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BSA EXEMPTION REVIEW FORM Initial Exemption Due Diligence or Annual Review Company Name Tax ID Number Street Address Account Number s City State Zip Nature of Business List trade name and street address of each business location depositing to and withdrawing from these accounts.

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How to fill out the Bsa Exemption Review Form Fillable online

This guide provides a step-by-step approach to filling out the Bsa Exemption Review Form Fillable online. Whether you are familiar with digital document management or new to it, this guide will help you navigate each section with ease.

Follow the steps to successfully complete the Bsa Exemption Review Form Fillable.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. Begin by entering your company name in the designated field. Ensure that the name matches your official business registration.
  3. Input your Tax ID Number, which is essential for identification and tax purposes.
  4. Fill in your street address, ensuring it is accurate to avoid any communication issues.
  5. Provide your account number(s) as requested, which will assist in processing your exemption review.
  6. Enter your city, state, and zip code in the appropriate fields.
  7. Describe the nature of your business, providing clear and concise information about your operations.
  8. List the trade name and street address of each business location that deposits to and withdraws from your accounts.
  9. If your entity is listed on a stock exchange or is a subsidiary of a listed entity, complete the Phase I exemption section by selecting the appropriate options and providing any necessary symbols or ownership explanations.
  10. For Phase II exemption, answer the three eligibility questions regarding transaction accounts, currency transactions, and document business activities by gross revenues.
  11. Indicate all eligible and ineligible activities based on the options provided. Ensure that the percentages add up correctly as per the guidelines.
  12. Finally, provide the required customer signature, title, and date where indicated.
  13. For bank use only, ensure that the account officer and branch details are completed after review, and attach any necessary documentation.
  14. Once all sections are completed, save your changes, and then download, print, or share the form as needed.

Complete your Bsa Exemption Review Form Fillable online today for a streamlined exemption process.

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The Money Laundering Suppression Act of 1994 established a two-phase exemption criteria. Under Phase 1, transactions conducted by banks, government departments or agencies, and listed public companies and their subsidiaries are exempt from CTR reporting.

Revocation of Exemption If the bank has improperly exempted accounts or ceases to treat a customer as exempt, it must begin filing CTRs on reportable transactions and may revoke the exemption by filing a DOEP report and checking the “Exemption Revoked” box.

Exemptions from CTR Reports First, a FI must make an initial designation of the customer as an “exempt person” by filing a Designation of Exempt Person report within thirty days of the customer becoming eligible for the exemption. FIs must retain documentation supporting eligibility for the CTR exemption.

The customers that the bank may exempt are called “exempt persons.” An exempt person may be a bank, government agency/government authority, listed company, listed company subsidiary, eligible non-listed business, or payroll customer.

Practicing law, accounting, or medicine. Auctioning of goods. Chartering or operation of ships, buses, or aircraft. Operating a pawn brokerage.

A bank must electronically file a Currency Transaction Report (CTR) for each transaction in currency1 (deposit, withdrawal, exchange of currency, or other payment or transfer) of more than $10,000 by, through, or to the bank.

Phase II defines an exempt entity as a non-listed business or payroll customer as long as certain criteria are met. A non-listed business is one that is not publicly traded on a major stock exchange.

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