicant does |
Enter the FATC applicant does |
A ID of the applicant (if applicable). Leave t not have a FATCA registration account. |
A ID of the applicant (if applicable). Leave t not have a FATCA registration account. |
his ques | tion bl | ank if the |
Global Intermediary Identifcation Number (GIIN), if any |
Global Intermediary Identifcation Number (GIIN), if any |
Global Intermediary Identifcation Number (GIIN), if any |
Global Intermediary Identifcation Number (GIIN), if any |
Enter the does not h For applic assigned. |
GIIN of the ave a GIIN ants that ha |
GIIN of the ave a GIIN ants that ha |
applicant (if applicable). Leave this question blank if the applicant . ve an approved FATCA registration account, a GIIN has been |
applicant (if applicable). Leave this question blank if the applicant . ve an approved FATCA registration account, a GIIN has been |
applicant (if applicable). Leave this question blank if the applicant . ve an approved FATCA registration account, a GIIN has been |
applicant (if applicable). Leave this question blank if the applicant . ve an approved FATCA registration account, a GIIN has been |
|
| Leg app |
al name of the licant |
al name of the licant |
al name of the licant |
al name of the licant |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents. |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents. |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents. |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents. |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents. |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents. |
Enter the legal name of the applicant. The legal name is the name the applicant uses in offcial incorporation or organization documents, or the name otherwise recognized by the country’s/ legal name is the name used by the applicant in legal documents. |
| Provide existing EIN, if any | Provide existing EIN, if any | Provide existing EIN, if any | Provide existing EIN, if any | Provide existing EIN, if any | Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
Enter the employer identifcation number (EIN), if the applicant has an EIN other than its QI/ than its QI/ |
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| Part 1 Question | Instructions for WPs and WTs | |
|---|---|---|
| Country/ Organization |
Select the applicant’s country/ corporation, select the country of incorporation. For all other types of entities, select the country under whose laws the entity is created, organized, or governed. Only one selection can be made. If selecting “other”, enter the name of the country/ If a QI, WP, or WT needs to change its country/ into a QI, WP, or WT agreement, it must submit a notice of termination and reapply. |
|
| Has the applicant received any reportable amounts this year if applying after March 31st? |
Select the appropriate response. If the applicant is applying on or before March 31, select “no.” A “reportable amount” means U.S. source FDAP income that is an amount subject to chapter 3 withholding (as defned in the WP or WT agreement), U.S. source deposit interest (as defned in section 871(i)(2)(A) of the Code), and U.S. source interest or original issue discount paid on the redemption of short-term obligations (as defned in section 871(g)(1)(B)(i) of the Code. The term does not include payments on deposits with banks and other fnancial institutions that remain on deposit for two weeks or less. It also does not include amounts of original issue discount arising from a sale and repurchase transaction completed within a period of two weeks or less, or amounts described in Treas. Reg. 1.6049–5(b)(7), (10), or (11) (relating to certain foreign targeted registered obligations and certain obligations issued in bearer form).. |
|
| Is applicant a reverse hybrid entity? WPs Only |
Select the appropriate response. A reverse hybrid entity is an entity that is a corporation for U.S. tax purposes but is fscally transparent under the laws of the entity’s jurisdiction. |
|
Indicate type of trust that describes the applicant WTs Only |
Select the appropriate response. Only one selection may be made. A foreign simple trust is a foreign trust that is described in section 651(a) of the Code. A foreign granter trust is a foreign trust but only to the extent all or a portion of the income of the trust is treated as owned by the granter or another person under sections 671 through 679 of the Code. |
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| Part 1 Question | Instructions for WPs and WTs | |
|---|---|---|
| Pooled Reporting Election sought for Chapter 3 purposes |
Select the election sought for chapter 3 purposes. Only one selection may be made. A WP or WT may elect to perform pool reporting (Pooled Election) for an amount subject to chapter 3 withholding that either is not a withholdable payment or is a withholdable payment for which no chapter 4 withholding is required and that WP or WT distributes to, or includes in the distributive share of, a foreign direct partner, benefciary, or owner (other than a pass-through partner, withholding foreign partnership, or withholding foreign trust). If a WP or WT has made a Pooled Election, it may report on Form 1042-S for each chapter 3 reporting pool rather than fle Form 1042-S for each separate direct partner, benefciary, or owner, subject to the limitations described in the WP or WT agreement. A Pooled Election or Non-Pooled Election can only be made or changed when a WP or WT applies or renews its agreement. If WP or WT does not make a Pooled Election at the time it applies or renews its WP or WT agreement, then WP or WT can make a Pooled Election only be contacting the Foreign Intermediaries Program. Once made, a Pooled Election is effective for the entire term of the WP or WT agreement, beginning on the effective date of the WP or WT agreement and ending on the date of expiration or termination. WP or WT must make a new election for each renewal term of the WP or WT agreement. WP or WT must obtain consent from the IRS to revoke the Pooled Election prior to the end of the term of the WP or WT agreement. |
|
| Chapter 4 eligibility of applicant |
Select the appropriate response. Only one selection may be made. “Participating FFI” means an FFI that has agreed to comply with the requirements of an FFI Agreement, including an FFI described in a Model 2 IGA that has agreed to comply with the requirements of an FFI Agreement (reporting Model 2 FFI). The term participating FFI also includes a QI branch of a U.S. fnancial institution, unless such branch is a reporting Model 1 FFI. “Registered deemed-compliant FFI” means an FFI described in Treas. Reg. §1.1471-5(f) (1) and includes a reporting Model 1 FFI and a non-reporting Model 2 FFI that is treated as registered deemed-compliant FFI. “Registered deemed-compliant Model 1 IGA FFI” means an FFI treated as a deemed compliant FFI under an applicable Model 1 IGA that is subject to similar due diligence and reporting requirements with respect to U.S. accounts as those applicable to a registered deemed-compliant FFI under Treas. Reg. §1.1471-5(f)(1), including the requirement to register with the IRS. “Foreign central bank of issue” means an institution that is by law or government sanction the principal authority, other than the government itself, issuing instruments intended to circulate as currency. Such an institution is generally the custodian of the banking reserves of the country under whose law it is organized. A foreign central bank of issue may enter into a QI agreement provided it meets and agrees to assume the obligations of, and to be treated as, a participating FFI (including a reporting Model 2 FFI) or a registered deemed-compliant FFI (including a reporting Model 1 FFI) with respect to any account that it maintains and that is held in connection with a commercial fnancial activity described in Treas. Reg. §1.1471-6(h) and for which it receives a withholdable payment. “Non-fnancial foreign entity” or “NFFE” means a foreign entity that is not a fnancial institution (including an entity that is incorporated or organized under the laws of any U.S. territory and that is not a fnancial institution). The term also means a foreign entity treated as an NFFE pursuant to a Model 1 or Model 2 IGA. |
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| Part 1 Question | Instructions for WPs and WTs | ||||||
|---|---|---|---|---|---|---|---|
| Has the applicant received any reportable amounts this year if applying after March 31st? |
Has the applicant received any reportable amounts this year if applying after March 31st? |
Has the applicant received any reportable amounts this year if applying after March 31st? |
Has the applicant received any reportable amounts this year if applying after March 31st? |
“Retirement fund” means a retirement fund or other fund that is an exempt benefcial owner described in Treas. Reg. §1.1471-6(f) or a similar fund that qualifes as an exempt benefcial owner under an applicable Model 1 IGA or Model 2 IGA. “Direct reporting NFFE” means an NFFE that elects to report information about its direct or indirect substantial U.S. owners to the IRS and meets the requirements of Treas. Reg. §1.1472-1(c)(3). A certifed deemed-compliant FFI that meets and agrees to assume the obligations of, and to be treated as, a participating FFI, registered deemed-compliant FFI, or registered deemed-compliant Model 1 IGA FFI should select participating FFI, registered deemed compliant FFI, or registered deemed-compliant Model 1 IGA FFI (as applicable). |
“Retirement fund” means a retirement fund or other fund that is an exempt benefcial owner described in Treas. Reg. §1.1471-6(f) or a similar fund that qualifes as an exempt benefcial owner under an applicable Model 1 IGA or Model 2 IGA. “Direct reporting NFFE” means an NFFE that elects to report information about its direct or indirect substantial U.S. owners to the IRS and meets the requirements of Treas. Reg. §1.1472-1(c)(3). A certifed deemed-compliant FFI that meets and agrees to assume the obligations of, and to be treated as, a participating FFI, registered deemed-compliant FFI, or registered deemed-compliant Model 1 IGA FFI should select participating FFI, registered deemed compliant FFI, or registered deemed-compliant Model 1 IGA FFI (as applicable). |
“Retirement fund” means a retirement fund or other fund that is an exempt benefcial owner described in Treas. Reg. §1.1471-6(f) or a similar fund that qualifes as an exempt benefcial owner under an applicable Model 1 IGA or Model 2 IGA. “Direct reporting NFFE” means an NFFE that elects to report information about its direct or indirect substantial U.S. owners to the IRS and meets the requirements of Treas. Reg. §1.1472-1(c)(3). A certifed deemed-compliant FFI that meets and agrees to assume the obligations of, and to be treated as, a participating FFI, registered deemed-compliant FFI, or registered deemed-compliant Model 1 IGA FFI should select participating FFI, registered deemed compliant FFI, or registered deemed-compliant Model 1 IGA FFI (as applicable). |
“Retirement fund” means a retirement fund or other fund that is an exempt benefcial owner described in Treas. Reg. §1.1471-6(f) or a similar fund that qualifes as an exempt benefcial owner under an applicable Model 1 IGA or Model 2 IGA. “Direct reporting NFFE” means an NFFE that elects to report information about its direct or indirect substantial U.S. owners to the IRS and meets the requirements of Treas. Reg. §1.1472-1(c)(3). A certifed deemed-compliant FFI that meets and agrees to assume the obligations of, and to be treated as, a participating FFI, registered deemed-compliant FFI, or registered deemed-compliant Model 1 IGA FFI should select participating FFI, registered deemed compliant FFI, or registered deemed-compliant Model 1 IGA FFI (as applicable). |
| Address | ** of a** | ** p** | ** plicant** | Enter the mailing address of the applicant. The address provided mail correspondence related to the applicant’s account, and any o selecting “other” for the country/ |
will be used to send ther related matters. of country/ |
all If n. |
|
| Address | ** of a** | ** p** | ** plicant** | Enter the mailing address of the applicant. The address provided mail correspondence related to the applicant’s account, and any o selecting “other” for the country/ |
will be used to send ther related matters. of country/ |
If n |
|
| Description of business of the applicant. (If additional space is required, you will be able to upload a fle before you submit the application.) |
Description of business of the applicant. (If additional space is required, you will be able to upload a fle before you submit the application.) |
Description of business of the applicant. (If additional space is required, you will be able to upload a fle before you submit the application.) |
Description of business of the applicant. (If additional space is required, you will be able to upload a fle before you submit the application.) |
Provide a description of the applicant’s business. Files can be uploaded in Part 4, if additional space is needed. For further guidance, seeFrequently Asked Questions on IRS.gov. |
Provide a description of the applicant’s business. Files can be uploaded in Part 4, if additional space is needed. For further guidance, seeFrequently Asked Questions on IRS.gov. |
Provide a description of the applicant’s business. Files can be uploaded in Part 4, if additional space is needed. For further guidance, seeFrequently Asked Questions on IRS.gov. |
Provide a description of the applicant’s business. Files can be uploaded in Part 4, if additional space is needed. For further guidance, seeFrequently Asked Questions on IRS.gov. |
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| Part 1 Question | Instructions for WPs and WTs | |
|---|---|---|
| Description of new account opening procedures; including the procedure for admitting a new partner, benefciary, or owner (if additional space is required, you will be able to upload a fle before you submit the application) |
Provide a description of the procedures for admitting a new partner, benefciary, or owner. Files can be uploaded in Part 4, if additional space is needed. |
|
Has the applicant received any reportable amounts this year if applying after March 31st? |
Select the appropriate response. Only applicants that are FFIs may select “Yes.” A WP or WT that is a NFFE is not permitted to use documentary evidence to document its partners, benefciaries, or owners. A WP or WT that is an FFI is only permitted to use documentary evidence for its direct partners, benefciaries, or owners. “Know your customer rules” or “KYC rules” refers to the applicable laws, regulations, rules, and administrative practices and procedures governing the requirements of certain WPs or WTs that are FFIs to obtain documentation confrming the identity of the partners, benefciaries, or owners. A list of jurisdictions for which the IRS has received know- your-customer information and for which the know-your-customer rules and specifed documentation are acceptable is available at:https://www.irs.gov/ international-businesses/ |
|
| Responsible Offcer Information |
Enter the name and contact information of the responsible offcer. “Responsible offcer” means an offcer of the QI, WP, or WT with suffcient authority to fulfll the duties of a responsible offcer as described in the QI, WP, or WT agreement, including the requirements to periodically certify and to respond to requests by the IRS for additional information to review the QI’s, WP’s, or WT’s compliance. The RO may, but is not required to, be the same RO for purposes of the QI’s, WP’s, or WT’s compliance with its FATCA requirements (if applicable). If selecting “other” for country/ jurisdiction. For the United States, select a State/ made. |
|
| Contact person information |
Check the box to indicate the responsible offcer’s authorization of the contact person. For purposes of this question, the term “responsible offcer” means an individual who is authorized under local law to consent on behalf of the applicant (an “authorizing individual”) to the disclosure of QI/ individual may be the same as the individual identifed as the responsible offcer in this application. Once the authorization is granted, it is effective until revoked by either the contact person or by an authorizing individual of the applicant. |
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