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The universe of financial institutions that may share information under section 1010.540 generally includes all financial institutions that are required under 31 CFR Part 1010 to establish and maintain an anti-money laundering program, unless FinCEN specifically determines that a particular category of financial institution should not be eligible to share information. For additional information, refer to the Federal Register Notice dated September 26th, 2002

Notification for Purposes of Section 314(b) of the USA PATRIOT Act and 31 CFR 1010.540

This form is provided to allow submission of your financial institution's intention, for a period of one (1) year beginning on the date of this Notification, to engage in the sharing of information with other financial institutions or associations of financial institutions regarding individuals, entities, organizations, and countries, as permitted by section 314(b) of the USA PATRIOT Act of 2001 (Public Law 107-56) and the implementing regulations of the Department of the Treasury, Financial Crimes Enforcement Network (31 CFR 1010.540).

Completion of this form and submission of this information is voluntary.

The form below facilitates the submission of information using electronic mail. Submit the information following the steps listed below:

  1. Enter information below as requested (all information is required, except for a fax number).
  2. Create electronic mail message by pressing the SEND button.

NOTE: If your e-mail system attaches an automated disclosure, FinCEN will not be able to process your submission electronically. Please send a paper notification
to:

FinCEN
P.O. Box 39
Mail Stop 100
Vienna, VA 22183




(name of financial institution, or association of financial institutions), that:

(1) (i) The financial institution specified above is a "financial institution" as such term is defined in 31 CFR 1010.540(a)(1), which means any financial institution defined in 31 U.S.C. 5312(a)(1) that is required to establish and maintain an anti-money laundering program, or is treated under this part as having satisfied the requirements of 31 U.S.C. 5318(h)(1); or,
     (ii) The association specified above is an "association of financial institutions" as such term is defined in 31 CFR 1010.540(a)(2).

(2) The financial institution or association specified above intends, for a period of one (1) year beginning on the date of this Notification, to engage in the sharing of information with other financial institutions or associations of financial institutions regarding individuals, entities, organizations, and countries, as permitted by section 314(b) of the USA PATRIOT Act of 2001 (Public Law 107-56) and the implementing regulations of the Department of the Treasury, Financial Crimes Enforcement Network (31 CFR 1010.540).

(3) The financial institution or association of financial institutions specified above has established and will maintain adequate procedures to safeguard the security and confidentiality of such information.

(4) Information received by the above named financial institution or association pursuant to section 314(b) and 31 CFR 1010.540 will not be used for any purpose other than identifying and reporting on activities that may involve terrorist or money laundering activities.

(5) The following person may be contacted in connection with inquiries related to the information sharing under section 314(b) and 31 CFR 1010.540:

Financial Institution Mailing Address:


   

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