Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694854002415.pdf (Antigua and Barbuda)
FORM 2 - Sections 18(1) and 18(2) of the Money Laundering (Prevention) Act 1996 Report of Transfer or Receipt of Consigned Currency Valued $ 1 0, 000 U.S. or more Complete this form and deliver to: COMPTROLLER OF CUSTOMS Customs Division Church Street, St. John’s, Antigua Telephone number: 268 462-0829 Fax number: 268 462-2767 This form should be completed by a person who transfers by consigning to a postal service, cou- rier or other third party, Eastern Caribbean and/or foreign currency to be taken into or out of Antigua and Barbuda and the currency involved is of a total value of $10,000 U.S. or more or its equivalent in other currency.
“Currency” means cash or bearer negotiable ﬁnancial instruments.

Reporting of transfers of currency valued at $10,000 U.S. or more, or the equivalent in other currency into or out of Antigua and Barbuda is required by law under Section 18 of the Money Laundering (Prevention) Act 1996 as amended.

Currency not reported according to sections 18(1), (2) and (6) of the The Money Laundering (Prevention) Act [No.

9 of 1996] as amended may be seized by law enforcement ofﬁcers.
The Money Laundering (Prevention) Act 1996 The Money Laundering (Prevention) Act [No.

9 of 1996] as amended makes provisions under section 18 for cur- rency reporting in order to assist law enforcement in the detection of serious criminal activity, including money laundering, drug trafﬁcking and organised crime.
Use of the information reported Reports received by the Comptroller of Customs will be forwarded to the Supervisory Authority under the Money Laundering (Prevention) Act 1996 and analysed by the ﬁnancial intelligence unit.

The information reported is conﬁdential.

Penalties There are penalties for failure to lodge a report with the Comp- troller of Customs or a customs ofﬁcer assigned for duty at the point of mailing/shipping or receving currency or supply full and correct information.
The penalties include: • imprisonment for a period not more than two years; and/or • a ﬁne of up to ﬁfty thousand dollars; and • the conﬁscation of the cash or negotiable instruments being transported.

Further information or assistance The Supervisory Authority’s ofﬁce is located at the Headquaters of the Ofﬁce of National Drug and Money Laundering Control Policy (ONDCP).
ONDCP staff will be ready to assist with any MAILING or TRANSFER by a third party of currency out of Antigua and Barbuda OR RECEIPT of currency mailed or transferred by a third party into Antigua and Barbuda PLEASE PRINT PART A 1.

Report of currency valued at US$10,000 or more: MAILED or CONSIGNED to someone else for TRANSFER out of Antigua and Barbuda RECEIVED from courier or consignee onTRANSFER into Antigua and Barbuda Details of person or organisation sending or receiving currency PART B 2.
Give name of person or organisation 3.

Address City State Post code Country 4.

Occupation or nature of business PART C Details of person or organisation to whom currency is being sent or from whom cur- rency is being received 5.

Give name of person or organisation 6.

Address City State Post code Country 7.

Occupation or nature of business Continued overleaf 8.
Is the transfer or receipt of the currency: Wholly or partly on behalf of another person, business or organisation Go to Part D Wholly on your on behalf Go straigth to Part E PART D Details of person or organisation on whose behalf the currency is being transferred 9.

Give name of person, business or organisation 10.

Address City State Post code Country 11.

Occupation or nature of business PART G Details of courier bringing currency into country 16.
From whom has the currency been received in Antigua and Barbuda?

Name of courier or consignee 17.

Addresse of courier or consignee City State Post code Country 18.

Date of receipt of currency from post, courier or consignee / / DAY MONTH YEAR PART H Declaration and Signature I declare that the above information is correct.
Date: / / DAY MONTH YEAR PART E Details of currency being transferred by consignment Amount of EC or foreign currency Approximate U.S. rate of exchange Value in U.S. dollars Signature 12.

Country of issue Eastern Caribbean United States A B C D OFFICIAL USE ONLY Customs Report No.

ONDCP Report No.

Total sum in U.S. $ = (add lines A,B,C and D If you are sending currency, go to Part F If you are receiving currency, go to Part G PART F Details of courier tak- ing currency out of country 13.
To whom has the currency been consigned for transfer out of Antigua and Barbuda?

Name of courier or consignee 14.

Addresse of courier or consignee City State Post code Country 15.

Date of delivery of currency to post, courier or consignee / / DAY MONTH YEAR