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Deposit Broker's Processing Guide
VIII. Forms in Printable Format (Word and PDF)
Forms in Printable Format (Word and PDF)
Title of Form Word Format
(Word Help)
PDF Format
(PDF Help)
Affidavit of Agency Account Word 156k PDF 28k
Declaration for Custodian Deposit Word 41k PDF 45k
Declaration for Defined Benefit Plan Word 46k PDF 43k
Declaration for Defined Contribution Plan Word 55k PDF 37k
Declaration for Health and Welfare Plan Word 43k PDF 45k
Declaration of Independent Activity Word 51k PDF 34k
Declaration of Independent Activity
for Unincorporated Association
Word 54k PDF 36k
Declaration for IRA/KEOGH Deposit Word 41k PDF 34k
Declaration for Joint Ownership Deposit Word 52k PDF 41k
Declaration for Plan and Trust Word 46k PDF 46k
Declaration for Power of Attorney Word 35k PDF 19k
Declaration for Government Deposit Word 52k PDF 35k
Declaration for Testamentary Deposit Word 63k PDF 43k
Declaration for Revocable Trust Word 69k PDF 35k
Declaration for Irrevocable Trust Word 77k PDF 35k
Deposit Broker Submission Checklist Word 58k PDF 19k
Power of Attorney Word 41k PDF 19k
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Last Updated 7/3/2014 bdclaims@fdic.gov