Form BQ-3

QUARTERLY REPORT TO FEDERAL RESERVE BANKS
Please type or print:

Name of Reporting Entity:

ID Number:

REPORT OF MATURITIES OF SELECTED LIABILITIES
AND CLAIMS OF
FINANCIAL INSTITUTIONS
WITH FOREIGN RESIDENTS

FORM BQ-3
DEPARTMENT OF THE TREASURY

Office of the Assistant Secretary for
International Affairs
(Draft 6/2013) Revised December 2013
Form Approved
OMB Control No. 1505-0189

As-of Date:

Legal basis and confidentiality statement:
Name of Contact if We Have
Questions:

Contact's Phone Number:

This report is required by law (22 U.S.C. 286f; 22 U.S.C. 3103; E.O. 11961; E.O. 10033;
31 C.F.R. 128.1 (a)). Failure to report can result in a civil penalty of not less than $2,500
and not more than $25,000. Willful failure to report can result in criminal prosecution and
upon conviction a fine of not more than $10,000; and, if an individual, imprisonment for not
more than one year, or both. Any officer, director, employee, or agent of any corporation
who knowingly participates in such violation may, upon conviction, be punished by a like

Important Notes:
1. Before preparing this report, please read
the General and Specific Instructions
carefully.

fine, imprisonment, or both (22 U.S.C. 3105 (a), (b), and (c); 31 C.F.R. 128.4 (a) and (b)).

Name and Title of Officer Authorized
to Sign Report:

Please read carefully and sign below:
I,

Data reported on these forms will be held in confidence by the Department of the Treasury,
the Board of Governors of the Federal Reserve System, and the Federal Reserve Banks
acting as fiscal agents for the Treasury. The data reported by individual respondents will
not be published or otherwise publicly disclosed; information may be given to other Federal
agencies, insofar as authorized by applicable law (44 U.S.C. 3501 et seq.; 22 U.S.C. 3101
et seq.). Aggregate data derived from reports on these forms may be published or
otherwise disclosed only in a manner that will not reveal the amounts reported by any
individual respondent.

(Signature of Officer Authorized to Sign Report)

of the reporting institution do hereby
declare that the Treasury International
Capital BQ-3 Report for this report date
has been prepared in conformance
with the instructions and is true to the
best of my knowledge and belief.

Note: No person is required to respond to any U.S. Government collection of information
unless the form displays a currently valid control number assigned by the Office of
Management and Budget (OMB).

2. Additional copies of this form, the
instructions, and the answers to
Frequently Asked Questions can be
obtained at the following web site:
www.ustreas.gov/tic/forms.html

3. This report should be filed no later
than the twentieth calendar day
following the last day of March, June,
September, and December.
4. Amounts should be reported in millions
of U.S.dollars as of the close of the last
business day of the month.

TIC Form BQ-3 Page 2 of 2

REPORT OF MATURITIES OF SELECTED LIABILITIES AND CLAIMS

Name of Reporting Entity:________________

ID Number:_________

As of Date:_________

PART 1: LIABILITIES TO FOREIGN RESIDENTS- REMAINING MATURITIES
Non-Negotiable Deposits & Brokerage
Balances
[reported on BL-1 (cols. 1,3,5) & BQ-2,
Part 1 (col. 1)]
CODE
Demand Deposits
Arrears
Non-Interest Paying Items Without a
Fixed Maturity Including Repos Under a
Continuing Contract
Other Items Without a Fixed Maturity
Including Repos Under a Continuing
Contract

8010-1

Other , 90 Days or Less

8051-9

Over 90 Days to 180 Days

8052-7

Over 180 Days to 270 Days

8053-5

Over 270 Days to 1 Year

8054-3

Over 1 Year to 2 Years
Over 2 Years

8055-1

Repurchase Agreements & Other
Liabilities [reported on BL-1 (cols.
2,4,6) & BQ-2, Part 1 (col. 2)]

Loan Liabilities Excluding Repurchase
Agreements
[reported on BL-1 (cols. 2,4,6) & BQ-2,
Part 1 (col. 2)]

GRAND TOTAL
(sum of columns 1 - 3

1

2

3

4

Millions

Millions

Millions

Millions

Resale Agreements & Other Claims
[reported on BC (cols. 3, 5) & BQ-2,
Part 1 (col. 4)]

Loan Claims Excluding Resale
Agreements
[reported on BC (cols. 3, 5) & BQ-2,
Part 1 (cols. 4)]

GRAND TOTAL
(sum of columns 1 - 3

8020-9
8030-6
8040-3

8057-8

PART 2: CLAIMS ON FOREIGN RESIDENTS- REMAINING MATURITIES
Non-Negotiable Deposits & Brokerage
Balances
[reported on BC (col. 1) & BQ-2, Part 1
(col. 3)]
CODE
Demand Deposits, Arrears, Resale
8139-6
Agreements Under Continuing Contract,
and Items With No Fixed Maturity
8143-4
Maturing in 1 Year or Less
8147-7
Maturing in Over 1 Year

1

2

3

4

Millions

Millions

Millions

Millions