Appendix I

Examples of the Completion of the FinCEN Currency Transaction Report (“CTR”) for
Transactions Involving Armored Car Services

1. Bank A – Single reportable transactions conducted by an armored car service on behalf of a

bank or on behalf of a bank’s customer

On the same business day, Bank A receives currency deposits for the accounts of two
accountholders, as follows:

1.1. Jack’s Restaurant is a large cash business that is a customer of Bank A. Bank A has
contracted with Armored Car Service One (“ACS One”) to pick up the cash from Jack’s
Restaurant and transport it to Bank A’s account with the Federal Reserve. ACS One picks up
$21,000 in cash from Jack’s Restaurant and delivers it to the Federal Reserve.
Bank A will complete the CTR reflecting this transaction as follows:
 Part I (1 of 1) will show Jack’s Restaurant’s corporate information, checking boxes 2c
(“Person on whose behalf transaction was conducted”) and “Check if entity,” and
inserting in item 21 the deposited amount ($21,000) and Jack Restaurant’s account
number.
 Part II will show the $21,000 deposited in section 25a, checking box 24 (“Armored Car
(FI Contract)”).
 Part III will contain Bank A’s information as the financial institution where transaction
took place.
The completed CTR is shown on pages 6 through 9 of this guidance.

1.2. Bob’s Warehouse is a large cash business that is a customer of Bank A. Bob’s Warehouse
has contracted with Armored Car Service One (“ACS One”) to pick up the cash from the
warehouse and transport it to Bank A for deposit into Bob’s Warehouse account. ACS One
picks up $21,000 in cash from Bob’s Warehouse and delivers the cash to Bank A.
Bank A will complete the CTR reflecting this transaction as follows:
 Part I (1 of 2) will show Bob’s Warehouse corporate information, checking box 2c
(“Person on whose behalf transaction was conducted”) and “Check if entity,” and
inserting in item 21 the deposited amount ($21,000) and Bob’s Warehouse account
number.
 Part I (2 of 2) will show ACS One’s corporate information, checking boxes 2d (“Courier
service (private)”) and “Check if entity,” and inserting in item 21 the amount delivered
by ACS One on behalf of Bob’s Warehouse ($21,000) and Bob’s Warehouse account
number.
 Part II will show the $21,000 deposited in section 25a.
 Part III will contain Bank A’s information as the financial institution where transaction
took place.
The completed CTR is shown on pages 10 through 14 of this guidance.

Even though ACS One made a currency delivery of $21,000 acting on behalf of a person
other than Bank A, no separate CTRs need to be filed on ACS One’s delivery.

5
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Currency Transaction Report Version Number: 1.2

OMB No. 1506-0064

Filing Name ACS Delivery O/B FI (1.1)

*1 Type of filing Initial report Correct/amend prior report FinCEN directed Backfiling

Document Control Number / BSA Identifier

Save Validate Print

By providing my PIN, I acknowledge that I am electronically signing the BSA report submitted.

Sign with PIN

 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 1 of 1 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

Unknown Jack's Restaurant
or entity's legal name

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Food Service Business

9a NAICS Code 722

*10 Address Unknown 123 Nice Lane

*11 City Unknown Washington

*12 State Unknown DC *13 ZIP/Postal Code Unknown 20005

*14 Country Unknown US

*15 TIN Unknown 456123987 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 2023536900 Ext.

19 E-mail address jack@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business Licsense

Number DC123456 Country US Issuing State DC

21 Cash in amount for individual or entity listed in Item 4 $ 21,000

Account number 123654

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 2 of 4
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Home

Part II Amount and Type of Transaction(s). Check all boxes that apply.

*23 Date of transaction 11/08/2012

24 Armored car (FI Contract) ATM Mail Deposit or Shipment Night Deposit Aggregated transactions

*25 CASH IN: (in U.S. dollar equivalent) *27 CASH OUT: (in U.S. dollar equivalent)

a Deposit(s) $ 21,000.00 a Withdrawal(s) $ .00

b Payment(s) .00 b Advance(s) on credit (including markers) .00

c Currency received for funds
transfer(s) out .00 c Currency paid from funds transfer(s) in .00

d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed .00

e Currency exchange(s) .00 e Currency exchange(s) .00

f Currency to prepaid access .00 f Currency from prepaid access .00

g Purchases of casinos chips, tokens g Redemption(s) of casino chips, tokens,
and other gaming instruments .00 TITO tickets and other gaming instruments .00
h Currency wager(s) including h Payment(s) on wager(s) (including race
money plays .00 and OTB or sports pool) .00
i Travel and complimentary expenses and
i Bills inserted into gaming devices .00 book gaming incentives .00
j Payment for tournament, contest or other
z Other (specify): promotions .00
z Other (specify):
.00

.00

Total Cash in $ 21,000.00 Total Cash out $ .00

Foreign Country
+ -
26 Foreign Cash in

Foreign Country
+ -
28 Foreign Cash out

Page 3 of 4
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part III Financial Institution Where Transaction(s) Takes Place 1 of 1 + -

*37 Type of financial institution Depository institution

Other (specify)

*29 Primary federal regulator Office of the Comptroller of the Currency (OCC)

38 If 37a - Casino/Card Club is checked, indicate type (check only one)

State licensed casino Tribal authorized casino Card club Other

*30 Legal name of financial institution Bank A

31 Alternate name, e.g. trade name, DBA

*32 EIN 112323366

*33 Address 1000 14th Street NW

*34 City Washington

*35 State DC

*36 ZIP Code 20005

39 Financial institution ID type Research, Statistics, Supervision and Discount (RSSD) number

ID number 12365422

*40 Contact office Compliance

*41 Phone number 2024563100 Ext.

*42 Date Filed (Date filed will be auto-populated when the form is signed.)

Page 4 of 4
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Currency Transaction Report Version Number: 1.2

OMB No. 1506-0064

Filing Name ACS Del. O/B Customer (1.2)

*1 Type of filing Initial report Correct/amend prior report FinCEN directed Backfiling

Document Control Number / BSA Identifier

Save Validate Print

By providing my PIN, I acknowledge that I am electronically signing the BSA report submitted.

Sign with PIN

 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 1 of 2 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Bob's Warehouse

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Storage Facility

9a NAICS Code 493

*10 Address Unknown 123 Nice Lane

*11 City Unknown Washington

*12 State Unknown DC *13 ZIP/Postal Code Unknown 20005

*14 Country Unknown US

*15 TIN Unknown 456123987 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 2023536900 Ext.

19 E-mail address bob@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business Licsense

Number DC123456 Country US Issuing State DC

21 Cash in amount for individual or entity listed in Item 4 $ 21,000

Account number 123654

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 2 of 5
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 2 of 2 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Armored Car Service One

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Armored Car Service

9a NAICS Code 4921

*10 Address Unknown 55 West Street

*11 City Unknown Washington

*12 State Unknown DC *13 ZIP/Postal Code Unknown 20010

*14 Country Unknown US

*15 TIN Unknown 654329874 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 2025551212 Ext.

19 E-mail address compliance@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business License

Number DC12456 Country US Issuing State DC

21 Cash in amount for individual or entity listed in Item 4 $ 21,000

Account number
+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 3 of 5
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Home

Part II Amount and Type of Transaction(s). Check all boxes that apply.

*23 Date of transaction 11/08/2012

24 Armored car (FI Contract) ATM Mail Deposit or Shipment Night Deposit Aggregated transactions

*25 CASH IN: (in U.S. dollar equivalent) *27 CASH OUT: (in U.S. dollar equivalent)

a Deposit(s) $ 21,000.00 a Withdrawal(s) $ .00

b Payment(s) .00 b Advance(s) on credit (including markers) .00

c Currency received for funds
transfer(s) out .00 c Currency paid from funds transfer(s) in .00

d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed .00

e Currency exchange(s) .00 e Currency exchange(s) .00

f Currency to prepaid access .00 f Currency from prepaid access .00

g Purchases of casinos chips, tokens g Redemption(s) of casino chips, tokens,
and other gaming instruments .00 TITO tickets and other gaming instruments .00
h Currency wager(s) including h Payment(s) on wager(s) (including race
money plays .00 and OTB or sports pool) .00
i Travel and complimentary expenses and
i Bills inserted into gaming devices .00 book gaming incentives .00
j Payment for tournament, contest or other
z Other (specify): promotions .00
z Other (specify):
.00

.00

Total Cash in $ 21,000.00 Total Cash out $ .00

Foreign Country
+ -
26 Foreign Cash in

Foreign Country
+ -
28 Foreign Cash out

Page 4 of 5
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part III Financial Institution Where Transaction(s) Takes Place 1 of 1 + -

*37 Type of financial institution Depository institution

Other (specify)

*29 Primary federal regulator Office of the Comptroller of the Currency (OCC)

38 If 37a - Casino/Card Club is checked, indicate type (check only one)

State licensed casino Tribal authorized casino Card club Other

*30 Legal name of financial institution Bank A

31 Alternate name, e.g. trade name, DBA

*32 EIN 112323366

*33 Address 1000 14th Street NW

*34 City Washington

*35 State DC

*36 ZIP Code 20005

39 Financial institution ID type Research, Statistics, Supervision and Discount (RSSD) number

ID number 12365422

*40 Contact office Compliance

*41 Phone number 2024563100 Ext.

*42 Date Filed (Date filed will be auto-populated when the form is signed.)

Page 5 of 5
2. Bank B – Multiple transactions aggregating to a reportable amount

On the same banking day, Bank B receives currency deposits for the accounts of five
accountholders, as follows:

2.1. Mr. Adams receives three deposits (for individual amounts in excess of $10,000) for a total
of $37,500 in currency: $11,000 is delivered by ACS One, an armored car service working
on behalf of Bank B; $15,000 is deposited by Mr. Adams himself; and the balance, $11,500,
is delivered by ACS Two, an armored car service acting on Mr. Adams’s behalf.

2.1.1. If Bank B is able to determine which armored car service transactions were conducted on
behalf of the bank and which ones were conducted on behalf of the bank’s customer,
Bank B will complete the CTR reflecting this transaction as follows:
 Part I (1 of 2) will show Mr. Adams’s personal information checking boxes 2a (“Person
conducting transaction on own behalf”) and 3 (“Multiple Transactions”), and inserting in
item 21 the total amount deposited ($37,500), and Mr. Adams’ account number.
 Part I (2 of 2) will show ACS Two’s corporate information checking boxes 2d (“Courier
service (private)”) and “Check if entity,” and inserting in item 21 the $11,500 delivered
by ACS Two on Mr. Adams’s behalf and Mr. Adams’s account number.
 Part II will show the total deposits of $37,500 in section 25a, checking box 24 (“Armored
Car (FI Contract)” to justify the $11,000 delivered by ACS One on Bank B’s behalf.
 Part III will contain Bank B’s information as the financial institution where transaction
took place.
Parts I and II of the completed CTR are shown on pages 16 through 19 of this guidance.

2.1.2. If Bank B is unable to determine which armored car service transactions were conducted
on behalf of the bank and which ones were conducted on behalf of the bank’s customer,
Bank B will complete the CTR reflecting this transaction as follows:
 Part I (1 of 3) will show Mr. Adams’s personal information, checking boxes 2a (“Person
conducting transaction on own behalf”) and 3 (“Multiple Transactions”), and inserting in
item 21 the total amount deposited ($37,500) and Mr. Adams’ account number.
 Part I (2 of 3) will show ACS Two’s corporate information, checking boxes 2d (“Courier
service (private)”) and “Check if entity,” and inserting in item 21 the $11,500 delivered
by ACS Two and Mr. Adams’s account number.
 Part I (3 of 3) will show ACS One’s corporate information, checking boxes 2d (“Courier
service (private)”) and “Check if entity,” and inserting in item 21 the $11,000 delivered
by ACS One and Mr. Adams’s account number.
 Part II will show the total deposits of $37,500 in section 25a.
 Part III will contain Bank B’s information as the financial institution where transaction
took place.
Parts I and II of the completed CTR are shown on pages 20 through 24 of this guidance.

15
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Currency Transaction Report Version Number: 1.2

OMB No. 1506-0064

Filing Name ACS Multi. Trans. (2.1.1)

*1 Type of filing Initial report Correct/amend prior report FinCEN directed Backfiling

Document Control Number / BSA Identifier

Save Validate Print

By providing my PIN, I acknowledge that I am electronically signing the BSA report submitted.

Sign with PIN

 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 1 of 2 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Adams

*5 First name Unknown John

6 Middle name A

Suffix

7 Gender Male
8 Alternate Name

9 Occupation or type of business Tax Preparation Services

9a NAICS Code 5412

*10 Address Unknown 120 North Street

*11 City Unknown Baltimore

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21022

*14 Country Unknown US

*15 TIN Unknown 987456552 16 TIN type SSN-ITIN

*17 Date of birth Unknown 11/10/1960

18 Contact phone number 4108952011 Ext.

19 E-mail address adam@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other

Number 745789152321 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 37,500

Account number 654321

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 2 of 5
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 2 of 2 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Armored Car Service Two

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Armored Car Service

9a NAICS Code 4921

*10 Address Unknown 55 Pratt Street

*11 City Unknown Baltimore

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21002

*14 Country Unknown US

*15 TIN Unknown 885512366 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 4105551212 Ext.

19 E-mail address ACS2@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business Licsense

Number MD456456456 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 11,500

Account number 654321

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 3 of 5
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Home

Part II Amount and Type of Transaction(s). Check all boxes that apply.

*23 Date of transaction 12/19/2012

24 Armored car (FI Contract) ATM Mail Deposit or Shipment Night Deposit Aggregated transactions

*25 CASH IN: (in U.S. dollar equivalent) *27 CASH OUT: (in U.S. dollar equivalent)

a Deposit(s) $ 37,500.00 a Withdrawal(s) $ .00

b Payment(s) .00 b Advance(s) on credit (including markers) .00

c Currency received for funds
transfer(s) out .00 c Currency paid from funds transfer(s) in .00

d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed .00

e Currency exchange(s) .00 e Currency exchange(s) .00

f Currency to prepaid access .00 f Currency from prepaid access .00

g Purchases of casinos chips, tokens g Redemption(s) of casino chips, tokens,
and other gaming instruments .00 TITO tickets and other gaming instruments .00
h Currency wager(s) including h Payment(s) on wager(s) (including race
money plays .00 and OTB or sports pool) .00
i Travel and complimentary expenses and
i Bills inserted into gaming devices .00 book gaming incentives .00
j Payment for tournament, contest or other
z Other (specify): promotions .00
z Other (specify):
.00

.00

Total Cash in $ 37,500.00 Total Cash out $ .00

Foreign Country
+ -
26 Foreign Cash in

Foreign Country
+ -
28 Foreign Cash out

Page 4 of 5
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Currency Transaction Report Version Number: 1.2

OMB No. 1506-0064

Filing Name ACS Multi. Trans. (2.1.2)

*1 Type of filing Initial report Correct/amend prior report FinCEN directed Backfiling

Document Control Number / BSA Identifier

Save Validate Print

By providing my PIN, I acknowledge that I am electronically signing the BSA report submitted.

Sign with PIN

 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 1 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

Unknown Adams
or entity's legal name

*5 First name Unknown John

6 Middle name A

Suffix

7 Gender Male
8 Alternate Name

9 Occupation or type of business Tax Preparation Services

9a NAICS Code 5412

*10 Address Unknown 120 North Street

*11 City Unknown Baltimore

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21022

*14 Country Unknown US

*15 TIN Unknown 987456552 16 TIN type SSN-ITIN

*17 Date of birth Unknown 11/10/1960

18 Contact phone number 4108952011 Ext.

19 E-mail address adam@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other

Number 745789152321 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 37,500

Account number 654321

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 2 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 2 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

Unknown Armored Car Service Two
or entity's legal name

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Armored Car Service

9a NAICS Code 4921

*10 Address Unknown 55 Pratt Street

*11 City Unknown Baltimore

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21002

*14 Country Unknown US

*15 TIN Unknown 885512366 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 4105551212 Ext.

19 E-mail address acs2@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business Licsense

Number MD458879622 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 11,500

Account number 654321

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 3 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 3 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

Unknown Armored Car Service One
or entity's legal name

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Armored Car Service

9a NAICS Code 4921

*10 Address Unknown 100 Lombard Street

*11 City Unknown Baltimore

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21666

*14 Country Unknown US

*15 TIN Unknown 368852111 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 4106661212 Ext.

19 E-mail address acs1@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business Licsense

Number MD3322554411 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 11,000

Account number 654321

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 4 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Home

Part II Amount and Type of Transaction(s). Check all boxes that apply.

*23 Date of transaction 12/19/2012

24 Armored car (FI Contract) ATM Mail Deposit or Shipment Night Deposit Aggregated transactions

*25 CASH IN: (in U.S. dollar equivalent) *27 CASH OUT: (in U.S. dollar equivalent)

a Deposit(s) $ 37,500.00 a Withdrawal(s) $ .00

b Payment(s) .00 b Advance(s) on credit (including markers) .00

c Currency received for funds
transfer(s) out .00 c Currency paid from funds transfer(s) in .00

d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed .00

e Currency exchange(s) .00 e Currency exchange(s) .00

f Currency to prepaid access .00 f Currency from prepaid access .00

g Purchases of casinos chips, tokens g Redemption(s) of casino chips, tokens,
and other gaming instruments .00 TITO tickets and other gaming instruments .00
h Currency wager(s) including h Payment(s) on wager(s) (including race
money plays .00 and OTB or sports pool) .00
i Travel and complimentary expenses and
i Bills inserted into gaming devices .00 book gaming incentives .00
j Payment for tournament, contest or other
z Other (specify): promotions .00
z Other (specify):
.00

.00

Total Cash in $ 37,500.00 Total Cash out $ .00

Foreign Country
+ -
26 Foreign Cash in

Foreign Country
+ -
28 Foreign Cash out

Page 5 of 6
2.2. Mr. Brown receives a total of $9,000 in currency delivered by ACS One acting on Mr.
Brown’s behalf. A CTR is not required as the total amount received does not exceed
$10,000.

2.3. Mr. Davis receives two deposits (individually in amounts exceeding $10,000) for a total of
$23,000 in currency: $10,500 is delivered by ACS Three acting on Mr. Davis’s behalf; the
balance, $12,500, is delivered by a third party, John Smith.
Bank B will complete the CTR reflecting this transaction as follows:
 Part I (1 of 3) will show Mr. Davis’s personal information, checking boxes 2c (“Person
on whose behalf transaction was conducted”) and 3 (“Multiple Transactions”), and
inserting in item 21 the total amount deposited ($23,000) and Mr. Davis’s account
number.
 Part I (2 of 3) will show ACS Three’s corporate information, checking boxes 2d
(“Courier service (private)”) and “Check if entity,” and inserting in item 21 the $10,500
delivered by ACS Three on Mr. Davis’s behalf and Mr. Davis’s account number.
 Part I (3 of 3) will show Mr. Smith’s personal information, checking box 2b (“Person
conducting transaction for another”), and inserting in item 21 the $12,500 delivered by
John Smith and Mr. Davis’s account number.
 Part II will show the total deposits of $23,000 in section 25a.
 Part III will contain Bank B’s information as the financial institution where transaction
took place.
Parts I and II of the completed CTR are shown on pages 26 through 30 of this guidance.

2.4. Mr. Edwards receives a total of $8,600 in currency delivered by ACS Three acting on Mr.
Edwards’s behalf. A CTR is not required, as the total amount received does not exceed
$10,000.

25
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Currency Transaction Report Version Number: 1.2

OMB No. 1506-0064

Filing Name ACS Multi. Trans. (2.3)

*1 Type of filing Initial report Correct/amend prior report FinCEN directed Backfiling

Document Control Number / BSA Identifier

Save Validate Print

By providing my PIN, I acknowledge that I am electronically signing the BSA report submitted.

Sign with PIN

 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 1 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Davis

*5 First name Unknown William

6 Middle name B

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Real Estate Broker

9a NAICS Code 5313

*10 Address Unknown 100 Dorsey Hall Drive

*11 City Unknown Columbia

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21044

*14 Country Unknown US

*15 TIN Unknown 258741000 16 TIN type SSN-ITIN

*17 Date of birth Unknown 09/20/1965

18 Contact phone number 4435551212 Ext.

19 E-mail address [Link]@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other

Number 258963215741 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 23,000

Account number 698523645

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Note: Field 7 (Gender) is an optional field that is required only if the FI has the information.

Page 2 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 2 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Armored Car Service Three

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Armored Car Service

9a NAICS Code 4921

*10 Address Unknown 555 West Street

*11 City Unknown Columbia

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21044

*14 Country Unknown US

*15 TIN Unknown 477523459 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 4105551212 Ext.

19 E-mail address acs3@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business Licsense

Number MD45876922 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 10,500

Account number 698523645

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 3 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 3 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Smith

*5 First name Unknown John

6 Middle name T

Suffix

7 Gender Male
8 Alternate Name

9 Occupation or type of business

9a NAICS Code

*10 Address Unknown 789 North Avenue

*11 City Unknown Columbia

*12 State Unknown MD *13 ZIP/Postal Code Unknown 21044

*14 Country Unknown US

*15 TIN Unknown 159151596 16 TIN type SSN-ITIN

*17 Date of birth Unknown 12/10/1970

18 Contact phone number Ext.

19 E-mail address

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other

Number 123659966 Country US Issuing State MD

21 Cash in amount for individual or entity listed in Item 4 $ 12,500

Account number 698523645

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 4 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Home

Part II Amount and Type of Transaction(s). Check all boxes that apply.

*23 Date of transaction 12/19/2012

24 Armored car (FI Contract) ATM Mail Deposit or Shipment Night Deposit Aggregated transactions

*25 CASH IN: (in U.S. dollar equivalent) *27 CASH OUT: (in U.S. dollar equivalent)

a Deposit(s) $ 23,000.00 a Withdrawal(s) $ .00

b Payment(s) .00 b Advance(s) on credit (including markers) .00

c Currency received for funds
transfer(s) out .00 c Currency paid from funds transfer(s) in .00

d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed .00

e Currency exchange(s) .00 e Currency exchange(s) .00

f Currency to prepaid access .00 f Currency from prepaid access .00

g Purchases of casinos chips, tokens g Redemption(s) of casino chips, tokens,
and other gaming instruments .00 TITO tickets and other gaming instruments .00
h Currency wager(s) including h Payment(s) on wager(s) (including race
money plays .00 and OTB or sports pool) .00
i Travel and complimentary expenses and
i Bills inserted into gaming devices .00 book gaming incentives .00
j Payment for tournament, contest or other
z Other (specify): promotions .00
z Other (specify):
.00

.00

Total Cash in $ 23,000.00 Total Cash out $ .00

Foreign Country
+ -
26 Foreign Cash in

Foreign Country
+ -
28 Foreign Cash out

Page 5 of 6
2.5. Mr. Foster receives three deposits (individually in amounts below $10,000) for a total of
$12,000 in currency; all deposits are delivered by armored car services acting on Mr. Foster’s
behalf: $3,000 is delivered by ACS One, $4,000 is delivered by ACS Two, and $5,000 is
delivered by ACS Three.
Bank B will complete the CTR reflecting this transaction as follows:
 Part I (1 of 1) will show Mr. Foster’s personal information, checking boxes 2c (“Person
on whose behalf transaction was conducted”) and 3 (“Multiple Transactions”), and
inserting in item 21 the total amount deposited ($12,000) and Mr. Foster’s account
number.
 Part II will show the total deposits of $12,000 in section 25a, checking box 24
(“Aggregated Transactions”).
 Part III will contain Bank B’s information as the financial institution where transaction
took place.
Parts I and II of the completed CTR are shown on pages 32 through 34 of this guidance.

During the same business day, acting on behalf of Bank B’s customers ACS One made total
currency deliveries for $12,000 ( Case 2.2 $9,000 and Case 2.5 $3,000 ), ACS Two made total
currency deliveries of $15,500 (Case 2.1.1. $11,500 and Case 2.5 $4,000), and ACS Three made
total currency deliveries of $24,100 (Case 2.3 $10,500, Case 2.4 $8,600, and Case 2.5 $5,000).
However, Bank B’s reporting obligation regarding transactions conducted by armored car
services on behalf of its customers is satisfied by filing a CTR aggregated by customer. Bank B
is not required to file additional, separate CTRs aggregating all armored car service
deliveries/pick-ups conducted on behalf of its customers on the same business day.

31
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Currency Transaction Report Version Number: 1.2

OMB No. 1506-0064

Filing Name ACS Aggregate Trans. (2.5)

*1 Type of filing Initial report Correct/amend prior report FinCEN directed Backfiling

Document Control Number / BSA Identifier

Save Validate Print

By providing my PIN, I acknowledge that I am electronically signing the BSA report submitted.

Sign with PIN

 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 1 of 1 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

Unknown Foster
or entity's legal name

*5 First name Unknown John

6 Middle name D

Suffix

7 Gender Male
8 Alternate Name

9 Occupation or type of business

9a NAICS Code

*10 Address Unknown 246 West Street

*11 City Unknown Laurel

*12 State Unknown NE *13 ZIP/Postal Code Unknown 79183

*14 Country Unknown US

*15 TIN Unknown 663589974 16 TIN type SSN-ITIN

*17 Date of birth Unknown 06/25/1970

18 Contact phone number 2467891236 Ext.

19 E-mail address [Link]@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other

Number 5569874563 Country US Issuing State NE

21 Cash in amount for individual or entity listed in Item 4 $ 12,000

Account number 98765321

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 2 of 4
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Home

Part II Amount and Type of Transaction(s). Check all boxes that apply.

*23 Date of transaction 12/19/2012

24 Armored car (FI Contract) ATM Mail Deposit or Shipment Night Deposit Aggregated transactions

*25 CASH IN: (in U.S. dollar equivalent) *27 CASH OUT: (in U.S. dollar equivalent)

a Deposit(s) $ 12,000.00 a Withdrawal(s) $ .00

b Payment(s) .00 b Advance(s) on credit (including markers) .00

c Currency received for funds
transfer(s) out .00 c Currency paid from funds transfer(s) in .00

d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed .00

e Currency exchange(s) .00 e Currency exchange(s) .00

f Currency to prepaid access .00 f Currency from prepaid access .00

g Purchases of casinos chips, tokens g Redemption(s) of casino chips, tokens,
and other gaming instruments .00 TITO tickets and other gaming instruments .00
h Currency wager(s) including h Payment(s) on wager(s) (including race
money plays .00 and OTB or sports pool) .00
i Travel and complimentary expenses and
i Bills inserted into gaming devices .00 book gaming incentives .00
j Payment for tournament, contest or other
z Other (specify): promotions .00
z Other (specify):
.00

.00

Total Cash in $ 12,000.00 Total Cash out $ .00

Foreign Country
+ -
26 Foreign Cash in

Foreign Country
+ -
28 Foreign Cash out

Page 3 of 4
3. Bank C - Armored car service delivering on behalf of a third party for the credit of the
account of a bank’s customer

3.1. Bank C receives a $20,000 delivery from Armored Car Service Four (ACS Four), acting on
instructions from a shipper, Mexican Casa de Cambio (Casa de Cambio Reynosa), to be
credited to the account of Mr. Green, the bank’s customer.
Bank C will complete the CTR reporting this transaction as follows:
 Part I (1 of 3) will show Mr. Green’s personal information, checking box 2c (“Person on
whose behalf transaction was conducted”), and inserting in item 21 the total amount
deposited ($20,000) and Mr. Green’s account number.
 Part I (2 of 3) will show ACS Four’s corporate information, checking boxes 2d (“Courier
service (private)”) and “Check if entity,” and inserting in item 21 the $20,000 delivered
by ACS Four on behalf of Casa de Cambio Reynosa and Mr. Green’s account number.
 Part I (3 of 3) will show Casa de Cambio Reynosa’s corporate information as an
additional person on whose behalf the same $20,000 was conducted, checking boxes 2c
(“Person on whose behalf transaction was conducted”) and “Check if entity,” and
inserting in item 21 the total amount deposited ($20,000)and Mr. Green’s account
number.
 Part II will show the total deposits of $20,000 in section 25a.
 Part III will contain Bank C’s information as the financial institution where transaction
took place.
The completed CTR is shown on pages 36 through 41 of this guidance.

Even though ACS Four made a currency delivery of $20,000 acting on behalf of a person
other than Bank C, no separate CTRs need to be filed on ACS Four’s delivery.

35
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Currency Transaction Report Version Number: 1.2

OMB No. 1506-0064

Filing Name ACS Del. O/B 3rd Pty (3.1)

*1 Type of filing Initial report Correct/amend prior report FinCEN directed Backfiling

Document Control Number / BSA Identifier

Save Validate Print

By providing my PIN, I acknowledge that I am electronically signing the BSA report submitted.

Sign with PIN

 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 1 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Green

*5 First name Unknown John

6 Middle name O

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business

9a NAICS Code

*10 Address Unknown 400 North Forty

*11 City Unknown McAllen

*12 State Unknown TX *13 ZIP/Postal Code Unknown 79415

*14 Country Unknown US

*15 TIN Unknown 668451236 16 TIN type SSN-ITIN

*17 Date of birth Unknown 05/10/1960

18 Contact phone number 2145551212 Ext.

19 E-mail address [Link]@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other

Number TX66554422 Country US Issuing State TX

21 Cash in amount for individual or entity listed in Item 4 $ 20,000

Account number 22558899

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Note: Field 7 (Gender) is an optional field that is required only if the FI has the information.

Page 2 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 2 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Armored Car Service Four

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business Armored Car Service

9a NAICS Code 4921

*10 Address Unknown 120 West Street

*11 City Unknown McAllen

*12 State Unknown TX *13 ZIP/Postal Code Unknown 79415

*14 Country Unknown US

*15 TIN Unknown 477253639 16 TIN type EIN

*17 Date of birth Unknown

18 Contact phone number 2145531212 Ext.

19 E-mail address acs4@[Link]

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other Business Licsense

Number TX45879622 Country US Issuing State TX

21 Cash in amount for individual or entity listed in Item 4 $ 20,000

Account number 22558899

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 3 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Part I Person Involved in Transaction 3 of 3 + -

Person conducting Person conducting Person on whose behalf
*2 a b c d Courier Service (private)
transaction on own behalf transaction for another transaction was conducted
3 Multiple transactions
Check If entity

*4 Individual's last name

or entity's legal name
Unknown Casa de Cambio "Reynosa"

*5 First name Unknown

6 Middle name

Suffix

7 Gender
8 Alternate Name

9 Occupation or type of business

9a NAICS Code

*10 Address Unknown 555 Venustiano Carranza

*11 City Unknown Reynosa

*12 State Unknown TAM *13 ZIP/Postal Code Unknown 8805

*14 Country Unknown MX

*15 TIN Unknown 16 TIN type

*17 Date of birth Unknown

18 Contact phone number Ext.

19 E-mail address

*20 Form of identification used to verify identity Unknown

Driver's license/State ID Passport Alien Registration Other

Number Country Issuing State

21 Cash in amount for individual or entity listed in Item 4 $ 20,000

Account number 22558899

+ -

22 Cash out amount for individual or entity listed in Item 4 $

Account number
+ -

Page 4 of 6
 WARNING: PRINTED VERSIONS OF THE BSA E-FILING FORMS ARE NOT FOR SUBMISSION
AND WILL NOT BE PROCESSED BY FINCEN.
Currency Transaction Report

Home

Part II Amount and Type of Transaction(s). Check all boxes that apply.

*23 Date of transaction 12/19/2012

24 Armored car (FI Contract) ATM Mail Deposit or Shipment Night Deposit Aggregated transactions

*25 CASH IN: (in U.S. dollar equivalent) *27 CASH OUT: (in U.S. dollar equivalent)

a Deposit(s) $ 20,000.00 a Withdrawal(s) $ .00

b Payment(s) .00 b Advance(s) on credit (including markers) .00

c Currency received for funds
transfer(s) out .00 c Currency paid from funds transfer(s) in .00

d Purchase of negotiable instrument (s) .00 d Negotiable instrument(s) cashed .00

e Currency exchange(s) .00 e Currency exchange(s) .00

f Currency to prepaid access .00 f Currency from prepaid access .00

g Purchases of casinos chips, tokens g Redemption(s) of casino chips, tokens,
and other gaming instruments .00 TITO tickets and other gaming instruments .00
h Currency wager(s) including h Payment(s) on wager(s) (including race
money plays .00 and OTB or sports pool) .00
i Travel and complimentary expenses and
i Bills inserted into gaming devices .00 book gaming incentives .00
j Payment for tournament, contest or other
z Other (specify): promotions .00
z Other (specify):
.00

.00

Total Cash in $ 20,000.00 Total Cash out $ .00

Foreign Country
+ -
26 Foreign Cash in

Foreign Country
+ -
28 Foreign Cash out

Page 5 of 6
41