Title Alert September 14, 2016 FinCEN Geographic Targeting Order

Size: px
Start display at page:

Download "Title Alert September 14, 2016 FinCEN Geographic Targeting Order"

Transcription

1 TITLE ALERT Title Alert September 14, 2016 FinCEN Geographic Targeting Order PA - STANDARD Please review the attached republication of First American s Corporate Underwriting Department Communication NA Standard (PA Standard). This information is important because this federal government directive could be expanded to encompass other cities, including ones located in Pennsylvania. On July 22, 2016, the United States Department of the Treasury s Financial Crimes Enforcement Network ( FinCEN ) issued a Geographic Targeting Order ( GTO ) (attached as Exhibit A) creating new reporting requirements that will affect residential real estate transactions involving real property in the Counties of Bexar, Texas; Miami-Dade, Broward and Palm Beach, Florida; San Diego, Los Angeles, San Francisco, San Mateo and Santa Clara, California; and the Boroughs of Manhattan, Brooklyn, Queens, Bronx and Staten Island, New York. These new reporting requirements apply to Covered Transactions (as defined below) that occur from August 28, 2016 until February 23, The GTO requires First American Title Insurance Company ( First American or Company ) and First American s issuing agents to collect and report information about the persons involved in certain residential real estate transactions ( Covered Transactions ) in which First American is involved (i.e. the Company insures a party in the transaction with a policy of title insurance, conducts a settlement or performs a service). The GTO states that First American and First American s issuing agents may be liable, without limitation, for civil or criminal penalties for violating any of the terms of the GTO. Please refer to the attachment for the details. If you have any questions, feel free to contact us. Republication of First American s Corporate Underwriting Department Communication PA Standard. First American Title Insurance Company makes no express or implied warranty respecting the information presented and assumes no responsibility for errors or omissions. NOTE: This Title Alert is intended solely for the employees of Penn Attorneys/Ohio Bar Title Insurance Company and its Approved Attorneys, is not to be distributed to third parties, and any reliance by any other person or entity is unauthorized. This Title Alert is intended solely for the purpose of underwriting policies of Ohio Bar Title Insurance Company. NOTE TO APPROVED ATTORNEYS: Under the Approved Attorney system, the scope of our relationship is limited to the functions of underwriting and the issuance of title insurance policies on your behalf and does not include closing or escrow services. We sometimes provide information and recommendations with regard to your closing or escrow business as a courtesy to you. Moreover, some communications, depending on whether noncompliance could impact on liability under our policies or closing protection letters, should be considered directives. This Title Alert is being provided to you with those considerations in mind. * * * This Title Alert should become a permanent part of your records to assure compliance with its requirements. * * * 1250 Tower Lane, Suite 202, Erie, PA (800) FAX (800)

2 PA Standard NA Standard UNDERWRITING COMMUNICATION Issued by First American Title Insurance Company Title: FinCEN Geographic Targeting Order Written By: Pennsylvania Underwriting Department** Date: September 1, 2016 On July 22, 2016, the United States Department of the Treasury s Financial Crimes Enforcement Network ( FinCEN ) issued a Geographic Targeting Order ( GTO ) (attached as Exhibit A) creating new reporting requirements that will affect residential real estate transactions involving real property in the Counties of Bexar, Texas; Miami-Dade, Broward and Palm Beach, Florida; San Diego, Los Angeles, San Francisco, San Mateo and Santa Clara, California; and the Boroughs of Manhattan, Brooklyn, Queens, Bronx and Staten Island, New York. These new reporting requirements apply to Covered Transactions (as defined below) that occur from August 28, 2016 until February 23, The GTO requires First American Title Insurance Company ( First American or Company ) and First American s issuing agents to collect and report information about the persons involved in certain residential real estate transactions ( Covered Transactions ) in which First American is involved (i.e. the Company insures a party in the transaction with a policy of title insurance, conducts a settlement or performs a service). The GTO states that First American and First American s issuing agents may be liable, without limitation, for civil or criminal penalties for violating any of the terms of the GTO. The GTO defines a Covered Transaction as one in which: i. A Legal Entity, whether formed under the laws of a state or of the United States or a foreign jurisdiction, defined in the GTO as: 1. Corporation; 2. Limited Liability Company; 3. Partnership; or 4. Other similar business entity ii. Purchases residential real property, defined by FinCEN as real property (including individual units of condominiums and cooperatives) designed principally for the occupancy of from one to four families, located in the Counties/Boroughs described in the GTO; iii. For a total purchase price of 1. $500,000 or more in Bexar County, Texas 2. $1,000,000 or more in Miami-Dade, Broward or Palm Beach Counties, Florida 3. $1,500,000 or more in the Boroughs of Brooklyn, Queens, Bronx or Staten Island, in New York City, New York 4. $2,000,000 or more in San Diego, Los Angeles, San Francisco, San Mateo or Santa Clara Counties, California; or 5. $3,000,000 or more in the Borough of Manhattan in New York City, New York. iv. Such purchase is made without a bank loan or other similar form of external financing 1 ; and 1 Loans financed by a U.S. financial institution, such as a bank or credit union that is required to have an antimoney laundering policy.

3 First American Title Insurance Company PA Standard NA Standard Page 2 of 3 v. Such purchase is made, at least in part, using currency or a cashier s check, a certified check, a traveler s check, a personal check, a business check or a money order in any form. The GTO requires that IRS/FinCEN Form 8300 ( Form 8300 ) be used to report certain information that is more fully described in the GTO at paragraph II.B.2. That information includes such things as (1) the identity of the Purchaser; (2) the identity of the Beneficial Owner(s) 2 of the Purchaser; and (3) the identity of the individual primarily responsible for representing the Purchaser. The GTO sets out specific instructions for completing Form 8300, many of which supersede the preprinted instructions on the Form Keep in mind, when the reporting instructions in the GTO conflict with the Form 8300 preprinted instructions, the terms of the GTO apply. Standard: FinCEN is requiring First American, its subsidiaries, direct operations and issuing agents to comply with the FinCEN GTO for Covered Transactions beginning August 28, 2016 and ending February 23, THEREFORE, UNLESS AND UNTIL YOU POSSESS THE INFORMATION NECESSARY TO COMPLY WITH THE GTO PRIOR TO CLOSING THE TRANSACTION, YOU ARE PROHIBITED FROM ISSUING FIRST AMERICAN TITLE INSURANCE POLICIES IN A COVERED TRANSACTION. In addition, First American requires you to do the following: 1. Commitment and/or Preliminary Report Requirement Every Commitment For Title Insurance and/or Preliminary Report, involving residential property in the Counties or Boroughs described above, where the purchase price is unknown or where the purchase price meets the threshold stated in the GTO, must contain the following exception in the preliminary report or the following requirement in the requirements section in Part 1 of Schedule B of the commitment: This transaction may be subject to the FinCEN Geographic Targeting Order affecting residential sale transactions. This issuing agent must be provided with information prior to closing sufficient to determine if IRS/FinCEN Form 8300 must be completed and filed and must be provided information sufficient to meet the records retention requirements of the FinCEN Geographic Targeting Order. This transaction will not be insured, and this issuing agent and/or its underwriter will not be involved in a Covered Transaction (as defined by the FinCEN Geographic Targeting Order) until this information is submitted and reviewed by the issuing agent. 2. Determining and Reporting Covered Transactions Title issuing agents must use the Bank Secrecy Act E-Filing System to report all Covered Transactions as required by the GTO. For your convenience, a FinCEN Geographic Targeting Order Covered Transaction Determination Worksheet ( Determination Worksheet ) is provided as Exhibit B. It is recommended that you fill out and keep a copy of this Worksheet in each residential file, even if filing of the Form 8300 is not required. If filing is required as stated in the GTO, a copy of the filed Form 8300 must be submitted to First American along with a copy of the Bank Secrecy Act E-Filing System acknowledgment for the filing to Fincen.8300@firstam.com. Instructions for completing Form 8300 are provided in Exhibit C. The GTO requires a copy of all records relating to compliance with the GTO to be maintained for a period of five years from the last day the GTO is effective (including any renewals of this GTO). 3. Gathering Reporting Information and Documents When the settlement agent is not the issuing agent (i.e. the settlement agent is a lawyer or an independent escrow company) the issuing agent must gather the information and documents sufficient for it to meet the reporting and document retention requirements of the GTO. For your convenience, First American has 2 Beneficial Owner means each individual who, directly or indirectly, owns 25% or more of the equity interests of the Purchaser (Order at III.A.1.i.). However, if the purchaser involved in the Covered Transaction is a limited liability company, then the Covered Business must provide the name, address, and taxpayer identification number of all its members, to the extent not otherwise provided on the Form 8300 (Order at II.B.vi.2.).

4 First American Title Insurance Company PA Standard NA Standard Page 3 of 3 created a FinCEN Geographic Targeting Order Information Transmittal Worksheet that you may use for this purpose. (Attached as Exhibit D). The GTO requires a copy of all records relating to compliance with the GTO to be maintained for a period of five years from the last day the GTO is effective (including any renewals of this GTO). **Republication of Corporate Underwriting Department Communication NA Standard. Contact Info. for Questions: Stacie Wagner Patterson, Esq. John Casaldi, Esq. Lynn Greto, Esq. James Gupko, Esq. Lisa McEntee, Esq. Cynthia Millhouse, Esq. swpatterson@firstam.com jcasaldi@firstam.com lgreto@firstam.com jgupko@firstam.com lmcentee@firstam.com cmillhouse@firstam.com NOTE: This Underwriting Communication is intended for use by title issuing offices, title insurance agents, and approved attorneys of First American Title Insurance Company and any reliance by any other person or entity is unauthorized. While the scope of agency of First American Title Insurance Company agents is limited to the functions of underwriting and the issuance of title insurance policies on First American s behalf and does not include closing or escrow services, First American sometimes provides information and recommendations with regard to its agent s ancillary closing or escrow business as a courtesy to them. Moreover, some communications, depending on whether noncompliance could impact on liability under First American s title insurance policies or closing protection letters, should be considered directives. This Communication is being provided to First American agents with those considerations in mind. This Underwriting Communication should become a permanent part of your records to assure compliance with its requirements.

5

6

7

8

9 FinCEN Geographic Targeting Order Covered Transaction Determination Worksheet - Agent Transaction Information Name of Title Issuing Agent Person completing worksheet Phone: Cell Phone: Fax: Title Issuing Agent ejacket or Jacket #: First American Policy # Date of Closing: Property Name of outside settlement agent or attorney (if any) Person providing information Order Number: Phone: Fax: Copies of identification documents and other relevant information must be saved in the Issuing Agent s file. Covered Transaction Determination (A transaction is a covered transaction if all 5 questions contain at least one Yes answer.) Note: If a No answer is given to any of questions 1-4 it is not necessary to answer the remaining questions. 1. Is the subject property in one of the following Counties and the purchase price equal to or over the amount shown? Yes No CA Los Angeles - $2 million FL Broward - $1 million NY Bronx - $1.5 million CA San Diego - $2 million FL Miami-Dade - $1 million NY Brooklyn - $1.5 million CA San Francisco - $2 million FL Palm Beach - $1 million NY Manhattan - $3 million CA San Mateo - $2 million NY Queens $1.5 million CA Santa Clara - $2 million TX Bexar - $500,000 NY Staten Island - $1.5 million 2. Is the subject property residential? 1 Yes No 3. Is the purchaser a corporation, limited liability company, partnership or similar business entity, whether formed under the laws of a state or the United States or a foreign jurisdiction? Yes No 4. Is the purchase made without a loan from an institutional lender? Yes No 5. Was any of the purchase price, including the earnest money deposit, paid through the use of the following? a. Currency (bills or coins); Yes No b. Cashier s check; Yes No c. Certified check; Yes No d. Traveler s check; Yes No e. Money order in any form; Yes No f. Business Check; or Yes No g. Personal Check Yes No Note: Payments from the purchaser to a party representing the seller or purchaser (i.e. an attorney or real estate agent) or directly to the seller using one of the listed forms of payment require a Yes answer. Check the item below that applies and send any required documents to First American: (1) by secure to Fincen.8300@firstam.com; (2) by U.S.P.S. to First American, P.O. Box 27751, Santa Ana, CA 92799; or (3) by FAX to Form 8300 Submission Required If questions 1 to 5 above ALL contain at least one Yes answer then a FinCEN Form 8300 must be completed and submitted to FinCEN via the Bank Secrecy Act E-filing system. Additionally, to evidence compliance to First American, send the following to First American within 5 business days of closing: (a) A copy of Form 8300 with Parts I, II, III and IV completed; and (b) A copy of the Bank Secrecy Act E-Filing System acknowledgment for the filing. You must provide to the purchasing entity s beneficial owner(s) the annual statement required by 26 C.F.R I -1 on or before January 31 of the year following the calendar year in which the transaction closed. No Form 8300 Submission Required If questions 1 to 5 above DO NOT ALL contain at least one Yes answer, then Form 8300 need not be submitted to FinCEN. It is recommended that a copy of this worksheet be retained in your file. 1 Residential property is defined as real property (including individual units of condominiums and cooperatives) designed principally for the occupancy of from one to four families.

10 Sample with Instructions - 3 Member LLC Page 1 Top Parts I and II Part II Purchasing Entity s Name and Address GTO Para. II.B.2.ii. Note: The purchaser will always be an entity pursuant to GTO Para. II.A.2.i. Check this box because the Beneficial Owners of the purchasing entity will be listed in additional Part II sections on Page 2 and in the comments section GTO Para. II.B.2.ii. Part I - Individual Primarily Representing Purchaser. Identity of the individual primarily responsible for representing the Purchaser. The individual primarily responsible for representing the Purchaser means the individual authorized by the entity to enter legally binding contracts on behalf of the entity. (See FinCEN FAQs 2/1/2016.) The Covered Business must obtain and record a copy of this individual s driver s license, passport, or other similar identifying documentation. A description of such documentation must be provided in Field 14. GTO Para. II.B.2.i.

11 Field 28 Date of Closing GTO Para. II.B.2.iv.1. Sample with Instructions 3 Member LLC Page 1 Bottom Parts III and IV Field 29 Total Amount Transferred in form of Monetary Instrument GTO Para. II.B.2.iv.2. Note: Business checks and personal checks are included. GTO Para II.A.2.iv. Field 30 Multiple Monetary Payments. Check box if amount in Item 29 was received in more than one payment. Form 8300 instructions. Field 31 Total Purchase Price of Covered Transaction GTO Para. II.B.2.iv.3. Part IV The Covered Business that reported the transaction. GTO Para. II.B.2.v. Field 33 Type of Transaction Check box b Real property purchased. Form 8300 Instructions. Field 42 The form must be signed by an individual who has been authorized to sign for the Covered Business (i.e. First American or its agent). Form 8300 Instructions. Fields 43, 44 and 45 must also be completed. Field 32 Amount of Monetary Instruments Enter the type and amount of the Monetary Instrument in U.S. Dollars. Form 8300 Instructions. Note: Currency is bills and coins. Caution: Don t forget Issuer s names and serial numbers. Because business checks and personal checks do not appear in field 32 it is suggested that they be included in the Comments section of the form with a reference to the Comments section in field 32. Field 34 Address of Real Property involved in the Covered Transaction GTO Para. II.B.2.iv.4.

12 Sample with Instructions 3 Member LLC Page 2 Top Additional Part I Additional Parts I It is unlikely the additional Parts 1 will be needed because the GTO requires Part I to contain the identity of the individual primarily responsible for representing the Purchaser.

13 Sample with Instructions 3 member LLC Page 2 Bottom Additional Parts II and Comments Additional Parts II - Beneficial Owner(s) of the Purchaser Name and Address. (See an example multi-tiered entity on the next page.) Enter the required information. See Form 8300 Instructions for guidance when a TIN is unavailable and for exceptions to the requirement to provide a TIN. Must obtain and record a copy of the Beneficial Owner(s) driver s license, passport, or other similar identifying documentation and provide a description of such documentation in Field 27. GTO Para. II.B.2.iii. Beneficial Owner means each individual (including the individual listed in Part I) who, directly or indirectly, owns 25% or more of the equity interests of the Purchaser. GTO Para. III.A.1.i. For LLCs all Beneficial Owners must be reported. For corporations put the first 2 Beneficial Owners names in Part II and the names of all the remaining Beneficial Owners in the comments section. GTO Para. II.B.2.iii. For limited liability companies put the first 2 members names in Part II and then list all the members in the comments section (including those listed in Part II) GTO Para. II.B.2.iii and II.B.2.vi.2. See the charts on the following pages for examples. If three or more Beneficial Owners must be reported use the Comments section. Form 8300 Instructions. Comments Section: 1. Unique identifier for the GTO = REGTO Enter REGTO as a unique identifier. GTO Para II.B.2.vi.1. (The same identifier is used for all counties.) 2. LLC Purchasers If the Purchaser is a LLC then the name address and taxpayer identification number of all its members must be provided. GTO Para II.B.2.vi.2. (This must be done even if the first 2 names were provided in the additional Parts II above.) 3. Covered Business Name If the Form 8300 is being filed by an agent of the Covered Business, then the name of the covered business must be included. GTO Para II.B.2.vi Business and Personal Checks Because business checks and personal checks do not appear in field 32 it is suggested they be included in the comments section.

14 Sample Corporation 3 Beneficial Owners (i.e. over 25%) Page 1

15 Sample Corporation 3 Beneficial Owners (i.e. over 25%) Page 2

16 ABC Corporation 8300-Part II-Pg.1 Sam Smith (30%) 8300-Part II-Pg.2 First Entry ABC LLC (50%) 8300-Not Reported Joe Jones (20%) 8300-Not Reported Tom Lee (10%) 8300-Part II-Pg.2 Second Entry Mary Lee (10%) 8300-Comments-Pg.2 First Entry Rick Ramos (80%) 8300-Comments-Pg. 2 Second Entry 1. ABC Corporation is the Legal Entity purchasing the property and is reported in Part II on Page 1 of Form Sam Smith is an individual who directly owns 25% or more of the equity interest of the purchaser and is reported in Part II on Page 2 of Form ABC LLC is not an individual and is therefore not reported. 4. Joe Jones is an individual who directly owns less than 25% of the equity interest of the purchaser and is not reported. 5. Tom Lee, Mary Lee and Rick Ramos each indirectly own an interest in the purchaser because they are members of ABC LLC. Because all members of an LLC must be reported Tom is reported in Part II on Page 2 and Mary and Rick are reported in the Comments section of Page 2.

17 ABC LLC 8300-Part II-Pg.1 Sam Smith (30%) 8300-Part II-Pg.2 First Entry ABC Corp. (50%) 8300-Part II-Pg.2 Second Entry Joe Jones (20%) 8300-Comments-Pg.2 First Entry Tom Lee (50%) 8300-Comments-Pg.2 Second Entry Mary Lee (40%) 8300-Comments-Pg.2 Third Entry Rick Ramos (10%) 8300-Comments-Pg.2 Fourth Entry 1. ABC LLC is the Legal Entity purchasing the property and is reported in Part II on Page 1 of Form Sam Smith is a member of the LLC and is reported in Part II on Page 2 of Form ABC Corporation is a member of the LLC and is reported in Part II of Page 2 of Form Joe Jones is a member of the LLC and is reported in the Comments section on Page 2 of Form Tom, Mary and Rick are shareholders of ABC Corporation and thus are indirect members of ABC LLC and are all reported in the Comments section on Page 2 of Form 8300.

18 FinCEN Geographic Targeting Order Information Transmittal Worksheet (Note: It is NOT necessary to complete the address fields if the information is on a legible copy of the government issued ID that will be submitted.) SETTLEMENT AGENT INFORMATION (i.e. Law Firm, Escrow Company, etc.) Settlement Agent Entity Name Settlement Agent Individual s Name Phone Number Address I declare that to the best of my knowledge the information I have furnished is true, correct, and complete. Signature Date REPORTING IS NOT REQUIRED UNDER THE FinCEN GEOGRAPHIC TARGETING ORDER - REASON Reporting is not required because: INDIVIDUAL PRIMARILY REPRESENTING PURCHASER (Defined as the individual authorized by the entity to enter into legally binding contracts.) Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number PURCHASING ENTITY S NAME & ADDRESS Taxpayer Identification Number (if none check none) Name of purchasing entity None Type of Legal Entity Ltd. Liability Co., Corporation, Partnership, Other Doing business as (DBA) name Country of Address (if not U.S.) DATE OF CLOSING AMOUNTS PAID WITH IDENTIFIED MONETARY INSTRUMENTS PURCHASE PRICE Date of Closing Total Amt. Paid by below instruments Paid in more than 1 payment Total Purchase Price $ Yes No $ Amount of Monetary Instrument (in U.S. dollar equivalent) U.S. currency $ Amt. in $100 bills or higher $ Foreign currency $ Country: Cashier s check(s) $ Money order(s) $ Certified check(s) $ Traveler s check(s) $ Business check(s) $ Personal check(s) $ Issuer s name(s) Serial number(s) 1 1 For Business Checks or Personal Checks enter the account number and check number. Page 1 of 4

19 PROPERTY ADDRESS County Block & Lot Number (NY only) NAMES OF BENEFICIAL OWNERS (AS DEFINED) & NAMES OF ALL MEMBERS OF LIMITED LIABILITY COMPANIES 1. For Corporations, Partnerships or Similar Business Entities each INDIVIDUAL who, directly or indirectly, owns 25% or more of the equity interests of the Purchaser must be listed below. 2. For Limited Liability Companies all members must be listed below. (Note: It is NOT necessary to complete the address fields if the information is on a legible copy of the government issued ID submitted to the title underwriter.) Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) Page 2 of 4

20 If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Legible copy of government issued identification (i.e. passport, driver s license, etc.) Taxpayer Identification Number (if none check none) Occupation None Last Name First Name M.I. Date of birth Country of Address (if not U.S.) If address or ID information is not shown (or is not legible) on the government issued identification, please complete below Alien identification description Alien ID Issued by Alien ID number Page 3 of 4

21 If there are more names to enter complete pages 2 and 3 of an additional worksheet or photocopy this sheet. Page 4 of 4

GoToWebinar Housekeeping: attendee participation

GoToWebinar Housekeeping: attendee participation FinCEN Geographic Targeting Order Everything You Need To Know Before Closing A Reportable Transaction August 18, 2016 1800 M Street, NW, Suite 300S, Washington, D.C. 20036-5828 P. 202.296.3671 F. 202.223.5843

More information

FinCEN GTO #4 Wire Transfers Not Exempt. Covered Period 9/22/17 3/20/18

FinCEN GTO #4 Wire Transfers Not Exempt. Covered Period 9/22/17 3/20/18 FinCEN GTO #4 Wire Transfers Not Exempt Covered Period 9/22/17 3/20/18 A Fund Town Hall Webinar Presented September 20, 2017 LEGAL EDUCATION DEPARTMENT Attorneys Title Fund Services, LLC Unless otherwise

More information

(see instructions) 9 City 10 State 11 ZIP code 12 Country (if not U.S.) 13 Occupation, profession, or business Bloomsburg P A accountant

(see instructions) 9 City 10 State 11 ZIP code 12 Country (if not U.S.) 13 Occupation, profession, or business Bloomsburg P A accountant IRS Form 8300 (Rev. July 2012) OMB No. 1545-0892 Department of the Treasury Internal Revenue Service Report of Cash Payments Over $10,000 Received in a Trade or Business See instructions for definition

More information

Planning in the New Era of Cross Border Financial Disclosure:

Planning in the New Era of Cross Border Financial Disclosure: Planning in the New Era of Cross Border Financial Disclosure: international trends and developments and the U.S. position IWP Mexico Meeting Presented by: Jack R. Brister September 12, 2017 Offshore Tax

More information

Report of Cash Payments Over $10,000. Received in a Trade or Business

Report of Cash Payments Over $10,000. Received in a Trade or Business IRS Report of Cash Payments Over $10,000 FinCEN Form 8300 Form 8300 Received in a Trade or Business (Rev. December 2004) (Rev. December 2004) See instructions for definition of cash. OMB No. 1506-0018

More information

ATTACHMENT B CERTIFICATION AT 10% EQUITY OWNERSHIP THRESHOLD

ATTACHMENT B CERTIFICATION AT 10% EQUITY OWNERSHIP THRESHOLD ATTACHMENT B CERTIFICATION AT 10% EQUITY OWNERSHIP THRESHOLD CERTIFICATION REGARDING BENEFICIAL OWNERS OF LEGAL ENTITY CUSTOMERS I. GENERAL INSTRUCTIONS What is this form? To help the U.S. government fight

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Steben Managed Futures Strategy Fund c/o U.S. Bank Global Fund Services P.O. Box 701 Milwaukee, WI 53201-0701 In compliance

More information

Anti-Money Laundering and Terrorist Financing Prevention Compliance Program Creation Guide

Anti-Money Laundering and Terrorist Financing Prevention Compliance Program Creation Guide Anti-Money Laundering and Terrorist Financing Prevention Compliance Program Creation Guide Insert Business Name Here Date of Adoption of this Anti-Money Laundering Program ANTI-MONEY LAUNDERING AND TERRORIST

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: FMI Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: FMI Funds

More information

Entity Account Application Please do not use this form for Individual, Joint Owner, Gift to Minor, Trust or IRA accounts

Entity Account Application Please do not use this form for Individual, Joint Owner, Gift to Minor, Trust or IRA accounts >> Mail to: BMT Multi-Cap Fund c/o U.S. Bank Global Fund Services P.O. Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT Act, all financial institutions (including mutual funds) are required

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: MainGate MLP Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Milwaukee, WI 53202-5207 In

More information

Entity Account Application

Entity Account Application >> Mail to: Nicholas Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 Entity Account Application Please do not use this form for IRA accounts In compliance with the USA PATRIOT

More information

Business Account Application and Beneficial Owners Certification

Business Account Application and Beneficial Owners Certification Business Account Application and Beneficial Owners Certification IMPORTANT INFORMATION ABOUT PROCEDURE(S) FOR OPENING A NEW ACCOUNT: To help the government fight financial crime, the funding of terrorism

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Bridges Investment Fund c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 Milwaukee, WI 53202-5207

More information

IRS Form 8300 Reference Guide

IRS Form 8300 Reference Guide IRS Form 8300 Reference Guide Reference Guide on the IRS/FinCEN Form 8300, Report of Cash Payments Over $10,000 Received in a Trade or Business This Guide is provided to educate and assist U.S. persons

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Dearborn Partners Rising Dividend Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: O Shaughnessy Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA

More information

Entity Account Application US High Yield Corporate Bond Fund

Entity Account Application US High Yield Corporate Bond Fund >> Mail to: Muzinich Funds c/o U.S. Bank Global Fund Services PO Box 701 Entity Account Application US High Yield Corporate Bond Fund Overnight Express Mail To: Muzinich Funds c/o U.S. Bank Global Fund

More information

CHURCH/MINISTRY/BUSINESS ACCOUNT CHECKLIST

CHURCH/MINISTRY/BUSINESS ACCOUNT CHECKLIST CHURCH/MINISTRY/BUSINESS ACCOUNT CHECKLIST Documentation: Return completed & signed original Church/Ministry/Business Membership Application. Return completed & signed Certification Regarding Beneficial

More information

The Barrett Funds. Entity Account Application. 1 Investor Information Select one

The Barrett Funds. Entity Account Application. 1 Investor Information Select one >> Mail to: The Barrett Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 The Barrett Funds Entity Account Application Please do not use this form for IRA accounts For additional

More information

Fraud monitoring helps detect suspicious activity early. Visa Zero Liability protects against unauthorized card use and grants provisional credit.

Fraud monitoring helps detect suspicious activity early. Visa Zero Liability protects against unauthorized card use and grants provisional credit. VISA Business Credit Card Controlled Spending Manage your company s cash flow conveniently and efficiently with a VISA Business Card. Its flexibility allows you to preset spending limits for each employee

More information

Anti-Money Laundering and Terrorist Financing Prevention Compliance Program Creation Guide

Anti-Money Laundering and Terrorist Financing Prevention Compliance Program Creation Guide Anti-Money Laundering and Terrorist Financing Prevention Compliance Program Creation Guide Compliance Program Creation Guide January 2015 1 Compliance Program Creation Guide January 2015 2 Insert Business

More information

TERRORISM RISK INSURANCE PROGRAM 2018 DATA CALL: CAPTIVE INSURERS INSURER GROUP AFFILIATIONS

TERRORISM RISK INSURANCE PROGRAM 2018 DATA CALL: CAPTIVE INSURERS INSURER GROUP AFFILIATIONS OMB No. 15050257 Expiration: INSURER GROUP AFFILIATIONS B C G H Group Code (NAIC or as 3 assigned by Aggregator) Insurer Group Name 3 Total 2016 Policyholder Surplus: 4 4 Total 2016 TRIPEligible DEP (all

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Aegis Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Shenkman Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

Account Application. 2A. Check All that Apply. 1 INITIAL INVESTMENT Please fi ll in amount(s) and make check(s) payable to the applicable Fund(s).

Account Application. 2A. Check All that Apply. 1 INITIAL INVESTMENT Please fi ll in amount(s) and make check(s) payable to the applicable Fund(s). Account Application Do not use this application to establish an Individual Retirement Account. Please print all items clearly (except signature). To avoid having your application returned, please be sure

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: LoCorr Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Shenkman Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

Entity Account Application Please do not use this form for IRA accounts.

Entity Account Application Please do not use this form for IRA accounts. Entity Account Application Please do not use this form for IRA accounts. Mail to: Greenspring Fund Overnight Express Mail to: Greenspring Fund c/o U.S. Bank Global Fund Services c/o U.S. Bank Global Fund

More information

Beneficial Ownership:

Beneficial Ownership: Your State Association Presents New Accounts in Texas 3 Beneficial Ownership: Developing a Compliance Effort Program Materials Use this document to follow along with the webinar presentation. Please test

More information

Entity Account Application Managed Tactical & Core Strategy Funds Please do not use this form for IRA accounts

Entity Account Application Managed Tactical & Core Strategy Funds Please do not use this form for IRA accounts >> Mail to: Direxion Investments c/o U.S. Bancorp Fund Services, LLC P.O. Box 701 Entity Account Application Managed Tactical & Core Strategy Funds Please do not use this form for IRA accounts Overnight

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: PRIMECAP Odyssey Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Milwaukee, WI 53202-5207

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts Mail to: Buffalo Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Buffalo

More information

new business account opening form

new business account opening form opening form Please complete the application and bring it with you to the Jefferson Banking Center nearest you or mail it to the address at the bottom of this page. NOTE: Please provide a completed form

More information

PROFESSIONAL LIABILITY APPLICATION

PROFESSIONAL LIABILITY APPLICATION PROFESSIONAL LIABILITY APPLICATION the firm and signed by an owner, officer, or principal of the firm. P.O. Box 500810 San Diego, CA 92150 P: (858) 618-1648 F: (858) 618-1655 cresinsurance.com Return Application

More information

Implementing New CDD Rules for BSA Part I Legal Entities 2016

Implementing New CDD Rules for BSA Part I Legal Entities 2016 Implementing New CDD Rules for BSA Part I Legal Entities 2016 The material used in this text has been drawn from sources believed to be reliable. Every effort has been made to assure the accuracy of the

More information

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION The below-listed states have indicated that this certificate is acceptable as a resale/exemption certificate for sales and use tax,

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Semper Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

FinCEN Form 102a Suspicious Activity Report Instructions 1

FinCEN Form 102a Suspicious Activity Report Instructions 1 FinCEN Form 102a Suspicious Activity Report Instructions 1 Safe Harbor Federal law (31 U.S.C. 5318(g)(3)) provides complete protection from civil liability for all reports of suspicious transactions made

More information

Business Deposit Account Application - Partnership

Business Deposit Account Application - Partnership - Partnership A partnership is a business in which two or more owners agree on how to share profits and liability. While not required by law, all partnerships should create a written partnership agreement.

More information

1 Investor Information Select one. C Corporation Partnership Limited Liability Company S Corporation Other Entity Exempt Organization

1 Investor Information Select one. C Corporation Partnership Limited Liability Company S Corporation Other Entity Exempt Organization >> Mail to: Brandes Funds c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 Milwaukee, WI 53202-5207 In compliance with the USA PATRIOT Act, all financial institutions (including mutual

More information

B C G H 3 NAIC Group Code Insurer Group Name 3 Total 2016 Policyholder Surplus 4 4 Total 2016 TRIP-Eligible DEP (all lines) Affiliations Page 1 of 19

B C G H 3 NAIC Group Code Insurer Group Name 3 Total 2016 Policyholder Surplus 4 4 Total 2016 TRIP-Eligible DEP (all lines) Affiliations Page 1 of 19 OMB No. 155257 Expiration: TERRORISM RISK INSURANCE PROGRAM 218 DATA CALL: INSURER (NONSMALL) GROUPS OR COMPANIES INSURER GROUP AFFILIATIONS B C G H 3 NAIC Group Code Insurer Group Name 3 Total 216 Policyholder

More information

PARTNERSHIP ACCOUNT REQUIREMENTS

PARTNERSHIP ACCOUNT REQUIREMENTS PARTNERSHIP ACCOUNT REQUIREMENTS Thank you for your interest in opening a business account for a partnership with Air Academy Federal Credit Union [AAFCU]. We have prepared the following checklist to assist

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: Direxion Investments c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To:

More information

International Tax Survival Guide: Countdown to Common Reporting Obligations for Global Individuals

International Tax Survival Guide: Countdown to Common Reporting Obligations for Global Individuals Alert Tax September 2018 International Tax Survival Guide: Countdown to Common Reporting Obligations for Global Individuals The due date for filing 2017 U.S. federal income tax returns for individuals

More information

UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION

UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION Please fax to 336-719-8114 or email to buyers@renfro.com UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION The below-listed states have indicated that this form of certificate is acceptable, subject

More information

Bank Secrecy Act- USA Patriot Act Compliance

Bank Secrecy Act- USA Patriot Act Compliance Bank Secrecy Act- USA Patriot Act Compliance Federal Laws Regulating Money Service Businesses Bank Secrecy Act (1970) Establishes recording of high dollar transactions & the reporting of suspicious activity

More information

*NEWACCT* BUSINESS ACCOUNT APPLICATION Institutional Advisor Services. General Instructions

*NEWACCT* BUSINESS ACCOUNT APPLICATION Institutional Advisor Services. General Instructions General Instructions By completing and signing this application the account owner is establishing an account subject to the terms and conditions made available by your advisor and at trustamerica.com/tca

More information

FIRST REPUBLIC BANK (Exact name of registrant as specified in its charter)

FIRST REPUBLIC BANK (Exact name of registrant as specified in its charter) FEDERAL DEPOSIT INSURANCE CORPORATION Washington, D.C. 20429 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported):

More information

Settlement Disclosure

Settlement Disclosure Settlement Disclosure This form is a statement of final loan terms and closing costs. Compare this document to your Loan Estimate. Settlement information Date 1/24/2012 Agent ABC Settlement File # 01234

More information

October Sponsors/Co-Sponsors:

October Sponsors/Co-Sponsors: October 2017 NASS Summary: Corporate Transparency Act (S. 1717 HR3089) HR 3089: Introduced June 28, 2017 and referred to House Financial Services Committee S. 1717: Introduced August 2, 2017 and referred

More information

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION

UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION UNIFORM SALES & USE TAX EXEMPTION/RESALE CERTIFICATE MULTIJURISDICTION The below-listed states have indicated that this certificate is acceptable as a resale/exemption certificate for sales and use tax,

More information

BUSINESS MEMBERSHIP APPLICATION

BUSINESS MEMBERSHIP APPLICATION FOR CREDIT UNION USE ONLY BUSINESS MEMBERSHIP APPLICATION Instructions and General Information Please review and complete the following information. Your Business Membership cannot be processed without

More information

Today s Agenda What is the Panama Papers FinCEN Takes Aim at the Real Estate Market Beneficial Ownership Legislation

Today s Agenda What is the Panama Papers FinCEN Takes Aim at the Real Estate Market Beneficial Ownership Legislation One Year Later 1 1 Today s Agenda What is the Panama Papers FinCEN Takes Aim at the Real Estate Market Beneficial Ownership Legislation Summary of the Beneficial Ownership Rule What is the risk of complex

More information

FIRST REPUBLIC BANK (Exact name of registrant as specified in its charter)

FIRST REPUBLIC BANK (Exact name of registrant as specified in its charter) FEDERAL DEPOSIT INSURANCE CORPORATION Washington, D.C. 20429 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported):

More information

Entity Account Application Please do not use this form for IRA accounts

Entity Account Application Please do not use this form for IRA accounts Entity Account Application Please do not use this form for IRA accounts >> Mail to: The Tocqueville Trust c/o U.S. Bank Global Fund Services PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA

More information

Apply Today. Fax application to

Apply Today. Fax application to PNC CashBuilder Visa Credit Card Application Apply Today Fax application to 1-844-205-9526 With a PNC CashBuilder Visa, you ll earn Cash Back on your everyday purchases. The CashBuilder Visa credit card

More information

Tel: Fax: Employer Contact: New Employee Waiting Period: 30 days 60 days 90 days Other Date of Hire

Tel: Fax: Employer Contact:   New Employee Waiting Period: 30 days 60 days 90 days Other Date of Hire Employer Agreement Employer Name: Type of Industry: Address: City: State: ny Zip: Tel: Fax: Employer Contact: E-MAIL: New Employee Waiting Period: 30 days 60 days 90 days Other Date _ of Hire (the First

More information

Cardinal Value Equity Funds New Account Application For Assistance Call: CCM-SEIC ( ) Trust* TRUSTEE S NAME NAME OF CORPORATION

Cardinal Value Equity Funds New Account Application For Assistance Call: CCM-SEIC ( ) Trust* TRUSTEE S NAME NAME OF CORPORATION All applicants must complete sections 1, 2, 3, 5 and 8. For optional services complete 4, 6 and 7. If you are a Broker-Dealer, please also complete section 9. Cardinal Value Equity Funds New Account Application

More information

PEO Insurance Brokers Network looks forward to doing business with your agency and beginning a great working relationship.

PEO Insurance Brokers Network looks forward to doing business with your agency and beginning a great working relationship. Dear Referral Partner: PEO Insurance Brokers Network looks forward to doing business with your agency and beginning a great working relationship. CHECKLIST Legible copy of your current broker s license

More information

Entity Account Application Please do not use this form for Individual, Joint Owner, Gift to Minor or IRA accounts

Entity Account Application Please do not use this form for Individual, Joint Owner, Gift to Minor or IRA accounts >> In compliance with the USA PATRIOT Act, all financial institutions (including mutual funds) are required to obtain, verify and record the following information for all registered owners or others who

More information

Noble House Hotels & Resorts Notifies Guests of Payment Card Security Incident

Noble House Hotels & Resorts Notifies Guests of Payment Card Security Incident Noble House Hotels & Resorts Notifies Guests of Payment Card Security Incident California residents, please click here for security incident information. Noble House Hotels and Resorts (Noble House) values

More information

LEGAL ENTITY APPLICATION For Corporations and Other Legal Entities Only

LEGAL ENTITY APPLICATION For Corporations and Other Legal Entities Only LEGAL ENTITY APPLICATION For Corporations and Other Legal Entities Only REQUIRED PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight financial crime, Federal regulation requires certain institutions

More information

Thank you. Should you have any questions, please call us at (800)

Thank you. Should you have any questions, please call us at (800) Dear Policyholder: Please complete and sign the attached claim form. Additionally, the following items are needed in order to process your Trip Cancellation claim in the most efficient and expedient way

More information

Institutional Account Application Bond Funds

Institutional Account Application Bond Funds Institutional Account Application Bond Funds Do not use this application for individual investor or IRA accounts. If you have questions, call (toll-free) 1-866-442-2473. In compliance with the USA PATRIOT

More information

BENEFICIAL OWNERSHIP REFERENCE GUIDE

BENEFICIAL OWNERSHIP REFERENCE GUIDE Sterling COMPLIANCE BENEFICIAL OWNERSHIP REFERENCE GUIDE FACILITATE THOUGHT ENGAGE DIALOGUE ENCOURAGE SMART RISK CULTIVATE A NETWORK BUILD KNOWLEDGE IN THIS GUIDE The documents within this package were

More information

FinCEN s Customer Due Diligence Requirements: Final Rule. Washington Bankers Association October 6, 2017

FinCEN s Customer Due Diligence Requirements: Final Rule. Washington Bankers Association October 6, 2017 FinCEN s Customer Due Diligence Requirements: Final Rule Washington Bankers Association October 6, 2017 Bankers Forum Call Objectives: Discuss four key elements of FinCEN s Customer Due Diligence Final

More information

Application for Commercial Real Estate Loan

Application for Commercial Real Estate Loan Application for Commercial Real Estate Loan Branch: Customer/Borrower Legal Name: Date Physical Street Address: City State CA Fed Tax ID No. Social Security Zip Telephone No. Fax No. Individual Corporation

More information

Mortgage Impairment Application Mortgage Protection Insurance

Mortgage Impairment Application Mortgage Protection Insurance MI-030917-AW Summary of Available Coverages Any combination of sections outlined below may be purchased, provided Sections A and/or C are included. Section A (1): Physical loss or damage from Required

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION IMPORTANT INFORMATION: Federal law under the USA Patriot Act requires us to obtain sufficient information to verify your identity. You may be asked several questions and to provide

More information

APPLICATION FOR: Requested Limit

APPLICATION FOR: Requested Limit APPLICATION FOR: PRIVATE COMPANY PROTECTION PLUS DIRECTORS AND OFFICERS & PRIVATE COMPANY LIABILITY INSURANCE EMPLOYMENT PRACTICES LIABILITY INSURANCE FIDUCIARY LIABILITY INSURANCE NOTICE: THIS POLICY

More information

Reporting Foreign Financial Accounts on the Electronic FBAR. August 30, 2017

Reporting Foreign Financial Accounts on the Electronic FBAR. August 30, 2017 Reporting Foreign Financial Accounts on the Electronic FBAR August 30, 2017 FBAR Background Reporting requirement, not tax requirement Bank Secrecy Act enacted in 1970 Codified primarily in Title 31 of

More information

Is the site rent scheduled to increase over the next four years? If so, please explain.

Is the site rent scheduled to increase over the next four years? If so, please explain. APPLICANT CREDIT INFORMATION: If this is an INDIVIDUAL application, complete section A. If this is a JOINT application, complete section A&B. NOTE: If married, the spouse is not required to be the joint

More information

LLC OR CORP - AFTER THE PROPOSED SECTION 199A REGULATIONS - CASE STUDIES. Presenters:

LLC OR CORP - AFTER THE PROPOSED SECTION 199A REGULATIONS - CASE STUDIES. Presenters: LLC OR CORP - AFTER THE PROPOSED SECTION 199A REGULATIONS - CASE STUDIES Presenters: William C. Staley, Attorney LAW OFFICE OF WILLIAM C. STALEY www.staleylaw.com 818-936-3490 Megan Lisa Jones, Attorney

More information

Instructions for Completing the UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION

Instructions for Completing the UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION Instructions for Completing the UNIFORM SALES & USE TAX CERTIFICATE MULTIJURISDICTION 1. Complete the Uniform Sales & Use Tax Certificate Multijurisdictional form in it entirety. 2. Be sure to complete

More information

APPLICATION TO REPRESENT AMERICAN NATIONAL INSURANCE COMPANY Independent Marketing Group Galveston, Texas

APPLICATION TO REPRESENT AMERICAN NATIONAL INSURANCE COMPANY Independent Marketing Group Galveston, Texas APPLICATION TO REPRESENT AMERICAN NATIONAL INSURANCE COMPANY Independent Marketing Group Galveston, Texas 77550-7999 Full Name First Middle Last Mr. Mrs. Ms. Social Security # Date of Birth Preferred Greeting

More information

NEW Client Information Form for Tax Year 2018 If you are not filling in this form online, please use blue or black ink only and print legibly.

NEW Client Information Form for Tax Year 2018 If you are not filling in this form online, please use blue or black ink only and print legibly. NEW Client Information Form for Tax Year 2018 If you are not filling in this form online, please use blue or black ink only and print legibly. Taxpayer Legal Name (first, MI, last): Address: Zip: Occupation:

More information

SIGNATURE BANK (Exact name of registrant as specified in its charter)

SIGNATURE BANK (Exact name of registrant as specified in its charter) FEDERAL DEPOSIT INSURANCE CORPORATION WASHINGTON, D.C. 20429 FORM 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (date of earliest event reported):

More information

RECENT DEVELOPMENTS IN INTERNATIONAL ESTATE PLANNING: THE U.S. BEGINS TO EMBRACE TRANSPARENCY

RECENT DEVELOPMENTS IN INTERNATIONAL ESTATE PLANNING: THE U.S. BEGINS TO EMBRACE TRANSPARENCY RECENT DEVELOPMENTS IN INTERNATIONAL ESTATE PLANNING: THE U.S. BEGINS TO EMBRACE TRANSPARENCY October 18, 2017 By Dina Kapur Sanna and Carl A. Merino 2017 Day Pitney LLP I. OFFSHORE TAX ENFORCEMENT EFFORTS

More information

00 Apply Online. This application overview will help you understand what information we will collect in order to process your application.

00 Apply Online. This application overview will help you understand what information we will collect in order to process your application. LOAN APPLICATION 00 Apply Online You may also submit your loan application and supporting documentation online. Visit www.nybdc.com or www.the504company.com and click Apply to be taken to our secure online

More information

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING AN ACCOUNT. AUTHORIZED PERSON UPDATE (describe): NAME SSN/TIN DATE OF BIRTH

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING AN ACCOUNT. AUTHORIZED PERSON UPDATE (describe): NAME SSN/TIN DATE OF BIRTH New Update : BUSINESS ACCOUNT CARD IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING AN ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal law requires

More information

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE = By checking this box and submitting this form, in connection with this loan application and any update, extension or modification, the undersigned authorizes the Lender to make all inquiries it deems

More information

HAF First Time Homebuyer Grant Application and Document Checklist

HAF First Time Homebuyer Grant Application and Document Checklist HAF First Time Homebuyer Grant Application and Document Checklist Thank you for your interest in the HAF First Time Homebuyer Grant sponsored by the Santa Clara County Association of REALTORS and Silicon

More information

Other Trust (specify below) Other Trust:

Other Trust (specify below) Other Trust: General Instructions By completing and signing this application the account owner is establishing an account subject to the terms and conditions made available by your advisor and at trustamerica.com/tca

More information

Kindly note, if you would like to establish credit for your company, this process can take 3-5 business days.

Kindly note, if you would like to establish credit for your company, this process can take 3-5 business days. Dear Thank you for showing interest in Riviera Turf. As we set up your new account there are several forms that we need completed to establish an account with us. Please complete the attached forms in

More information

Annuitization of Assets Eligible Borrowers Principal Curtailments (also known as principal reduction)

Annuitization of Assets Eligible Borrowers Principal Curtailments (also known as principal reduction) Chase Correspondent Lending / Products / Non-Agency (Jumbo) Amortizing Fixed (05/14/18) Non-Agency (Jumbo) Amortizing Fixed (05/14/18) Table of Contents Included in this document are: Product Specifications

More information

SAN JOSE POLICE DEPARTMENT PERMITS UNIT (408)

SAN JOSE POLICE DEPARTMENT PERMITS UNIT (408) SAN JOSE POLICE DEPARTMENT PERMITS UNIT (408) 277-4452 EVENT PROMOTER PERMIT INFORMATION SHEET The following items are required as part of your application for an Event Promoter Permit: A copy of your

More information

Oklahoma Agent Compliance Training Guide

Oklahoma Agent Compliance Training Guide Anti-Money Laundering Compliance Guide USA PATRIOT Act Prevention of Terrorism Financing Oklahoma Agent Compliance Training Guide Reporting Requirements Recordkeeping FinCEN Resources Employee Training

More information

Apply Today. Fax application to

Apply Today. Fax application to PNC points Visa Credit Card Application Apply Today Fax application to 1-844-205-9526 Earn points through PNC points on your everyday purchases. The PNC points Visa credit card automatically earns 4 points

More information

Ownership and Control Interest Disclosure Statement

Ownership and Control Interest Disclosure Statement Ownership and Control Interest Disclosure Statement Itasca Medical Care (IMCare), along with other Minnesota health plans, is required by the Centers for Medicare & Medicaid Services (CMS) and the Minnesota

More information

Please fax or the completed information to Sam Frappalini: ( fax) or

Please fax or  the completed information to Sam Frappalini: ( fax) or Dear Broker TGI, Inc looks forward to doing business with your agency and beginning a good working relationship. Checklist Legible copy of your current broker s license Legible copy of your broker s bond

More information

Thank you. Should you have any questions, please call us at (800)

Thank you. Should you have any questions, please call us at (800) Dear Policyholder: Please complete and sign the attached claim form. Additionally, the following are items needed in order to process your Travel Delay claim in the most efficient and expedient way possible.

More information

INVESTMENT ONLY (NON-CUSTODIAL) RETIREMENT PLAN APPLICATION

INVESTMENT ONLY (NON-CUSTODIAL) RETIREMENT PLAN APPLICATION INVESTMENT ONLY (NON-CUSTODIAL) RETIREMENT PLAN APPLICATION COMPLETE YOUR E*TRADE APPLICATION IN THREE EASY STEPS The Investment Only (Non-Custodial) Retirement Plan Application you requested begins on

More information

TRID Town Hall Dial-In: (800) ID:

TRID Town Hall Dial-In: (800) ID: TRID Town Hall Dial-In: (800) 260-0719 ID: 379172 Issues and Questions Facing Members Today December 8, 2015 Resources for Getting Help 1 Resources for Getting Help Resources for Getting Help 2 Some Cautionary

More information

Government Personnel Mutual Life Insurance Company. Anti-Money Laundering (AML) Program; Including Suspicious Activity Reports

Government Personnel Mutual Life Insurance Company. Anti-Money Laundering (AML) Program; Including Suspicious Activity Reports Government Personnel Mutual Life Insurance Company Anti-Money Laundering (AML) Program; Including Suspicious Activity Reports Policies, Procedures, Internal Controls For Compliance With the Patriot Act

More information

Address: City: Zip Code: Evening Telephone Number: ( ) - (specify)

Address: City: Zip Code: Evening Telephone Number: ( ) - (specify) Must be Postmarked No Later Than July 15, 2005 Universal Access, Inc. Securities Litigation c/o The Garden City Group, Inc. Claims Administrator P.O. Box 9000 #6289 Merrick, NY 11566-9000 1 (800) 253-5720

More information

Special Financing Offers. Buy Now, Pay Over Time. Advanced Notice of Upcoming Sales

Special Financing Offers. Buy Now, Pay Over Time. Advanced Notice of Upcoming Sales FROM STREET CITY STATE ZIP CODE 904C (0316) PO BOX 731 MAHWAH, NJ 07430 Special Financing Offers Buy Now, Pay Over Time Advanced Notice of Upcoming Sales PLACE STAMP HERE COMMERCIAL CREDIT CARD ACCOUNT

More information

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE

DATE APPLICANT/GUARANTOR SIGNATURE APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR (PLEASE PRINT) APPLICANT/GUARANTOR SIGNATURE DATE By checking this box and submitting this form, in connection with this loan application and any update, extension or modification, the undersigned authorizes the Lender to make all inquiries it deems necessary

More information

ADAM H. PUTNAM COMMISSIONER

ADAM H. PUTNAM COMMISSIONER FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES ADAM H. PUTNAM COMMISSIONER MOTOR VEHICLE REPAIR REGISTRATION PACKAGE Sections 559.901 559.9221, Florida Statutes Rule 5J12.002, Florida Administrative

More information

Investment Advisor Firm (Agent) and Primary Contact: Firm Name: Primary Contact: Title of Trust:* Effective Date of Trust: Trust Tax ID Number:

Investment Advisor Firm (Agent) and Primary Contact: Firm Name: Primary Contact: Title of Trust:* Effective Date of Trust: Trust Tax ID Number: INVESTMENT ADVISOR INFORMATION PERSONAL TRUST ACCOUNT APPLICATION Account # Advisor # Case # Investment Advisor Firm (Agent) and Primary Contact: Firm Name: Primary Contact: 1 COMPLETE ALL INFORMATION

More information