Introductory BSA/AML Examiner School, Atlanta, CA

MONEY SERVICE BUSINESS (MSB)

Anti-Money Laundering Program (AML) Certification

By signing below, I attest that (name of company) is registered as a Money Service Business and maintains an AML Program as required by federal regulation. To the best of my knowledge, all representatives of the firm named above complete AML training on an annual basis. Such training is conducted via the use of a third party vendor, named below, or in lieu of vendor training, is conducted in house.*

Furthermore, the firm certifies that the AML program training, whether conducted via a vendor or internally, consists of the following items:

• Explanation of regulations and rules related to AML • Identification and/or examples of "suspicious activity" • Collection of relevant customer information • Identification of source of funds and expected account activity

Firm's AML Officer Contact Information

AML Officer Name &Title:

AML Officer Signature:

Phone:

Email:

Mailing Address:

AML training delivered through a: (Mark one with an "X")

Third-party vendor. Ifso, name of vendor:.

Proprietary in house program

Bank use:

Account Name

Account #_

MSB AML Certification

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