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Click ‘Get Form’ to open it in the editor.
Begin with Parte I, where you will indicate if this is an amendment or a suspicious transaction by checking the appropriate boxes.
In the Identity of the Person section, fill in the last name, first name, and middle initial. Provide their address, date of birth, and taxpayer identification number.
Proceed to Parte II for details about the person on whose behalf the transaction was made. Again, include their name, address, and taxpayer identification number.
In Parte III, describe the transaction and payment method. Include the total cash received and specify if it was received in multiple payments.
Finally, complete Parte IV by providing information about your business that received the cash and ensure all fields are accurately filled before submitting.
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