Get Fl Dfs-j1-1004 2003-2025

The FL DFS-J1-1004 form serves as the Qualified Public Depository Annual Report to the Chief Financial Officer, detailing the necessary information about public deposits. This guide will help you fill out the form accurately and efficiently, ensuring compliance with financial regulations.

Follow the steps to complete the FL DFS-J1-1004 form online.

1. Click ‘Get Form’ button to access and open the FL DFS-J1-1004 form.
2. Provide the QPD’s full legal name and mailing address in the designated fields. Ensure that the information matches official documents to prevent any discrepancies.
3. Enter the QPD’s Federal Employer Identification Number (FEIN) in the specified section. This identifier is crucial for the validation of your submission.
4. Verify that you have completed the required annual confirmation for public depositors regarding all open Florida public deposit accounts. This includes reconciling any discrepancies found by November 30.
5. Ensure that you have executed and returned all Public Deposit Identification and Acknowledgment Forms as required. This confirms communication with public depositors.
6. Properly identify and uniquely code your deposit account records for all open Florida public deposit accounts. Ensure compliance with Chapter 280, Florida Statutes by reporting and collateralizing these accounts.
7. Include a listing of all Florida public depositors with accounts at your institution, even those with zero balances. If more space is needed, attach additional sheets as necessary.
8. Finally, attest to the information provided in the report by filling in the authorized signature for the QPD, along with the date, printed name, title, phone number, email address, and fax number.
9. After completing the form, you can save your changes, download a copy for your records, print the document, or share it as needed.

Complete your FL DFS-J1-1004 form online today to ensure timely compliance with reporting requirements.