SCHEDULE 4(Paragraph 50(1)(f) and subsection 52(1))Information To Be Provided by Financial Entity Choosing Not To Report Large Cash Transaction with Respect to a Client’s Business
PART A
Information on Financial Entity
1*
Identification number of financial entity where client has account
2*
Full name of financial entity
3*
Full address of financial entity
PART B
Information on Client
1*
Name and address of client
2*
Nature of client’s business
3*
Incorporation number of client and date and jurisdiction of its incorporation
4*
Total value and total number of client’s cash deposits in respect of that business over the preceding 12 months