BSA-AML Examiner School Case Study eBook
Internal Use Only
For Internal Use
Date: 12/26/2023 By: jml
New Consumer Account Information
Customer Name (as it appears on ID) : J o s e p h B a l i n d o Physical Address (street, city, state, zip) : 1400 B Street, Fremont, NE 68888 Mailing Address (street, city, state, zip) : Date of Birth: 05/02/1972
Social Security Number: (application sent to IRS)
Primary Phone: 4 0 2 - 4 5 5 - 5 5 3 3
X Home
Work Work
Cell Cell
Secondary Phone:
Home
Employer: U h a u l
Occupation: D r i v e r
Email Address:
Mother’s Maiden Name:
Driver’s License #: H V 1 2 2 2 2 3 Secondary ID (if no driver’s license) :
State: N E
Issue Date: 1 / 4 / 1 9
Exp. Date: 1 / 4 / 2 0 2 4
Expected Account Usage
Will you buy/sell virtual currency? Will you regularly purchase money orders or cashier’s checks? Will you send/receive wires on a regular basis? Politically Exposed Person?
Yes Yes Yes Yes
x No x No
x No
x No
Security Challenge Questions Please answer 3 questions from the following
1. What city were you born in? 2. What is your favorite color? R e d 3. What is your favorite number? 9
4. What was your high school mascot? e a g l e 5. What was the make & model of your first car? 6. What is your favorite vacation place? 7. What was the first name of the best man at your wedding? 8. What is your favorite movie or TV show? 9. What is the middle name of your oldest child? 10. What was the last name of your favorite teacher?
Signature
Date
12/16/2022
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