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Federal Deposit Insurance Corporation

Division of Supervision

550 17th Street NW, Washington, DC 20429

Bank Secrecy Act Compliance
FIL-141-98
December 31, 1998
TO:

CHIEF EXECUTIVE OFFICER

SUBJECT:

Form for Designation of Exempt Person (Form TD F 90-22.53)

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The Financial Crimes Enforcement Network (FinCEN) has released a new form to be used by
financial institutions to designate entities as exempt from the currency transaction reporting
requirements of 31 CFR 103.22. The form becomes effective January 1, 1999, and will replace
the current method of making a single filing of Form 4789. The new form, a copy of which is
attached, may be photocopied as needed. The revised form will also be available on January 1,
1999, on FinCEN's Web site at www.fincen.gov/reg_bsaforms.html.

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Any questions concerning the form may be directed to your FDIC Division of Supervision
Regional Office.
Nicholas J. Ketcha Jr.
Director

Attachment: An electronic version of the attachment is not available.
Distribution: FDIC-Supervised Banks (Commercial and Savings)

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NOTE: Paper copies of FDIC financial institution letters may be obtained through the FDIC's
Public Information Center, 801 17th Street, NW, Room 100, Washington, DC 20434 (800-2766003 or (703) 562-2200).