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lved in Transaction(s) • . Person Involved Type Person conducting transaction for another Individual/Organization Individual Last(or Entity) Name Beller First Name Harry Middle Initial I Gender Male Date of Birth 05/09/1956 SSN/ITIN 081520727 Form(s) of Identification Identification Type Driver
/2019 Total Cash Out $44,928 Cash Out Types Negotiable instrument(s) cashed $44,928 Foreign Currency Transactions Foreign currency out 39,000 BELGIUM Page 1 The enclosed nformatico was caected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury
•rs•n . . •f 2: Bell•r Person Involved Type Person conducting transaction for another Individual/Organization Individual Last(or Entity) Name Beller First Name Harry Middle Initial I Sex Male Date of Birth SSN/ITIN Form(s) of Identification Identification Type Driver's license/State ID Ide
n Date 11/15/2013 Total Cash Out $20,723 Cash Out Types Currency exchange out $20,723 Foreign Currency Transactions Foreign currency out 15,000 BELGIUM Activity Location Role Transaction location business Primary Federal Regulator Federal Reserve Legal Name of Financial Institution Deutsche Ban
014 Entry Date 02/04/2014 Submission Method Electronic discrete filing Person(s) Involved in Transaction(s) Person Involved in Transacti n 1 of 2 Beller Person Involved Type Person conducting transaction for another Individual/Organization Individual Last(or Entity) Name Beller First Name Harry M
/2019 Total Cash Out $44,928 Cash Out Types Negotiable instrument(s) cashed $44,928 Foreign Currency Transactions Foreign currency out 39,000 BELGIUM Page 1 The enclosed nformatis was collected and disseminated under provisions of the Bank Secrecy Act (the SSA) and U.S. Department of the Treasury
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