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Click ‘Get Form’ to open it in the editor.
Begin by completing Section A for the person on whose behalf the transaction is conducted. Enter their last name, first name, middle initial, and Social Security Number (SSN) or Employer Identification Number (EIN).
Fill in the address details including street number, city, state, and ZIP code. Ensure accuracy as this information is crucial for identification.
In Item 8, enter the date of birth using six numerals (MMDDYY format). This is essential for verifying identity.
Complete Section B if another individual conducts the transaction. Provide their details similarly as in Section A.
For Part II, indicate the amount of currency involved in Cash In and Cash Out fields. Ensure that these amounts reflect any foreign currency exchanges accurately.
Finally, complete Part III with the financial institution's details where the transaction took place and ensure all required signatures are included before submission.

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