Suspicious Activity Investigation Report

Type of Activity that Prompted this Report:

Date First Detected or Reported: mm/dd/yyyy

Did the Bank Suffer a Loss?
Yes    No (If no, please explain):

Other Parties or Accounts Involved:

Currency Transaction Report (CTR) History:

SAR Filed:
Yes    No
If yes, date filed: mm/dd/yyyy

Investigated by:

Please fax copies of all documentation used in the investigation to (979) 589-2725 – regardless of whether or not a SAR was filed.

Disclosures

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