Section 68IAC15-2-6. Currency transaction report

   The following information shall, at a minimum, be included on the currency transaction report:

(1) Part I. Section A. The patron or organization for whom the transaction was completed, including the following information:

(A) Patron's last name, first name, and, if provided, middle initial.

(B) The last four (4) digits of the patron's Social Security number.

(C) Name of organization and employer identification number if the transaction is being conducted on behalf of a business or organization.

(D) If the patron is an alien or nonresident of the United States, the passport number or alien registration number, or both, and issuing country for both.

(E) Complete address of the patron, including the number and street, city, state, zip code and country if not in the United States.

(F) Patron's date of birth.

(G) Type and number of identification used to verify patron's identity.

(H) Patron's account number. Include the patron's account number if an account relationship has been established between the patron and the casino or the deposit receipt number.

(2) Part I. Section B. Identity of agent conducting the transaction (complete only if an agent conducts a transaction for the person), including the following information:

(A) Agent's last name, first name, and, if provided, middle initial.

(B) The last four (4) digits of the agent's Social Security number.

(C) Complete address of the agent, including the number and street, city, state, zip code, and country, if not in the United States.

(D) If the individual is an alien or nonresident of the United States, the passport number, alien registration number, or both, and the issuing country for both.

(E) Agent's date of birth.

(F) Type and number of identification used to verify patron's identity.

(3) Part II. Description of transaction, including the following:

(A) Whether multiple currency transactions, none of which individually exceeds ten thousand dollars ($10,000), comprise this report.

(B) The nature of the transaction. Indicate if more than one (1) type of transaction is involved, and indicate the amount for each:

(i) currency exchange;

(ii) cash in; or

(iii) cash out.

(C) The total amount of the cash transaction, in United States dollars, being reported. This must be completed for reports even if a check is being cashed.

(D) The date of the transaction.

(E) If the transaction involves currency other than United States currency, the name of the country that issued the currency.

(4) Part III. The casino reporting the financial transaction shall include the following information:

(A) Name of the casino cage employee or other occupational licensee who handled the transaction or prepared the form.

(B) Name and signature of the occupational licensee who reviewed and approved the currency transaction report. The occupational licensee responsible for reviewing, approving, and submitting the report shall sign the report.

(C) Name and commercial telephone number of a responsible individual to contact concerning questions about this form.

(D) Date on which the occupational licensee reviewed and approved the report.

(E) Currency transaction reports must be properly filed with the Internal Revenue Service by the fifteenth day after the date the transaction was completed with a copy simultaneously provided to an enforcement agent.

(Indiana Gaming Commission; 68 IAC 15-2-6; filed Jul 18, 1996, 8:45 a.m.: 19 IR 3329; filed Dec 2, 2001, 12:35 p.m.: 25 IR 1069; readopted filed Nov 25, 2002, 10:11 a.m.: 26 IR 1261; readopted filed Nov 14, 2008, 12:51 p.m.: 20081210-IR-068080730RFA; filed Dec 6, 2012, 2:32 p.m.: 20130102-IR-068110786FRA)