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Fillable Form FinCEN 104 (Rev. 12-2003) - irs

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FINCEN Form 104 Currency Transaction Report Previous editions will not be accepted after August 31, 2004. Please type or print. (Complete all parts that apply--See Instructions) OMB No. 1506-0004 (Formerly Form 4789) (Eff. December 2003) Department of the Treasury FinCEN 1 Check all box(es) that apply: a Amends prior report b Multiple persons c Multiple transactions Part I Person(s) Involved in...
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