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Notice to Financial Institutions (7/27/04)

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Contents:

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CTR Form (replaces Form 4789 effective December 1, 2003):
      FinCEN Form 104 - Currency Transaction Report

         (form and instructions)

         (IRS Form 4789 will continue to be accepted until August 31, 2004.
        FinCEN Form 104 is a fill-in form using Adobe Reader 5.0 or higher
        software.)


         Specifications for Magnetic Media Filing of Currency Transaction
         Reports and Designation of Exempt Persons

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SAR-C Form (replaces Form TD F 90-22.49):
      FinCEN Form 102 - Suspicious Activity Report by Casinos and

         Card Clubs (form only)
         FinCEN Form 102a - Suspicious Activity Report by Casinos and
         Card Clubs (instructions only)
         Specifications for Magnetic Media Filing of Suspicious Activity
         Report by Casinos and Card Clubs

NOTE: These forms have automated functions that require "Adobe Reader 6.0." Click on the "Adobe" icon above or go to www.adobe.com to download this free updated software.

SAR-SF Form (Revised 4/9/2004):
      FinCEN Form 101 - Suspicious Activity Report by the Securities and
      Futures Industries (SAR-SF Fill-in form only)
      FinCEN Form 101a - Suspicious Activity Report by the Securities and
      Futures Industries (instructions only)
      Specifications for Magnetic Media Filing of Suspicious Activity Report
      by the Securities and Futures Industries


NOTE: This form has automated functions that require "Adobe Reader 6.0." Click on the "Adobe" icon above or go to www.adobe.com to download this free updated software.

This revision incorporates Future Commission Merchants (FCMs) and Introducing Brokers- Commodities (IBs) into the SAR-SF instructions, FinCEN Form 101a. This is effective 5/18/2004. There are no changes to the form SAR-SF (FinCEN Form 101) or current reporting requirements.

IRS-DCC Contacts, BSA Form Filing Addresses, and How to Obtain BSA Forms

Standard Country/State Abbreviation Codes

TD F 90-22.55 Registration of Money Services Business
             (MSB Registration Fill-in Version)

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New SAR-MSB Form:
TD F 90-22.56 Suspicious Activity Report by Money Services Business
(SAR-MSB Fill-in form only)
TD F 90-22.56A SAR - MSB Continuation Sheet
(SAR-MSB Continuation Sheet Fill-in Version)
TD F 90-22.56B SAR - MSB Instructions
Specifications for Magnetic Media Filing of Suspicious Activity Report
by Money Services Business

TD F 90-22.53 Designation of Exempt Person
         (DEP Fill-in Version)

Magnetic Media Filing of Currency Transaction Reports (CTRs)
and Designation of Exempt Person Forms
(Rev. 7/2004)


FinCEN Form 103 Currency Transaction Report by Casinos (CTRC)
         (CTRC Fill-in Version)
         (CTRC Magnetic Media Specifications)

FinCEN Form 103-N Currency Transaction Report by Casinos - Nevada (CTRC-N)
          (CTRC-N Fill-in Version)                    

New TDF 90-22.47 (SAR for Depository Institutions)
For use beginning July 1, 2003. Previous versions of SAR form will not be accepted after December 31, 2003.
          (SAR Fill-in Form)
          (SAR Preparation Guidelines - Word 97, PDF)
          (SAR Software Version 5.1 - This new version of the SAR software
          corrects errors experienced by Windows XP users.)
          (SAR Magnetic Media Specifications)

FinCEN Form 105 (formerly Customs 4790), Report of International Transportation of Currency or Monetary Instruments (CMIR)
This is a fill-in form.

TD F 90-22.1 Report of Foreign Bank and Financial Accounts (FBAR)
               (FBAR Fill-in Version)

FinCEN Form 8300 (December 2001) - Report of Cash Payments Over $10,000 Received in a Trade or Business
               (Form 8300 Fill-in Version)


 

New icon

CTR Form (replaces Form 4789 effective December 1, 2003):
      FinCEN Form 104 - Currency Transaction Report

         (form and instructions)

         (IRS Form 4789 will continue to be accepted until August 31, 2004.
        FinCEN Form 104 is a fill-in form using Adobe Reader 5.0 or higher
        software.)


         Specifications for Magnetic Media Filing of Currency Transaction
         Reports and Designation of Exempt Persons

Each financial institution (other than casinos, which instead must file Form 103 CTRC) must file Form 104 (CTR) for each deposit, withdrawal, exchange of currency or other payment or transfer, by, through or to the financial institution which involves a transaction in currency of more than $10,000. Full instructions accompany this download. See below for information on magnetic media filing of CTRs.


 

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FinCEN Form 102 - Suspicious Activity Report by Casinos and Card Clubs (SAR-C Fill-in form only)
FinCEN Form 102a - Suspicious Activity Report by Casinos and Card Clubs (SAR-C instructions only)
Specifications for Magnetic Media Filing of Suspicious Activity Report by Casinos and Card Clubs

Every reporting casino and card club must file a Suspicious Activity Report by Casinos and Card Clubs (FinCEN 102 Form) for any suspicious transaction relevant to a possible violation of law or regulation.

NOTE: These forms have automated functions that require "Adobe Reader 6.0." Click on the "Adobe" icon above or go to www.adobe.com to download this free updated software.

Required Magnetic Media Filing Forms and Information Attachments for All Forms

 

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FinCEN Form 101 - Suspicious Activity Report by the Securities and Futures Industries (Revised 4/9/2004) (SAR-SF Fill-in form only)
FinCEN Form 101a - Suspicious Activity Report by the Securities and Futures Industries (SAR-SF instructions only)
Specifications for Magnetic Media Filing of Suspicious Activity Report by the Securities and Futures Industries

Securities and futures industries are required to report suspicious activity by filing the SAR-SF (FinCEN Form 101).

This revision incorporates Future Commission Merchants (FCMs) and Introducing Brokers-Commodities (IBs) into the SAR-SF instructions, FinCEN Form 101a. This is effective 5/18/2004. There are no changes to the form SAR-SF (FinCEN Form 101) or current reporting requirements.

Required Magnetic Media Filing Forms and Information Attachments for All Forms


 

IRS-DCC Contacts, BSA Form Filing Addresses, and How to Obtain BSA Forms

Provides IRS-Detroit Computing Center (DCC) Hotline and Help Desk telephone numbers to contact for questions regarding BSA forms as well as addresses for filing BSA forms and How to Obtain BSA forms.


 

Standard Country/State Abbreviation Codes

Provides standard country and state codes for use in filing BSA forms.


 

TD F 90-22.55 Registration of Money Services Business (MSB)
           (MSB Registration Fill-in Version)

Each money services business, except one that is a money services business solely because it serves as an agent of another money services business, must register by filing form TD F 90-22.55. See 31 CFR 103.11(n) and (uu) for definitions of money services businesses.


TD F 90-22.56 Suspicious Activity Report by MSB
(SAR-MSB Fill-in form only)
TD F 90-22.56A SAR - MSB Continuation Sheet
(SAR-MSB Continuation Sheet Fill-in Version)
TD F 90-22.56B SAR - MSB Instructions
Specifications for Magnetic Media Filing of Suspicious Activity Report by Money Services Business

MSBs that are money transmitters or issuers, sellers or redeemers of money orders or traveler's checks are required to report suspicious activity by filing the SAR-MSB Form.

FinCEN is releasing the technical standards for the Suspicious Activity Report by Money Services Business form to be used by MSBs filing by means of magnetic media.

Required Magnetic Media Filing Forms and Information Attachments for All Forms


Form TD F 90-22.53 Designation of Exempt Person (DEP)
          (Fill-in Version)

The "Designation of Exempt Person" Form is designed to help depository institutions use FinCEN's reformed CTR Exemption rules to reduce significantly the burden of large currency transaction reporting. Banks, thrifts, and credit unions can use the rules and the Form to eliminate the reporting obligation for transactions by most business customers with routine needs for currency.

See below for information on magnetic media filing of Designation of Exempt Person forms.


Magnetic Media Filing of Currency Transaction Reports (CTRs) and Designation of Exempt Person Forms

FinCEN is releasing the latest version of the technical standards for both the Currency Transaction Report and the  Designation of Exempt Person form to be used by financial institutions filing by means of magnetic media.  These technical standards were developed by the Detroit Computing Center, to which all magnetic media filings are sent, and are intended to be used by magnetic media filers beginning immediately.  In addition to updates as a result of the Designation of Exempt Person form, there are also updates to the country code lists, the list of most commonly asked questions, and other sections.

Entire Magnetic Media Filing Specification Package for CTR and Designation of Exempt Persons (2004)


Required Magnetic Media Filing Forms and Information Attachments for All Forms

SAR-SF Magnetic Media Filing Specifications

SAR-C Magnetic Media Filing Specifications

SAR-MSB Magnetic Media Filing Specifications

Declaration Statement Form (Page 1)
Declaration Statement Form (Page 2)
Declaration Statement Form (Page 3)
Fill-in Form Declaration Statement Form (Pages 1-3)

Form DCC-4419  Application for Magnetic Media Reporting of Currency Transactions (Page 1)
Form DCC-4419  Application for Magnetic Media Reporting of Currency Transactions (Page 2)
Fill-in Form DCC-4419  Application for Magnetic Media Reporting of Currency Transactions (Page 1)

Form 4800-DC  CTR Magnetic Media Reporting Instructions

Form DCC-4804  Transmittal of Magnetic Media Reporting of Currency Transactions (Page 1)
Form DCC-4804  Transmittal of Magnetic Media Reporting of Currency Transactions (Page 2)
Form DCC-4802  Transmittal for Multiple Magnetic Media Reporting of Currency Transactions (continuation of Form DCC-4804)


FinCEN Form 103 Currency Transaction Report by Casinos (CTRC)
        (Fill-in Version)

Each casino must file FinCEN Form 103 for each deposit, withdrawal, exchange of currency or gambling tokens or chips, or other payment or transfer, by, through or to such casino which involves a transaction in currency of more than $10,000. Full instructions accompany this download.

FinCEN is releasing the technical standards for the Currency Transaction Report by Casinos form to be used by casinos filing by means of magnetic media.

Specifications for Magnetic Media Filing of the Currency Transaction Report by Casinos

Required Magnetic Media Filing Forms and Information Attachments for All Forms


FinCEN Form 103-N Currency Transaction Report by Casinos - Nevada (CTRC-N)
         (Fill-in Version)

Each Nevada casino must file a form 103-N for each deposit, withdrawal, exchange of currency or gambling tokens or chips, or other payment or transfer, by, through or to such casino which involves a transaction in currency of more than $10,000.  Full instructions accompany this download.


New TD F 90-22.47 (SAR for Depository Institutions)
For use beginning July 1, 2003. Previous versions of SAR form will not be accepted after December 31, 2003.
          (SAR Fill-in Form)
          (SAR Preparation Guidelines - Word97, PDF)
          (SAR Software Version 5.1 - This new version of the SAR software
          corrects errors experienced by Windows XP users.)
          (SAR Magnetic Media Specifications)

All financial institutions operating in the United States, including insured banks, savings associations, savings association service corporations, credit unions, bank holding companies, non-bank subsidiaries of bank holding companies, Edge and Agreement corporations, and U.S. branches and agencies of foreign banks are required to make this report following the discovery of: insider abuse involving any amount, violations aggregating $5,000 or more where a suspect can be identified, violations aggregating $25,000 or more regardless of a potential suspect, or transactions aggregating $5,000 or more that involve potential money laundering or violations of the Bank Secrecy Act. Full instructions accompany this download.


FinCEN Form 105 (formerly Customs 4790), Report of International Transportation of Currency or Monetary Instruments (CMIR)
This is a fill-in form.

Each person who physically transports, mails, or ships, or causes to be physically transported, mailed, shipped or received currency or other monetary instruments in an aggregate amount exceeding $10,000 on any one occasion from the United States to any place outside the United States, or into the United States from any place outside the United States must file FinCEN Form 105 (CMIR). Full instructions accompany this download.


Form TD F 90-22.1 Report of Foreign Bank and Financial Accounts (FBAR)             (FBAR Fill-in Version)

Each United States person who has a financial interest in, or signature authority over, any financial accounts including bank, securities or other types of financial accounts, in a foreign country must report that relationship by filing an FBAR if the aggregate value of these financial accounts exceeds $10,000 at any time during the calendar year. The deadline to file the FBAR with the Department of the Treasury for each calendar year is on or before June 30th of the following year. The term "United States person" means a citizen or resident of the United States, domestic partnership, domestic corporation, or a domestic estate or trust. Full instructions accompany this download.


FinCEN Form 8300 (December 2001) - Report of Cash Payments Over $10,000 Received in a Trade or Business
            (Form 8300 Fill-in Version)

Each person engaged in a trade or business who, in the course of that trade or business, receives more than $10,000 in cash in one transaction or in two or more related transactions, must file Form 8300.


BSA Fill-in Forms Instructions

Download the form. These download versions allow for direct keying and printing from your desktop/PC.  Your web browser may be configured with an Acrobat plug-in to automatically open the file within your browser's window upon download.  To download the file directly to disk, right click on one of the hyperlink titles below (SAR-C, SAR-SF, MSB Registration, SAR-MSB, SAR-MSB Continuation Sheet, CTR, DEP, CTRC, CTRC-N, SAR, CMIR, FBAR or FinCEN Form 8300) then select "Save Target/Link As..". Note: Download the most current version of Adobe Acrobat Reader to view and print these forms. Fill-in forms may not view or fill-in properly using older versions of Adobe Acrobat Reader.

SAR-C : Fill-in Version of FinCEN Form 102 - Suspicious Activity Report by Casinos and Card Clubs (SAR-C Form Only)

SAR-C : FinCEN Form 102a - Suspicious Activity Report by Casinos and Card Clubs (SAR-C Instructions Only)

SAR-SF : Fill-in Version of FinCEN Form 101 - Suspicious Activity Report by Securities and Futures Industries (SAR-SF Form Only)

MSB Registration : Fill-in Version of FinCEN Form TD F 90-22.55 - Registration of Money Services Businesses

SAR-MSB : Fill-in Version of FinCEN Form TD F 90-22.56 Suspicious Activity Report by Money Services Businesses (SAR-MSB)

SAR-MSB Continuation Sheet : Fill-in Version of FinCEN Form TD F 90-22.56a - Suspicious Activity Report by Money Services Businesses (SAR-MSB) Continuation Sheet

CTR : Fill-in Version of FinCEN Form 104 - Currency Transaction Report (CTR)

DEP : Fill-in Version of Form TD F 90-22.53 - Designation of Exempt Person (DEP)

CTRC : Fill-in Version of FinCEN Form 103 - Currency Transaction Report by Casinos (CTRC)

CTRC-N : Fill-in Version of FinCEN Form 103-N - Currency Transaction Report by Casinos - Nevada (CTRC-N)

SAR : Fill-in Version of TD F 90-22.47 - Suspicious Activity Report (SAR)

FBAR : Fill-in Version of Form 90-22.1 - Report of Foreign Bank and Financial Accounts (FBAR)

FinCEN Form 8300 : Fill-in Version of Form 8300 - Report of Cash Payments Over $10,000 Received in a Trade or Business (Form 8300)

Use Adobe Acrobat Reader 4.0 to open the file if necessary.

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