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: Main Street Place

TIN/SSN: 361116990

Contact number:

Method of Verification: In person

Address: 190 Main Street Ft. Lauderdale, TN

Issued By:

Amount of Wire: $50,000

Amount to be debited: $50,025

Collected Balance:

Beneficiary Information Jen Singleton

Beneficiary Bank: National 1 Bank

Account to be credited: $50,000

Acct: 666955

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

Name and Address of Benificery: 400 Oak Street, Small Town, PA

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: LL

Request Method:

Wire Created By: LL

Re-verification of wire request completed by:

Date: 9/22/2015

("N (Checkone)

Employee Accepting Wire. LW

Wire Committed By:

Date: 9/22/2015

Date: : 9/22/2015

Time: 9:30 AM Service Charge Waived By:

Account Memo Posted By: LS