Transmitter
Transmitter Contact
Reporting financial institution
Subject
Transaction location business
Contact for assistance
Transaction location branch
Law enforcement or regulator contact
Name of person contacted at Law enforcement or regulator
Financial Institution in which account is held
Casino/Card club
Depository institution
Insurance company
Money Services Business (MSB)
Securities/Futures
Loan or Finance Company
Housing GSE
Other
State licensed casino
Tribal authorized casino
Card club
Subsidiary of financial/bank holding company
Holding company
Futures commission merchant (FCM)
Introducing Broker-Commodity (IB-C)
Investment adviser (IA)
Clearing broker-securities
Self regulatory organization (SRO) futures
Self regulatory organization (SRO) securities
Retail foreign exchange dealer
CPO/CTA
Investment company
Introducing broker-securities
Execution-only broker-securities
Self-clearing broker-securities
Other gaming institution
Other securities/futures
Legal name
Also known as (AKA)
Doing business as (DBA)
Institution in which account is held
Activity affected account
CFTC
Federal Reserve
FDIC
IRS
NCUA
OCC
SEC
FHFA
Not applicable
SSN/ITIN
EIN
TIN
Driver's license/State ID
Passport
Alien registration
Foreign
CRD number
IARD number
NFA ID number
SEC number
RSSD number
Transmitter Control Code
NAIC number
NMLS Id number
Internal Control Number
Other
Facsimile
Mobile
Residence
Work
Email
URL
Structuring
Gaming activities
Fraud
Identification documentation
Insurance
Securities/Futures/Options
Terrorist financing
Money laundering
Other suspicious activities
Mortgage Fraud
Cyber event
Suspicious inquiry by customer regarding BSA reporting or recordkeeping requirements
Alters or cancels transaction to avoid BSA recordkeeping requirement
Alters or cancels transaction to avoid CTR requirement
Transaction(s) below BSA recordkeeping threshold
Transaction(s) below CTR threshold
Check
Consumer Loan
Credit/Debit Card
Mail
Mass-marketing
Pyramid scheme
Wire transfer
ACH
Business loan
Advance fee
Healthcase/Public or private health insurance
Ponzi scheme
Securities fraud
Changes spelling or arrangement of name
Multiple individuals with same or similar identities
Provided questionable or false documentation
Refused or avoided request for documentation
Single individual with multiple identities
Provided questionable or false identification
Excessive insurance
Excessive or unusal cash borrowing against policy/annuity
Proceeds sent to unrelated third party
Suspicious life settlement sales insurance (e.g., STOLI's, Viaticals)
Suspicious termination of policy or contract
Unclear or no insurable interest
Insider trading
Misappropriation
Unauthorized pooling
Market manipulation
Wash trading
Known or suspected terrorist/terrorist organization
Exchanges small bills for large bills or vice versa
Suspicious designation of beneficiaries, assignees or joint owners
Suspicious EFT/wire transfers
Suspicious receipt of government payments/benefits
Suspicious use of multiple accounts
Suspicious use of noncash monetary instruments
Suspicious use of third-party transactors (straw-man)
Transaction out of pattern for customer(s)
Suspicious concerning the physical condition of funds
Suspicious concerning the source of funds
Suspicious exchange of currencies
Trade Based Money Laundering/Black Market Peso Exchange
Funnel account
Bribery or gratuity
Embezzlement/theft/disappearance of funds
Forgeries
Identity theft
Suspected public/private corruption (domestic)
Suspected public/private corruption (foreign)
Suspicious use of informal value transfer system
Suspicious use of multiple locations
Two or more individuals working together
Unlicensed or unregistered MSB
Counterfeit Instrument (other)
Account takeover
Elder financial exploitation
Little or no concern for product performance penalites, fees, or tax consequences
Misuse of position or self-dealing
Transaction with no apparent economic, business, or lawful purpose
Human smuggling
Human trafficking
Transaction(s) involving foreign high risk jurisdiction
Appraisal fraud
Loan Modification fraud
Application fraud
Foreclosure/Short sale fraud
Origination fraud
Against financial institution(s)
Against financial institution customer(s)
Chip walking
Minimal gaming with large transactions
Suspicious use of counter checks or markers
Unknown source of chips
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other Financial instrument, product or service
Bonds/Notes
Commercial mortgage
Commercial paper
Credit card
Debit card
Forex transactions
Futures/Options on futures
Hedge fund
Home equity loan
Home equity line of credit
Insurance/Annuity products
Mutual fund
Options on securities
Prepaid access
Residential mortgage
Security futures products
Stocks
Swap, hybrid, or other derivative
Other Financial product
Bank/Cashier's check
Foreign currency
Funds transfer
Gaming instruments
Government payment
Money orders
Personal/Business check
Travelers checks
U.S. Currency
Other Financial instrument or payment mechanism
Deposit account
Microcap Securities
Financial Product
Financial instrument or payment mechanism
CUSIP Number
Commodity Type Description
Instrument Product Service Type Description
Market Where Traded Code
Command and control IP address
Command and control URL/domain
Malware MD5, Malware SHA-1, or Malware SHA-256
Media Access Control (MAC) Address
Port
Suspicious e-mail address
Suspicious file name
Suspicious IP address
Suspicious URL/domain
Targeted system
Other
First block of narrative text (character set 1-4000)
Second block of narrative text (character set 4001-8000, if needed)
Third block of narrative text (character set 8001-12000, if needed)
Fourth block of narrative text (character set 12001-16000, if needed)
Fifth block of narrative text (character set 16001-17000, if needed)