Form 15250: Nonbank Trustee/Custodian Status Notification

Form 15250 is a one-page IRS notice in which an organization reports its current status as a nonbank trustee or custodian. The form asks whether the organization continues to exist and serve in that role, no longer wants to serve and wishes to withdraw its Notice of Approval, or no longer exists.

The form also has a section for reporting a change to the organization's name, address or employer identification number (EIN) since its Notice of Approval was issued, or a difference from the information on the IRS published list. It is completed by the organization, not by an individual taxpayer, and is signed by a person who gives a printed name and title.

The PDF prints no separate instructions, mailing address or deadline. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of Form 15250: Nonbank Trustee/Custodian Status Notification, as printed by IRS

What's on Form 15250

Organization block

Spaces at the top for the organization's name, EIN, address, and city, state and ZIP code.

Section I: current status

Three statements about the organization's current status as a nonbank trustee or custodian: continues to serve, withdraws its Notice of Approval, or no longer exists.

Section II: changes

Statement 4, followed by the name, address and EIN as shown on the Notice of Approval or the IRS published list, beside the correct name, address and EIN.

Section III: signature

Signature, date, printed name and title, and telephone number.

How to fill out Form 15250

1
Organization details
Enter the organization's name, EIN and address in the block at the top of the form.
2
Section I
Choose the statement that gives the organization's current status: 1 to continue serving, 2 to withdraw the Notice of Approval effective immediately, or 3 if the organization no longer exists.
3
Section II
Complete it only if the name, address or EIN has changed or differs from the IRS published list. Select statement 4, then enter the details as shown on the Notice of Approval or published list and the correct details.
4
Section III
Sign and date the form, then enter the printed name and title of the person signing and a telephone number.

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Where it goes and what the form does not say

Who receives it

The form is a notification to the IRS. Statement 2 says the organization hereby notifies the IRS that it wishes to withdraw its Notice of Approval.

Address and deadline

The PDF prints no mailing address, fax number or deadline, and it has no separate instructions. The only web address it prints is www.irs.gov.

Withdrawal takes effect

Statement 2 says the withdrawal of the Notice of Approval is effective immediately.

Edition

The form prints April 2020 at the top and Form 15250 (4-2020) at the bottom of the page.

Who completes Form 15250?

Nonbank trustees and custodians that continue to serve
Statement 1 says the organization named on the form continues to exist and serve as a nonbank trustee or custodian.
Organizations withdrawing from the role
Statement 2 says the organization no longer wants to serve as a nonbank trustee or custodian and wishes to withdraw its Notice of Approval, effective immediately.
Organizations that no longer exist
Statement 3 says the organization named on the form no longer exists.
Organizations with changed details
Section II is for an organization whose name, address or EIN has changed since its Notice of Approval was issued, or differs from the IRS published list.

The form is written to an organization that holds a Notice of Approval as a nonbank trustee or custodian. It notifies the IRS.

Official sources and the blank

Official IRS form page
The agency’s own page for Form 15250.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form 15250

Is Form 15250 filed by individuals?

No. The form is completed for an organization named on it, about its status as a nonbank trustee or custodian.

What is a Notice of Approval on this form?

The form refers to the Notice of Approval issued to the organization as a nonbank trustee or custodian. Statement 2 is used to withdraw it.

When is Section II completed?

The form says to complete it if the organization's name, address or EIN has changed since the Notice of Approval was issued or differs from the IRS published list.

Where is Form 15250 sent?

The form notifies the IRS, but the PDF prints no mailing address or fax number. It has no separate instructions.

Form 15250: Nonbank Trustee/Custodian Status Notification