BSA/AML Examiner School Case Study

OUTGOING WIRE TRANSFER REQUEST AUTHORIZATION/CONFIRMATION FORM

All wire requests must be routed to Operations prior to transfer. Cut off Time: 3:00pm

Originator (customers only)

Name: Brad Presley

TIN/SSN: 361116990

Contact number:

Method of Verification: In person

Address: 9665 East Garden Street

Issued By:

Amount of Wire: $5,219.36

Amount to be debited: $5,219.36

Collected Balance:

Beneficiary Information Brad Presley

Beneficiary Bank: Seaside Bank

Account to be credited: $5,219.36

Acct: 68974

Address of Beneficiary Bank: 969 Seaside St, Seaside, FL Name and Address of Beneficiary: 9665 East Garden Street

This information is a complete and accurate payment order as attested by the Originators signature of approval.

OFAC VERIFICATION: attach print or note status

Originator. OK Beneficiary: OK Employee: AS

Request Method:

Wire Created By: AS

Re-verification of wire request completed by:

Date: 6/16/2016

("N (Checkone)

Employee Accepting Wire. LW

Wire Committed By:

Date: 6/16/2016

Date: : 6/16/2016

Time: 1:30 PM Service Charge Waived By:

Account Memo Posted By: TP

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