Report Suspicious Activity To. Contact: Xxxxxx X. Xxxxxx (Xxxx), Assistant Vice President, Corporate Compliance, Chief Compliance Officer for Anti-Money Laundering
Report Suspicious Activity To. Contact: Xxxxxx X. Xxxxxx, AVP, Corporate Compliance, Chief Compliance Officer for AML/OFAC Xxxxxxxxx, XX 00000-0000 Email: XXXXxxxxxxxxx@xxxxx.xxx Advise customers that only the following types of payment may be accepted: • Personal checks and pre-authorized checks. • Cash equivalents (money orders, cashier’s checks, traveler’s checks, bank drafts.) - Cash and cash equivalents must be reported to the IRS and FinCEN on Form 8300 when payments received by the Company in a single transaction or in two or more related transactions total more than $10,000. Related transactions occurring within any 12-month period would be aggregated for reporting purposes even if individually they are less than $10,000. - Limited to $500 for variable contracts. • If a customer provides a form of payment that is not permitted, do not accept the payment and notify the AML compliance officer if it is in an amount greater than $1,000. I have received, read and understand Standard Life’s Company Guide to Anti-Money Laundering. I agree to comply with the requirements of such policies and understand that failure to do so will lead to disciplinary action, up to and including termination and appropriate legal sanctions. Date: Print Name: Personal Code or Social Security Number: Signature: CGAML ST-1832 R308 American National Insurance Company and its affiliated companies are committed to providing insurance and annuity products and services designed to meet your needs. We are equally committed to respecting your privacy and protecting the information about you that we may receive. We have prepared this notice to advise you what information we collect, how we use it and how we protect it.
Report Suspicious Activity To. Contact: Xxxxxx X. Xxxxxx (Xxxx) Assistant Vice President Corporate Compliance Chief Compliance Officer for Anti-Money Laundering /OFAC Or Xxxxx Xxxxxx, Quality Assurance Analyst Email: XXXXxxxxxxxxx@xxxxx.xxx Advise customers that only the following types of payment may be accepted: • Personal checks and pre-authorized checks. • Cash equivalents (money orders, cashier’s checks, traveler’s checks, bank drafts.) - Cash and cash equivalents must be reported to the IRS and FinCEN on Form 8300 when payments received by the Company in a single transaction. Related transactions occurring within any 12-month period would be aggregated for reporting purposes even if individually they are less than $10,000. • If a customer provides a form of payment that is not permitted, do not accept the payment and notify the appropriate AML compliance officer if it is in an amount greater than the limits defined herein.
Report Suspicious Activity To. Contact: Xxxxxx X. Xxxxxx (Xxxx), Assistant Vice President, Corporate Compliance, Chief Compliance Officer for Anti-Money Laundering Email: XXXXxxxxxxxxx@xxxxx.xxx Advise customers that only the following types of payment may be accepted: • Personal checks and pre-authorized check payments. • Cash (currency or coin) in amounts less than $1,000. • Cash equivalents (money orders, cashier’s checks, traveler’s checks, bank drafts). - Cash and cash equivalents must be reported to the IRS and FinCEN on Form 8300 when payments received by the Company in a single transaction or in two or more related transactions total more than $10,000. Related transactions occurring within any 12-month period would be aggregated for reporting purposes even if individually they are less than $10,000. [Agents may have independent reporting obligations and should check their Company’s website for additional information.] - Limited to $500 for variable contracts. • If a customer provides a form of payment that is not permitted, do not accept the payment and notify the appropriate AML compliance officer if it is in an amount greater than $1,000. For more details on each of these requirements, contact the AML officer of American National or of SM&R, for broker/dealer questions involving variable contracts. Agent’s Name: Social Security No: Address: City: State Zip Code Phone: (daytime) (evening) Title of training program Date training program completed Insurance company: ❑ (please specify full name and contact information) Broker Dealer: ❑ (please specify full name and contact information) Bank: ❑ (please specify full name and contact information) Vendor: (please specify full name and contact information) Other ❑ (please specify full name and contact information and attach outline of training program if available) I am a duly licensed insurance agent and affirm that I have completed the above-referenced training program, which to the best of my knowledge satisfies requirements imposed on insurance companies by regulations issued under USA Patriot Act Section 352 (US 31 CFR 103.137). I acknowledge that the insurance company to which this certification has been provided retains the right to review and approve the training program and its curriculum before accepting this certification. I affirm (i) that I have read and understand the insurance company’s AML Guide and (ii) that I am knowledgeable about my obligations under the regulation. Signature of Agent Date: ❑ Training program covers...
Report Suspicious Activity To. Contact: Xxxxxx X. Xxxxxx (Xxxx), Assistant Vice President, Corporate Compliance, Chief Compliance Officer for Anti-Money Laundering Email: XXXXxxxxxxxxx@xxxxx.xxx Advise customers that only the following types of payment may be accepted: • Personal checks and pre-authorized check payments. • Cash (currency or coin) in amounts less than $1,000. • Cash equivalents (money orders, cashier’s checks, traveler’s checks, bank drafts). - Cash and cash equivalents must be reported to the IRS and FinCEN on Form 8300 when payments received by the Company in a single transaction or in two or more related transactions total more than $10,000. Related transactions occurring within any 12-month period would be aggregated for reporting purposes even if individually they are less than $10,000. [Agents may have independent reporting obligations and should check their Company’s website for additional information.] - Limited to $500 for variable contracts. • If a customer provides a form of payment that is not permitted, do not accept the payment and notify the appropriate AML compliance officer if it is in an amount greater than $1,000. For more details on each of these requirements, contact the AML officer of American National or of SM&R, for broker/dealer questions involving variable contracts. The Federal Fair Credit Reporting Act, as amended, provides that any consumer reporting agency may furnish a consumer report in accordance with the written instructions of the consumer to whom it relates. In accordance with that provision, the person signing this form as "Applicant" hereby authorizes any person or agency to give, in writing, orally, or in any other form, to American National Insurance Company or its designated representatives any information gathered or maintained by a consumer reporting agency bearing on the Applicant's credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing the Applicant's eligibility for credit, employment or any other purpose authorized under Section 604 of the Act. Further, the Applicant understands that American National Insurance Company may, as part of its normal procedure, request that an investigative consumer credit report be made whereby information on the Applicant's character, general reputation, personal characteristics or mode of living is ...
