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: East Tennessee Title CO Contact number: Address: 910 Lafyette Drive Amount of Wire: $97,443.61

TIN/SSN: 989998222 Method of Verification: In person Issued By: Amount to be debited: $97,443.61

Collected Balance:

Beneficiary Information Jace Tompson Beneficiary Bank: National 1 Bank

Account to be credited: $97,443.61

Acct: 689565

Address of Beneficiary Bank: 1490 2ed Street, NY, MY

Name and Address of Beneficiary: 37 th Avenue, NY, NY

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 Date: 9/18/2015

Re-verification of wire request completed by:

("N (Checkone)

Employee Accepting Wire. LW

Wire Committed By:

Date: 9/18/2015

Date: : 9/18/2015

Time: 10:30 AM Service Charge Waived By:

Account Memo Posted By: TP