For official use only:

Customer Name Case Number

FS Form 5446 (revised September 2016) OMB No. 1535-0138

TreasuryDirect Offline Transaction Request

IMPORTANT: Follow instructions in filling out this form. You should be aware that the making of any false, fictitious, or
fraudulent claim or statement to the United States is a crime that is punishable by fine and/or imprisonment.
PRINT IN INK OR TYPE ALL INFORMATION

Use this form to request transactions that involve a TreasuryDirect account and cannot be completed online. If a . . .
Decedents estate is involved, see the Instructions for examples of when this form may or may not be used.
Change to an Entity Account or Entity Account Manager is involved, see the Instructions for additional
evidence that may be required.
Carefully read all of the Instructions before completing this form and complete only the parts of the form that apply to
the transaction(s) requested. Parts A and F must be completed for ALL transactions.

At a glance . . .
If you are the . . . and are requesting . . . then complete parts and also provide this evidence:
Change or correct account name A, E-1, and F
Account owner or parent of a Correct Social Security Number A, E-1, and F
None required.
minor account owner Correct date of birth A, E-1, and F
Remove hardlock A and F
Account owner or parent of a Transfer A, C, and F If the non-converting coowner or
minor account owner and the beneficiary is deceased, a
security is a restricted, certified copy of his or her death
converted security Edit A, D-1, and F
certificate.
Surviving secondary owner or Redemption A, B, and F
beneficiary, including non- A certified copy of the
converting coowner or decedents death certificate.
beneficiary Transfer A, C, and F

Non-converting coowner or
Edit registration A, D-1, and F None required.
beneficiary
Redemption A, B, and F
Legal representative or legal A certified copy of your letters of
guardian formally appointed by Transfer to a TreasuryDirect appointment, dated within one
the court and still acting Entity Account, financial A, C, and F year of submission.
institution, or broker
A certified copy of the legal
Person entitled to securities representative's or legal
due to distribution of an estate Redemption A, B, and F guardian's letters of appointment
by a legal representative or dated within one year of
restoration to competency or submission, certified copies of
attainment of majority when a death certificates for all
legal guardian has been Transfer to person(s) entitled A, C, and F deceased registrants, and a
formally appointed FS Form 1455 showing
distribution.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 1

 Redemption A, B, and F
A copy of the power of attorney
Transfer A, C, and F
document, containing the
Edit registration A, D-1, and F grantor's signature and
Attorney-in-fact
Change or correct account name A, E-1, and F witnessed or certified in
accordance with applicable state
Correct Social Security Number A, E-1, and F law.
Correct date of birth A, E-1, and F
Redemption A, B, and F A certified copy of the court
Person(s) entitled through
approved document authorizing
judicial proceedings Transfer to person(s) entitled A, C, and F the transaction.
Person entitled to securities
belonging to a decedents Redemption A, B, and F A certified copy of the
estate when a legal
decedents death certificate and
representative has not been/
properly completed FS Form
will not be appointed and the
Transfer to person(s) entitled A, C, and F 5336 showing distribution.
estate is not being settled in
accordance with state statute
Change or correct Entity
A, E-2, and F Copy of trust, corporate
Account information
resolution, letters of
Entity Account Manager or Change or correct Entity
A, E-2, and F appointment, death certificate,
new Entity Account Manager Account Manager information
etc., as applicable. See
Change or correct Entity
A, E-3, and F Instructions.
Account Manager
Copy of trust, corporate
resolution, letters of
Currently acting Entity Change of Entity Account
A, D-2, and F appointment, death certificate,
Account Manager Manager
etc., as applicable. See
Instructions.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 2

 Part A Reset Reset Form

Part A

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Account and Transaction Information

1. TreasuryDirect Account Information

TreasuryDirect Account Number:

TreasuryDirect Account Name:

Taxpayer Identification Number (SSN or EIN):

2. Transactions Requested (Check all that apply.)

Redemption of EE or I savings bonds held in Transfer of an EE or I savings bond from one TreasuryDirect
TreasuryDirect. account to another. Complete Part C-1.

Transfer of a Treasury bill, note, bond, FRN, or TIPS from one

Redeem C of I account.
TreasuryDirect account to another. Complete Part C-1.
Transfer of a Treasury bill, note, bond, FRN, or TIPS from
Edit the registration of existing EE or I savings bonds held
TreasuryDirect to a financial institution or brokerage firm for
in TreasuryDirect.
safekeeping or sale. Complete Part C-2.

Change or correct account owners name. Remove hardlock.

Change or correct Entity Account information. Other (specify).

Correct account owner's Social Security Number.

Change or correct Entity Account Manager information.

Correct account owner's date of birth.

3. Capacity of Applicant(s) (Check all that apply.) (Supporting evidence is often required; see the Instructions.)
Individual Account Owner
Entity Account Manager
Surviving secondary owner or beneficiary
Non-converting coowner or beneficiary

Legal representative of the estate of

Legal guardian of the estate of

Person(s) entitled as shown on FS Form 1455
Parent of a minor account owner
Attorney-in-fact
Person(s) entitled through judicial proceedings
Person(s) entitled to decedents estate as shown on FS Form 5336

Other (specify)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 3

 Part B Reset Reset Form

Part B

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Redeem EE or I Savings Bonds Held in TreasuryDirect

Complete a separate Part B for each separate redemption request and/or if the number of savings bonds to be redeemed
is more than can be described in the space provided.

I request redemption of the following EE or I savings bonds held in TreasuryDirect.

1. Description of Savings Bonds

Redeem ALL my savings bonds in the requested TreasuryDirect account.
Portion to be Redeemed
Confirmation Number
(If neither block is checked, redemption in FULL will be assumed.)
Redemption of security or C of I in FULL
OR
Redemption of security or C of I to the extent of $

Redemption of security or C of I in FULL

OR
Redemption of security or C of I to the extent of $

Redemption of security or C of I in FULL

OR
Redemption of security or C of I to the extent of $

2. Payee Information

(Name)

OR
(Social Security Number) (Employer Identification Number)
3. Direct Deposit Instructions
I request that the proceeds from the redemption be deposited to:

(Name[s] on the Account)

Type of Account: Checking Savings

(Depositor's Account No.)

Bank Routing No.:

(Financial Institution's Name) (Phone Number)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 4

 Part C-1 Reset RESET

Part C-1

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Transfer Securities from One TreasuryDirect Account to Another

Complete a separate Part C-1 for each separate transfer request and/or if the number of securities to be transferred is
more than can be described in the space provided.

I request/consent to transfer as indicated in Item 2 the following securities held in TreasuryDirect.

By submitting this form, I certify that I understand the securities described will be removed from my account and
transferred to the recipients TreasuryDirect account. I also understand the registration of the transferred securities will be
changed to show the owner of the account receiving the securities as the single owner.

If this is a savings bond transaction, I certify that this transfer is either for the purpose of making a gift or is in response to a
final judgment, court order, divorce decree, or property settlement agreement. (NOTE: When you buy savings bonds in
TreasuryDirect, you must hold them for at least five business days before you can transfer them to other accounts.)

If this is a marketable security transaction, I understand that all scheduled reinvestments related to this security/these
securities will be canceled at the time of the transfer.

NOTE: If you are requesting transfer of savings bonds to a trust, carefully read and complete Page 6.

TAX LIABILITY: I certify that I understand this transaction may be reported to the Internal Revenue Service and that this
transfer may result in a tax liability.

1. Description of Securities
Transfer ALL my securities in the requested TreasuryDirect account.
Portion to be Transferred
Confirmation Number
(If neither block is checked, transfer in FULL will be assumed.)
Transfer of security in FULL
OR
Transfer of security to the extent of $

Transfer of security in FULL

OR
Transfer of security to the extent of $

Transfer of security in FULL

OR
Transfer of security to the extent of $

Transfer of security in FULL

OR
Transfer of security to the extent of $

2. Transfer Instructions
Transfer security(ies) to:
TreasuryDirect Account Number:
TreasuryDirect Account Name:
Taxpayer Identification Number (SSN or EIN):
Mark this box if the transfer is between spouses or incident to a divorce.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 5

 Part C-1 Reset RESET
Part C-1 (continued)

3. TAX LIABILITY NOTICE (Carefully read before completing Item 4.)

Upon the transfer of savings bonds to a trust, you must include in your gross income any accumulated interest on the
bonds, if you have not already reported it, unless, under the grantor trust provisions of the Internal Revenue Code, you
are treated as the owner of the portion of the trust represented by any tax-deferred accumulated interest on the
transferred bonds. If you are treated as the owner of that portion, the accumulated interest continues to be your income
rather than that of the trust, and therefore, you may continue to defer reporting the interest earned each year. You must
include the total accumulated interest in your gross income when the bonds are disposed of or finally mature, whichever
is earlier. These rules apply when bonds being transferred are Series I bonds or Series EE bonds, if you are the owner
of the portion of the trust represented by the tax-deferred accumulated interest.
Generally, you will be treated as the owner of a trust that you have created to the extent that you retain certain powers
over or interests in the trust. For example, you will be treated as the owner of the portion of the trust represented by any
tax-deferred accumulated interest on the transferred bonds under the following circumstances:
(1) You will be treated as the owner of a trust to the extent that you have an unconditional power to revest in
yourself title to the trust assets. Thus, if you can, at your discretion, revoke all or part of the trust so that the
bonds will be returned to you, you will be treated as the owner of the portion of the trust represented by any
accumulated interest on the bonds.
(2) If the trust instrument provides that the transferred bonds or the proceeds from the redemption or disposition of
those bonds must be distributed to you or your spouse, or held or accumulated for future distribution to you or
your spouse, you will be treated as the owner of the portion of the trust represented by any accumulated
interest on the bonds. You will be treated as the owner in this circumstance irrespective of the terms of the
trust.
(3) You will be treated as the owner of a trust to the extent that you retain a power to control the beneficial
enjoyment of property transferred to a trust. Thus, if you retain, under the terms of the trust instrument, an
immediately exercisable power to determine, in your sole discretion, who will receive the bonds or the proceeds
from the redemption or disposition of the bonds, then you will be treated as the owner of the portion of the trust
represented by any accumulated interest.
The examples outlined above are illustrative only and they are not intended to cover all possible situations in which you
could be treated as the owner of a trust or a portion of a trust. Furthermore, events can occur, such as the renunciation
of a retained power or interest, which would cause you to cease being treated as the owner of a trust. If you are not
sure whether you will be treated as the owner of a trust, you may request a letter ruling from the Internal Revenue
Service. A request for a letter ruling should be sent to: Internal Revenue Service, ATTN: CC: DOM: CORP: T,
PO Box 7604, Ben Franklin Station, Washington, DC 20044.

If you have questions concerning the information to be submitted in connection with a letter ruling request, you may call
202-317-4782.
4. TAX LIABILITY STATEMENT (This section must be completed.)
You must mark box "a" or "b" to indicate if you are the owner of the portion of the trust represented.
(See TAX LIABILITY NOTICE above.)
Interest includes interest earned on EE or I bonds from the issue date until the date of transfer.
This statement will also apply to all future transactions requested by the same owner(s) or person(s) entitled to
the same trust.

For Federal income tax purposes:

a. I certify that I will be treated as owner of the portion of the trust represented by the tax-deferred accumulated
interest on the bonds being transferred. If this box is marked, the interest will be tax-deferred (interest will not
be reported to the Internal Revenue Service as a result of the transfer).
b. I certify that I will not be treated as owner of the portion of the trust represented by the tax-deferred
accumulated interest on the bonds being transferred. If this box is marked, interest will be reported to the
Internal Revenue Service for the taxable year in which the bonds were transferred to the trust. A 1099-INT will
be generated for the Social Security Number specified.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 6

 Part C-2 Reset RESET

Part C-2

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Transfer Treasury Bills, Notes, Bonds, FRNs, or TIPS

From TreasuryDirect to a Financial Institution or Brokerage Firm for Safekeeping or Sale

Complete a separate Part C-2 for each separate transfer request and/or if the number of securities to be transferred is
more than can be described in the space provided.

I request/consent to transfer out of TreasuryDirect the following Treasury bills, notes, bonds, FRNs, or TIPS, as
indicated in Item 2. I understand that all scheduled reinvestments related to this security/these securities will be canceled
at the time of the transfer.

1. Description of Securities
Transfer ALL my securities in the requested TreasuryDirect account.

Portion to be Transferred
Confirmation Number
(If neither block is checked, transfer in FULL will be assumed.)
Transfer of security in FULL
OR
Transfer of security to the extent of $

Transfer of security in FULL

OR
Transfer of security to the extent of $

Transfer of security in FULL

OR
Transfer of security to the extent of $

Transfer of security in FULL

OR
Transfer of security to the extent of $

2. Transfer to a Financial Institution or Brokerage Firm (does NOT apply to savings bonds)
I authorize the Treasury Department to remove the securities described on this page from my control within the
TreasuryDirect system and transfer them to the financial institution or brokerage firm designated below. I further understand
that this transaction may be rejected or its processing delayed, if I provided incorrect information and/or submitted the
transaction immediately prior to a Closed Book Period. I certify that I have the authority to request this transaction.

NOTE: Failure to provide any of the following information could delay the transfer. See instructions before completing.

Routing Number: Financial Institution Wire Name:

Agent or Broker Name: Agent or Broker Phone Number:
Agent or Broker Address:
Special Handling Instructions:

Mark this box if the transfer is between spouses or incident to a divorce.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 7

 Part D-1 Reset RESET

Part D-1

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Edit the Registration of Securities Held in TreasuryDirect

Complete a separate Part D-1 for each new registration requested and/or if the total number of securities being edited is
more than can be described in the space provided.

I request/consent to edit as indicated in Item 2 the registration of the following securities held in TreasuryDirect.
1. Description of Securities
Edit the registration of ALL my securities in the requested TreasuryDirect account.

CUSIP Number
Issue Date of Confirmation Number Registration
of Treasury Bills, Notes, Bonds,
EE and I FRNs, and TIPS

2. New Registration Requested

Owner/Primary Owner:
(First Name / Middle Name or Initial / Last Name)

Social Security Number: (required)

The following person is to be named as: Secondary owner

Beneficiary

Name:
(First Name / Middle Name or Initial / Last Name)

Social Security Number: (required)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 8

 Part D-2 Reset RESET

Part D-2

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Consent to Change the Entity Account Manager of a TreasuryDirect Account

Complete Part D-2 to consent to a change of Entity Account Manager for a TreasuryDirect account.

I ____________________________________ _________________________________ hereby authorize

(Name of Entity Account Manager consenting to the change)

the Bureau of the Fiscal Service, Parkersburg, West Virginia, to remove my personal information as the Entity

Account Manager for _______________________________ ___________________________________

(TreasuryDirect Entity Account Name)

and change the Entity Account Manager to ___________________ _____________________________

(Name of New Entity Account Manager)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 9

 Part E-1 Reset RESET

Part E-1

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Change or Correct Account Information

For an Individual TreasuryDirect Account

1. Change an Individual Account Owner's Name

I certify that the account owner's name has been legally changed by:

Marriage Divorce Adoption Naturalization Court order

Other (explain)

to .
(Furnish the New Legal Name)

2. Correct an Individual Account Owner's Name

I certify that the account owner's name is incorrectly shown on the account.

The account owner's correct legal name is: .

3. Correct an Individual Account Owner's Social Security Number

I certify that the account owner's Social Security Number is incorrectly shown on the account.

The account owner's correct Social Security Number is: .

4. Correct an Individual Account Owner's Date of Birth

I certify that the date of birth shown for the account owner on the TreasuryDirect account is incorrect and that the

account owner's correct date of birth is: .

(Month / Day / Year)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 10

 Part E-2 Reset RESET

Part E-2

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Change or Correct the Entity Account Information

1. Change Entity Account Name

I certify that the Entity Account name has changed to:

Provide an explanation for the change:

2. Correct Entity Account Name

I certify that the Entity Account name is incorrectly shown on the account.

The correct account name is:

3. Correct Entity Account Taxpayer Identification Number

I certify that the Entity Account Taxpayer Identification Number (EIN or SSN) is incorrectly shown on the account.

The correct account Taxpayer Identification Number is:

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 11

 Part E-2 Reset RESET

Part E-2 (continued)

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Change or Correct the Current Entity Account Manager Information

1. Change Entity Account Managers Name

I certify that the Entity Account Managers name has been legally changed by:

Marriage Divorce Naturalization Court order

Other (explain):

to:
(Furnish the New Legal Name)

2. Correct Entity Account Manager's Name

I certify that the Entity Account Manager's name is incorrectly shown on the account.

The correct Entity Account Manager's legal name is:

(First / Middle / Last)

3. Correct Entity Account Manager's Social Security Number

I certify that the Entity Account Manager's Social Security Number is incorrectly shown on the account.

The correct Entity Account Manager's Social Security Number is:

4. Correct Entity Account Manager's Date of Birth

I certify that the Entity Account Manager's date of birth is incorrectly shown on the account.

The Entity Account Manager's correct date of birth is: .

(Month / Day / Year)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 12

 Part E-3 Reset RESET

Part E-3

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Change Entity Account Manager New Manager Information

1. Account Manager Name:

(First Name / Middle Name or Initial / Last Name / Suffix)

2. Taxpayer Identification Number:

(Social Security Number of New Entity Account Manager)

3. Date of Birth:
(Month / Day / Year)

4. Street Address:

5. City: State: Zip Code:

6. Home Phone:
Work Phone:
Cell Phone:
7. Drivers License/State ID Number:
Issuing State:
Expiration Date:
8. E-mail Address:

9. Mailing Address (check one):

Use the Entity Address Use the Account Manager Address

In support of the Entity Account Manager change requested above, evidentiary documentation must also be provided to
explain why the change is being requested. For example, the evidence necessary may include a certified copy of:

the trust document, if a successor trustee will be the new account manager
a letter of resignation, if the current administrator, legal representative, or trustee resigned
the new partnership agreement, if a member left the partnership or is stepping down as the account manager
the corporate resolution or articles of organization, if the company reorganized or officers have changed
the letters of appointment, if a new guardian or legal representative has been appointed
a death certificate, if the current Entity Account Manager is deceased

NOTE: The current Entity Account Manager must complete Parts A and D-2 and sign in Part F. If he or she is unable to
sign, please provide evidence as to whyevidence such as a certified copy of a death certificate.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 13

 Part F Reset RESET

Part F

TreasuryDirect Account Name:

TreasuryDirect Account Number:

Signatures and Certifications

The undersigned certify under penalty of perjury that the information provided herein is true and correct to the best of our knowledge and belief
and agree to distribution of the securities as indicated. We bind ourselves, our heirs, legatees, successors and assigns, jointly and severally, to hold
the United States harmless on account of the transaction requested, to indemnify unconditionally and promptly repay the United States in the event of any
loss which results from this request, including interest, administrative costs, and penalties. We consent to the release of any information regarding this
transaction, including information contained in this application, to any party having an ownership or entitlement interest in the securities or checks.

You must wait until you are in the presence of a certifying officer to sign this form.
Certifying officers are available at banks, trust companies, and credit unions.
Certification by a notary public is NOT acceptable.

Sign Here:
(Signature) (E-mail Address)

(Mailing Address) (Daytime Phone No.)

Sign Here:
(Signature) (E-mail Address)

(Mailing Address) (Daytime Phone No.)

Instructions to Certifying Officer:

1. Name of person(s) who appeared and date of appearance MUST be completed.
2. Medallion stamps require an original signature.
3. Person(s) must sign in your presence. NOTE: To certify a second signature, use the next page.

I CERTIFY that , whose identity is known or was

(Name of Person Who Appeared)

proven to me, personally appeared before me this day of ,

(Month / Year)

at , and signed this form.

(City, State)

(Signature and Title of Certifying Officer)

(Name of Financial Institution)

(OFFICIAL STAMP
OR SEAL) (Address)

(City, State, ZIP Code)

(Telephone)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 14

I CERTIFY that , whose identity is known or was
(Name of Person Who Appeared)

proven to me, personally appeared before me this day of ,

(Month / Year)

at , and signed this form.

(City, State)

(Signature and Title of Certifying Officer)

(Name of Financial Institution)

(OFFICIAL STAMP
OR SEAL) (Address)

(City, State, ZIP Code)

(Telephone)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 15

 INSTRUCTIONS
Complete only the parts of the form that apply to the transaction(s) requested.
Use of Form Use this form to request transactions that involve a TreasuryDirect account and cannot be completed online.
Complete a separate FS Form 5446 for each TreasuryDirect account number.
If a decedents estate is involved, this form may be used ONLY in the following cases:
A legal representative has been appointed and is still acting and the legal representative wishes to redeem securities.
The legal representative must use a FS Form 1455 to distribute the securities to the persons entitled. The persons
entitled may then use this form to request transfer or payment of securities. In order to sell unmatured Treasury bills,
notes, bonds, FRNs, or TIPS, the security must be transferred to a financial institution or brokerage firm.
A legal representative has not been appointed to settle the decedents estate but the person entitled to the securities
wishes to request transfer or payment of securities. (Use an FS Form 5336 to distribute the securities to the person[s]
entitled if the redemption value of all securities owned by the decedent does not exceed $100,000. Estates with
securities valued over $100,000 must be formally administered through the court and an administrator, executor, or
similar representative appointed.) In order to sell unmatured Treasury bills, notes, bonds, FRNs, or TIPS, the security
must be transferred to a financial institution or brokerage firm.
If a decedents estate is involved, this form may NOT be used in the following cases:
The decedents estate was formally administered through the court and has been closed (use FS Form 5394).
The decedents estate is being settled in accordance with State statute such as Summary Administration, Small
Estates Acts, Texas Muniment of Title, Louisiana Judgment of Possession, etc., without the necessity of the court
appointing an administrator, executor, or similar legal representative (use FS Form 5394).
Part A Account and Transaction Information (Complete this part for ALL transactions.)
1. TreasuryDirect Account Information Provide the TreasuryDirect account number, account name, and Taxpayer
Identification Number (Social Security Number or Employer Identification Number).
2. Transactions Requested Mark the appropriate box to show the type of transaction requested. You can mark more
than one box, if multiple transactions are requested.
3. Capacity of Applicant(s) Mark the box that best describes the capacity in which you are acting. You can check more
than one box, if applicable. Provide any necessary evidence, as described below:
If you check this box . . . then you must also provide this evidence . . .
Individual Account Owner or parent of a minor
account owner, and the security is a restricted, If the non-converting coowner or beneficiary is deceased, a
converted security certified copy of his or her death certificate.

A copy of the evidence that establishes your authority to

request the transaction. If filed with a court, the evidence must
Entity Account Manager be under court seal. For example: copy of trust, corporate
resolution, letters of appointment, death certificate, etc., as
applicable.
Surviving secondary owner or beneficiary
A certified copy of the decedent's death certificate.
including non-converting coowner or beneficiary
A certified copy of your letters of appointment, dated within one
Legal representative
year of submission.
A certified copy of your letters of appointment, dated within one
Legal guardian
year of submission.
A certified copy of the legal representatives or legal guardians
letters of appointment dated within one year of submission,
Person(s) entitled as shown on FS Form 1455
certified copies of death certificates for all deceased registrants,
and a FS Form 1455 showing distribution.
A copy of the power of attorney document, containing the
Attorney-in-fact grantor's signature and witnessed or certified in accordance
with applicable State law.
Person(s) entitled through judicial proceedings
(The persons shown to be entitled are making this request in
connection with a legal proceeding or court order [such as A certified copy of the court approved document authorizing the
divorce decree, court-approved property settlement agreement, transaction.
levy, money judgment, bankruptcy proceeding] involving the
owner/primary owner of the securities in TreasuryDirect.)

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 16

 Person(s) entitled to decedent's estate as shown on A certified copy of the decedents death certificate and properly
FS Form 5336 completed FS Form 5336 showing distribution.
A copy of the evidence that establishes your authority to
Other request the transaction. If filed with a court, the evidence must
be under court seal.

Part B Redeem EE or I Savings Bonds Held in TreasuryDirect

1. Description of Savings Bonds Check the box to redeem all savings bonds or list the confirmation number for each
savings bond or C of I account that you are requesting redemption of in whole or in part. For each savings bond or C of I
account listed, indicate whether you are requesting redemption in full or in part by checking the appropriate box in the
column next to the security confirmation number. If you don't check either box, we will assume redemption in full is
desired.
If partial redemption of EE or I savings bonds or C of I account is requested, check the appropriate box and specify the
amount you are requesting be redeemed. You can request partial redemption of a bond as long as the amount that you
are requesting be redeemed is at least $25 and the redemption value of the remaining portion of the bond is not less than
$25. For example, you can request partial redemption of a bond that has a value of $67.12 to the extent of any amount
from $25 to $42.12. A bond must have a current redemption value of at least $50 before you can request partial
payment. All redemptions will be comprised of principal and a proportionate amount of interest.
Important Notices
Only original signatures will be accepted (stamped signatures are not acceptable).
If you are a corporation with a governing body, a resolution or a FS Form 1010 must accompany this form.
If any person signing this form is acting in a fiduciary capacity, failure to provide legal evidence may delay
processing.
This form will not be accepted with alterations or corrections.
2. Payee Information Furnish the name and taxpayer identification number of the payee. Furnish the Social Security
Number if the payee is an Individual. If payment is being requested to an estate and the IRS has assigned an Employer
Identification Number, provide that number.
3. Direct Deposit Instructions Furnish information on the bank account where the payment is to be direct deposited. All
payments must be made by direct deposit to a designated bank account.

All persons requesting redemption must sign in Part F of the form. If payment is to be deposited to a bank account in
the name of a different person, then that person or his or her representative, who can authorize such a deposit, must
also sign in Part F.

Parts C-1 and C-2 Transfer Securities

Part C-1 Transfer Securities from One TreasuryDirect Account to Another TreasuryDirect Account

1. Description of Securities Check the box to transfer all securities or list the confirmation number for each security that
you are requesting transfer of in whole or in part. For each security listed, indicate whether you are requesting transfer in
full or in part by checking the appropriate box in the column next to the security confirmation number; if you don't check
either box, we will assume transfer in full.

If partial transfer of EE or I savings bonds is requested, check the appropriate box and specify the amount you are
requesting be transferred. You can request partial transfer of a bond as long as the amount that you are requesting be
transferred is at least $25 and the redemption value of the remaining portion of the bond is not less than $25.
For example, you can request partial transfer of a bond that has a value of $67.12 to the extent of any amount from $25
to $42.12. A bond must have a current redemption value of at least $50 before you can request partial transfer. Transfer
will be comprised of principal and a proportionate amount of interest.
If partial transfer of Treasury bills, notes, bonds, FRNs, or TIPS is requested, check the appropriate box and specify the
amount you are requesting be transferred. Enter only the amount being transferred (in $100 increments) and list the
confirmation number. NOTE: The amount to be transferred and the amount remaining in the CUSIP must satisfy
both the minimum and multiple holding requirements for the security.
FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 17
2. Transfer Instructions:
TreasuryDirect Account Number Enter the number of the account to which the securities are being transferred.
If you are the legal representative of a decedents estate transferring securities to the person entitled, and he/she
does not have a TreasuryDirect account and does not wish to open one, show none in the space for the account
number.
TreasuryDirect Account Name Enter the account name or the name of the person entitled.
Taxpayer Identification Number Enter the Taxpayer Identification Number (Social Security Number or Employer
Identification Number) of the Individual or Entity entitled.
Mark this Box. If you dont mark this box, we will assume the transfer is neither between spouses nor incident to a
divorce.

3. Tax Liability Notice Carefully read this section before completing Item 4.

4. Tax Liability Statement After reading the Tax Liability Notice in Item 3, you must mark box "a" or "b" in Item 4. Mark
box "a" if you will be treated as the owner of the portion of the trust represented by the tax-deferred accumulated interest
on the bonds being transferred. Mark box "b" if you will NOT be treated as owner of the portion of the trust represented
by the tax-deferred accumulated interest on the bonds being transferred. Interest includes tax-deferred interest earned
on EE or I bonds from the issue date until the date of transfer.

Part C-2 Transfer Treasury Bills, Notes, Bonds, FRNs, or TIPS from TreasuryDirect to a Financial Institution or
Brokerage Firm for Safekeeping or Sale

1. Description of Securities Check the box to transfer all securities or list the confirmation number for each security that
you are requesting transfer of in whole or in part. For each security listed, indicate whether you are requesting transfer in
full or in part by checking the appropriate box in the column next to the security confirmation number; if you don't check
either box, we will assume transfer in full.
If partial transfer is requested, check the appropriate box and specify the amount you are requesting be transferred.
Enter only the amount being transferred (in $100 increments) and list the confirmation number. NOTE: The amount to
be transferred and the amount remaining in the CUSIP must satisfy both the minimum and multiple holding
requirements for the security.
2. Transfer Instructions Contact the financial institution for its book-entry delivery instructions. Please note: Securities
CANNOT be transferred to a checking or savings account. Provide the following information:
Routing Number ABA (identification) number of the financial institution receiving the securities.
Financial Institution Wire Name The institutions book-entry delivery instructions. Instructions include the receiving
banks name and safekeeping account number OR the receiving banks name and the brokerage firms name (these must
be in the approved telegraphic abbreviation short form).
Agent or Broker Name, Phone Number, Address.
Special Handling Instructions The customer name and account number at the financial institution for delivery of
securities and any other instructions required by your financial institution.
Mark this Box. If you dont mark this box, we will assume the transfer is neither between spouses nor incident to a
divorce.

Examples: To a financial institution for safekeeping: To a financial institution for transfer to a brokerage firm:
Routing Number: XXXXXXXXX Routing Number: XXXXXXXXX
Financial Institution Wire Name: ABC BK/TRUST Financial Institution Wire Name: ABC/CUST/BRKG
Special Handling Instructions: FURTHER CREDIT TO JOHN DOE Special Handling Instructions: FURTHER CREDIT TO JOHN DOE
TRUST ACCOUNT NUMBER XXXXXX BROKERAGE ACCOUNT NUMBER
XXXXXX
Note: All scheduled reinvestments will be cancelled at the time of transfer.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 18

Parts D-1 Edit the Registration of Securities Held in TreasuryDirect or Consent to Change the Entity Account
and D-2 Manager of a TreasuryDirect Account
Part D-1 Edit the Registration of Securities Held in TreasuryDirect

1. Description of Securities Check the box to edit the registration of all securities or describe the securities on which you
want to edit the registration.
2. New Registration Requested Provide the complete name and Social Security Number of the owner/primary owner.
The account owner must be named as the owner/primary owner in the registration of the securities held in his or her
TreasuryDirect account. If a secondary owner or beneficiary is to be shown in the registration, check the appropriate box
and provide the name and Social Security Number of the person to be shown as the secondary owner or beneficiary.

Part D-2 Consent to Change the Entity Account Manager of a TreasuryDirect Account
Name of the Entity Account Manager consenting to the change Enter the name of the currently acting Entity
Account Manager.
TreasuryDirect Entity Account Name Enter the name of the Entity (i.e., trust, partnership, corporation, deceased
estate) as it appears on the TreasuryDirect account.
Name of the new Entity Account Manager Enter the name of the individual who will be acting as the new Entity
Account Manager.
Sign the form in Part F in ink, in the presence of an authorized certifying officer.
The new Entity Account Manager will need to provide his or her personal information on Part E-3 of FS Form 5446 and join
in signing the form in Part F in the presence of an authorized certifying officer.

Parts E-1, E-2, and E-3 Change or Correct Account Information or Entity Account Manager Information
Part E-1 Change or Correct an Individual Account Information

The following information must be provided by the Individual Account Owner

1. Change an Individual Account Owner's Name Complete this item if the account owner's name has changed by
marriage, divorce, adoption, naturalization, court order, or some other valid reason. Indicate the manner by which the
name changed and furnish the account owner's new legal name. Evidence may be required.
2. Correct an Individual Account Owner's Name Complete this item if an error was made in the account owner's name
when the TreasuryDirect account was established. Furnish the account owner's correct legal name.
3. Correct an Individual Account Owner's Social Security Number Complete this item if an error was made in the
account owner's Social Security Number when the TreasuryDirect account was established. Furnish the account owner's
correct Social Security Number.
4. Correct an Individual Account Owner's Date of Birth Complete this item if an error was made in the account owner's
date of birth when the TreasuryDirect account was established. Furnish the account owner's correct date of birth.

Part E-2 Change or Correct Entity Account Information

The following information must be provided by the Entity Account Manager

1. Change Entity Account Name Complete this item if the name of the Entity has changed. Provide an explanation for
the name change.
2. Correct Entity Account Name Complete this item if the Entity Account name has been entered incorrectly.
3. Correct Taxpayer Identification Number Complete this item if the taxpayer identification number for the Entity was
entered incorrectly.

Change or Correct Current Entity Account Manager Information

The following information must be provided by the Entity Account Manager

1. Change Entity Account Managers Name Complete this item if the Entity Account Managers name has changed by

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 19

 marriage, divorce, adoption, naturalization, court order, or some other valid reason. Indicate the manner by which the
name changed and furnish the Entity Account Manager's new legal name. Evidence may be required.

2. Correct Entity Account Managers Name Complete this item if an error was made in the Entity Account Manager's
name when the TreasuryDirect account was established. Furnish the Entity Account Manager's correct legal name.

3. Correct Entity Account Managers Social Security Number - Complete this item if an error was made in the Entity
Account Manager's Social Security Number when the TreasuryDirect account was established. Furnish the Entity
Account Manager's correct Social Security Number.

4. Correct Entity Account Managers Date of Birth - Complete this item if an error was made in the Entity Account
Manager's date of birth when the TreasuryDirect account was established. Furnish the Entity Account Manager's correct
date of birth.

Part E-3 Change Entity Account Manager New Manager Information

The following information must be provided by the new Entity Account Manager

1. Account Manager Name Enter the new Entity Account Managers full name including suffix, if appropriate.

2. Taxpayer Identification Number Enter the new Entity Account Managers Social Security Number.

3. Date of Birth Enter the new Entity Account Managers date of birth.

4. Street Address Enter the new Entity Account Managers home street address.
5. City/State/Zip Code Enter the new Entity Account Managers home address city, state and zip code.

6. Phone Enter the home, work and cell telephone number for the new Entity Account Manager.

7. Drivers License/State ID Number Enter the drivers license or state ID number, including the issuing state and
expiration date, for the new Entity Account Manager.

8. E-mail Address Enter the e-mail address the new Entity Account Manager wishes to use to communicate with
TreasuryDirect. This e-mail address will be used for important messages from the TreasuryDirect system and for
communication from within the TreasuryDirect account.

9. Mailing Address Indicate the mailing address TreasuryDirect Customer Service should use if it is necessary to mail
correspondence to the new Entity Account Manager by postal mail.

The new Entity Account Manager must sign the form in Part F in the presence of an authorized certifying officer.

Part F Signatures and Certifications (Complete this part for ALL transactions.)
Signatures/Certifications Each applicant must appear before and establish identification to the satisfaction of an
authorized certifying officer and sign the application in the officer's presence. The officer must then complete the certification
form provided and imprint the seal or stamp required in certifying requests. For certifications within the United States, the
certifying officer must be authorized to bind his or her institution by his or her acts and guarantee signatures to assignments
of securities or certify assignments of securities. Certification by a notary isnt acceptable.
If you are a parent of a minor account owner, your signature certifies that you are requesting the transaction on the minors
behalf, for the minors benefit.
Acceptable seals and stamps:
The financial institutions official seal or stamp, including: Signature Guaranteed seal or stamp; Endorsement
Guaranteed seal or stamp; Corporate seal or stamp (a corporate resolution isnt 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.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 20

 Sample certification for a financial institution: Acceptable certification for a brokerage:
SIGNATURE GUARANTEED SIGNATURE GUARANTEED
ABC National Bank MEDALLION GUARANTEED
Hillview Branch Generic Brokerage

Authorized Signature Authorized Signature

XXXXXXXX
SECURITIES TRANSFER AGENTS MEDALLION PROGRAM
[Bar Code]

Additional Evidence The Commissioner of the Fiscal Service, as designee of the Secretary of the Treasury, reserves the
right, in any particular case, to require the submission of additional evidence.

Assembly of Form Complete and submit only the parts of the form that apply to the transaction(s) requested. Parts A and
F must be completed and submitted for all transactions. Multiple copies of any part may be completed and submitted
together, if necessary. Attach all completed parts together, in alphabetical order.

Where To Send Send all completed parts of the form, as well as any other forms and evidence, to:
Treasury Retail Securities Site
PO Box 7015
Minneapolis, MN 55480-7015

NOTICE UNDER PRIVACY ACT AND PAPERWORK REDUCTION ACT

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 30 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 the completed form to this address; send to the address shown in "Where To Send" in the Instructions.

FS Form 5446 Department of the Treasury | Bureau of the Fiscal Service 21