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Form 8508-I                            Request for Waiver From Filing 
(Rev. November 2015)                                                                                                     OMB No. 1545-2246
                                       Information Returns Electronically
Department of the Treasury                                      (For Form 8966)
Internal Revenue Service      ▶  Information about Form 8508-I and its instructions is at www.irs.gov/form8508I
Note: Only the person required to file electronically can file Form 8508-I. A transmitter cannot file Form 8508-I for the payer, unless he or she has a 
power of attorney. If you have a power of attorney, attach a letter to the Form 8508-I stating this fact.
1   Type of submission        Original Reconsideration
2   Name of Filer

3   Number, street, and room or suite no. (if P.O. box, see instructions)

4a City or town                                           4b State/Province/Region                       4c Country (including postal code)

5   Global Intermediary Identification Number (GIIN)                               6 Taxpayer Identification Number (TIN)
                            .          .                  .

6a Filer Point of Contact (POC) Name                                               6b Filer POC Email

6c Filer POC Phone Number

7   Name of Sponsored Entity or Intermediary, if applicable 

8   Number, street, and room or suite no. (if P.O. box, see instructions)

9a City or town                                           9b State/Province/Region                       9c Country (including postal code)

10   GIIN                                                                11 TIN
                            .          .                  .

12   Is the entity identified on line 2 a participating FFI or a registered deemed-compliant FFI reporting a U.S. account for which it has reporting 
obligations as a condition of its applicable registered deemed-compliant FFI status?
     Yes
     No
13   Is this waiver requested for corrections only?       Yes   No
14   Check the appropriate reason for requesting this waiver, and provide the indicated documentation as attachments (see instructions).
          a) Undue hardship - Attach all of the following documentation: 
          c A description of the steps you have taken to meet the requirement to timely file the forms electronically and why the steps were 
             unsuccessful;
          c An estimate of the incremental cost of filing electronically;
          c A detailed computation supporting the above estimate, setting forth the cost of filing on paper and the cost of filing electronically;
          c The value of the entity's total assets at the end of the taxable year, as set forth on the applicable financial statements; and
          c The steps you will take to assure the ability to file future returns electronically.
          b) Chapter 7 bankruptcy - Attach a copy of the bankruptcy petition and an explanation of how bankruptcy will create an undue hardship on 
          filing Form 8966.
          c) Catastrophic event (e.g., natural disaster) - Attach supporting documentation including a statement describing the event, the date of the 
          event, and its effect on your ability to e-file.

Under penalties of perjury, I declare that I have examined this document, including any accompanying statements, and, to the best of my 
knowledge and belief, it is true, correct, and complete.
15   Signature                                            Title                                          Date

For Paperwork Reduction Act Notice, see page 3 of this form.                                    Cat. No. 67333S          Form 8508-I (Rev. 11-2015)



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Form 8508-I (Rev. 11-2015)                                                                                         Page 3

General Instructions                                         2 IGA. Waiver requests will be processed beginning 
                                                             January 1st of the calendar year the return is due.
Paperwork Reduction Act Notice. We ask for the 
information on this form to carry out the Internal Revenue   How to file
laws of the United  States. You are not required to          Mail to:  Internal Revenue Service 
provide the information requested on a form that is                  FATCA, Stop 6052 AUSC 
subject to the Paperwork Reduction Act unless the form               3651 South IH 35 
displays a valid OMB control number. Books or records                Austin, Texas 78741
relating to a form must be retained as long as their 
                                                             For further information concerning the filing of Form 8966 
contents may become material in the administration of 
                                                             to the IRS electronically refer to the current Publication 
any Internal Revenue law. Generally, tax returns and 
                                                             5124, Foreign Account Tax Compliance Act (FATCA) XML 
return information are confidential, as required by Code 
                                                             User Guide; Publication 5188, FATCA Metadata XML 
section 6103. 
                                                             Schema User Guide; and Publication 5190, International 
The time needed to provide this information would vary       Data Exchange Services User Guide, on how to populate 
depending on individual circumstances. The estimated         the fields for the electronic Form 8966. The following 
average time is:                                             address contains information regarding FATCA XML 
                                                             Schemas and Business Rules for Form 8966 
Learning about the law and the form         . . 12  min.
                                                             www.irs.gov/Businesses/Corporations/FATCA-XML-
Recordkeeping              . . . .  . . . . 3 hrs., 49 min.  Schemas-and-Business-Rules-for-Form-8966.
Preparing the form           . . .  . . . . . . 16  min.      Additional information concerning Form 8508-I can be 
                                                             )
If you have comments concerning the accuracy of              found on IRS.GOV at the following address www.irs.gov/
these time estimates or suggestions for making this form     Businesses/Corporations/Frequently-Asked-Questions-
simpler, we would be happy to hear from you. You can         FAQs-FATCA--Compliance-Legal.
                                                             )
write to the Internal Revenue Service, Tax Forms and         Penalty. If you are required to file electronically but fail to 
Publications Division, 1111 Constitution Ave. NW,            do so and you do not have an approved waiver on record, 
IR-6526, Washington, DC 20224.                               penalties under Code sections 6721 through 6724 may 
                                                             apply.
Do not send the forms to this office. Instead, see the 
instructions, later, on how to file.
                                                             Specific Instructions
When completing this form, type or print clearly in 
BLACK ink.                                                   Tip: For definitions of terms used in these instructions, 
Purpose of form. Use this form to request a waiver from      see the Instructions for Form 8966. 
filing Form 8966 electronically for the current tax year.    Line 1. Indicate the type of submission by checking the 
After evaluating your request, the IRS will notify you as to appropriate box. An original submission is your first 
whether your request is approved or denied.                  request for a waiver for the current year. A 
                                                             reconsideration indicates that you are submitting 
Who should file. Filers who are requesting a waiver from     additional information to the IRS that you feel may reverse 
filing Form 8966 electronically should file this form. See   a denial of an original request.
Treasury regulations section 301.1474-1(a). Submit a 
separate form for each filer that is requesting a waiver     Lines 2 through 4c. Enter the filer's name and complete 
from electronic filing. For purposes of this request, if you mailing address, including the country and postal code. 
are a Sponsoring Entity filing on behalf of your Sponsored   Use the name and address where you want 
Entities, you are the filer and should submit one request    correspondence sent. If the filer's post office does not 
for all of your Sponsored Entities listed on line 7. If you  deliver mail to a street address and the filer has a post 
are requesting a waiver from electronic filing of Form       office box, enter the filer's post office box number instead 
8966 both on behalf of yourself and with respect to          of the filer's street address. A Direct Reporting NFFE, a 
reporting on behalf of a Sponsored Entity, you must          Sponsoring Entity filing on behalf of a Sponsored FFI or a 
submit separate requests.                                    Sponsored Direct Reporting NFFE, or a trustee filing on 
                                                             behalf of a Trustee-Documented Trust must identify itself 
Note: Entities that are located in a Model 1 jurisdiction    as the filer and provide its identifying information on lines 
and reporting on behalf of themselves (or any entities that  2 through 4c. Sponsored FFIs, Sponsored Direct 
are reporting on behalf of another entity that is located in Reporting NFFEs, and Trustee-Documented Trusts are 
a Model 1 jurisdiction) may not request a waiver from        identified on line 7. 
electronic filing of Form 8966 from the IRS because they 
must report directly to the Model 1 jurisdiction's tax       Line 5. If the filer has been assigned a GIIN by the IRS, 
authority.                                                   enter it on line 5. A Sponsoring Entity or trustee filing on 
                                                             behalf of a Sponsored FFI, Sponsored Direct Reporting 
Filing Instructions                                          NFFE, or Trustee-Documented Trust, as applicable, 
                                                             should enter the GIIN it received when it registered as a 
When to file. You should file Form 8508-I at least 45 days   Sponsoring Entity or trustee, not a separate GIIN (if any) it 
before the due date of the Form 8966. Form 8966 is due       received when it registered as a PFFI or RDC FFI. A 
March 31 of the year following the reporting year, unless    Sponsoring Entity or trustee requesting a waiver from 
you are an FFI reporting under a Model 2 IGA with a          filing Form 8966 electronically on its own behalf should 
different reporting date specified in the applicable Model



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Form 8508-I (Rev. 11-2015)                                                                                            Page 4

enter the GIIN it received when it registered as a PFFI or     U.S. account for which it has reporting obligations as a 
RDC FFI.                                                       condition of its applicable registered deemed-compliant 
                                                               FFI status, check "Yes." Otherwise, check "No."
Line 6. If the filer has been assigned a U.S. TIN by the 
IRS, enter it on line 6. A filer is not required to obtain a   Line 13. Indicate whether or not this waiver is requested 
TIN in order to file Form 8508-I.                              for corrections only. If you request a waiver for original 
                                                               documents and it is approved, you will automatically 
Lines 6a through 6c. Enter the name, email, and phone          receive a waiver for corrections. However, if you can 
number of someone who is familiar with this request            submit your original returns electronically, but not your 
whom the IRS can contact if additional information is          corrections, a waiver must be requested for corrections 
required.                                                      only.
Lines 7 through 11.  Lines 7 through 11 only need to be        Line 14. Check the box to indicate the reason you are 
completed if the filer is a Sponsoring Entity or a trustee of  requesting a waiver from filing Form 8966 electronically 
a Trustee-Documented Trust. If there are multiple              and attach the documentation listed for that reason.
Sponsored Entities or Trustee-Documented Trusts, list 
each entity's information in an attachment.                    Note: Under Treasury regulations section 
                                                               301.6011-2(c)(2), “The principal factor in determining 
For lines 7 through 9c, enter the name and mailing             hardship will be the amount, if any, by which the cost of 
address, including country and postal code, of the             filing the information returns in accordance with this 
Sponsored FFI, Sponsored Direct Reporting NFFE, or             section exceeds the cost of filing the returns on other 
Trustee-Documented Trust.                                      media.”
Line 10. If the entity reported on line 7 is a Sponsored       Note: The cost estimate must reflect the total amount 
FFI, Sponsored Direct Reporting NFFE, or a                     that the service provider will charge for software, software 
Trustee-Documented Trust, enter the Sponsored Entity's         upgrades or programming for your current system, or 
or Trustee-Documented Trust's GIIN on line 10, if the          costs to produce your electronic file only. Cost estimates 
entity has obtained a GIIN.                                    from prior years will not be accepted.
Line 11. If the entity shown on line 7 has been issued a       Line 15. The waiver request must be signed by the filer or 
TIN, enter the TIN on line 11.                                 a person duly authorized to sign a return or other 
Line 12. If the entity identified on line 2 is a participating document on its behalf.
FFI or a registered deemed-compliant FFI reporting a






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