NW IR-6526 Washington DC 20224. Do not send Form 8300 to this address. Instead see Where to file earlier. 6050I-2. Casinos must file Form 8300 for nongaming activities restaurants shops etc.. Voluntary use of Form 8300. You must complete all three items a b and c in this line to make sure that Form 8300 will be processed correctly. Form 8300 may be filed voluntarily for any later for use by FinCEN and the IRS even if the total amount does not exceed 10 000. For example if you checked box b Part I you may want to explain why you think that the cash transaction you are reporting on Form 8300 may be suspicious. In such cases the reporting requirement can be satisfied by sending a single written statement with the aggregate Form 8300 amounts listed relating to that payer. Penalties. You may be subject to penalties if you fail to file a correct and complete Form 8300 on time and you cannot show that the failure was due to reasonable cause. When to file. File Form 8300 by the 15th day after the date the cash was received. If that date falls on a Saturday Sunday or legal holiday file the form on the next business day. IRS Form Rev* August 2014 Department of the Treasury Internal Revenue Service Use See instructions for definition of cash. this form for transactions occurring after August 29 2014. Do not use prior versions after this date. For Privacy Act and Paperwork Reduction Act Notice see the last page. a Check appropriate box es if Part I b Amends prior report If more than one individual is involved check here and see instructions. Last name 4 First name Address number street and apt. or suite no. City Identifying document ID Suspicious transaction*. 11 ZIP code. 5 M. I. 6 Taxpayer identification number M 12 Country if not U*S* Doing business as DBA name see instructions Alien a Describe ID identification ID c Number Y 13 Occupation profession or business 25 ZIP code b Issued by D 29 Total cash received Description of Transaction and Method of Payment Date cash received d e f Employer identification number 24 State c Person on Whose Behalf This Transaction Was Conducted If this transaction was conducted on behalf of more than one person check here and see instructions. Individual s last name or organization s name 18 M. I. c Number Financial Crimes Enforcement Network 8 Date of birth. 10 State FinCEN OMB No* 1506-0018 Identity of Individual From Whom the Cash Was Received Report of Cash Payments Over 10 000 Received in a Trade or Business Amount of cash received in U*S* dollar equivalent must equal item 29 see instructions Amount in 100 bills or higher U*S* currency Country Foreign currency Cashier s check s Money order s Bank draft s Traveler s check s Type of transaction Personal property purchased Real property purchased Personal services provided Business services provided Intangible property purchased g h i j 31 Total price if different from item 29 If cash was received in more than one payment check here. Issuer s name s and serial number s of the monetary instrument s Debt obligations paid Exchange of cash Escrow or trust funds Bail received by court clerks 34 Specific description of property or service shown in 33.
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