Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694500043029.pdf (Antigua and Barbuda)
Terrorist Property Report (Section 34 of the Prevention of Terrorism Act 2005) FORM 3 Use this form to make reports on Terrorist Property to the Director of the ONDCP.

A ﬁnancial institution should use this form to: (1) Report that it is in possession or control of terrorist property; or (2) Make a quarterly report stating whether or not it is in possession or control of terrorist property.
“Terrorist” means a person or group designated as a “speciﬁed entity” by the Minister of Foreign Affairs or the Attorney General.

“Terrorist property” means funds or property that belongs to or is held on behalf of or for the beneﬁt of a terrorist or ﬁnancier of terrrorism.

“Financial institution” means (a) a commercial bank, or (b) any institution which makes (i) loans (ii) advances (iii) investments, or (iv) accepts dep- posits of money from the public.
Submit this form when completed to The Director, ONDCP Headquarters, P.O.

Box W827, Camp Blizard, Antigua PART A – Reporting Financial Institution 1.

Name 2.

Street Address ................................................................................................................... ....................................................................................................

Please type or print and select boxes and but- tons as appropriate.

3.
3.

City/Town ....................................... 4.

State/Province ................................ 5.

Post code ......................... 6.

Country .................................................................................................... 7.

Type of ﬁnancial institution .................................................................................................... 8.

Telephone ............................... 9.

Fax ............................... 10.


Email ................................................................................................................... PART B – Reporting Period 11.

This report is for the following period: a. January to March b. April to June c. July to September d. October to December Year This is a report made upon discovering funds or property suspected of being related to a speciﬁed entity.
PART C – Checks Made of Speciﬁed Entities 12.The ﬁnancial institution named in Part A has over the reporting period made itself aware of the names and identiﬁcation details of speciﬁed entities (terrorists and terrorist organizations) pub- lished in the source(s) ticked below and compared them to the identities of its customers: (a) The Gazette of the Government of Antigua and Barbuda — Prevention of Terrorism (Security Council Resolution) Orders and amendments Prevention of Terrorism (Speciﬁed Entities Account and Property Freezing) Orders and amendments (b) The United Nations Security Council Sanctions List(s) — website sanctions lists relating to Resolution 1267(1999) and 1989(2011) website sanctions lists relating to other UN Sanctions Resolution(s) (specify): (c) Other source(s) (specify): PART D – Results of Checks 13.
The following are the results of the checks made in Part C (tick/select all appropri- ate boxes and buttons): (1) A match with the identity of a speciﬁed entity was found in the customer database.

(a) A suspicious activity report was ﬁled in relation to the customer or entity.

(b) A suspicious activity report is being prepared and will be ﬁled in relation to the customer or entity on the Suspicious Activity Report form issued by the ONDCP.
(2) A suspicious transaction was detected indicating possible links to a speci- ﬁed entity or terrorism ﬁnancing.

(a) A suspicious activity report was ﬁled in relation to the customer or entity.

(b) A suspicious activity report is being prepared and will be ﬁled in relation to the customer or entity on the Suspicious Activity Report form issued by the ONDCP.

(3) Property or funds belonging to or being held on behalf of a speciﬁed entity was discovered.
(a) A suspicious activity report was ﬁled in relation to the customer or entity.

(b) A suspicious activity report is being prepared and will be ﬁled in relation to the customer or entity on the Suspicious Activity Report form issued by the ONDCP.

(4) Property or funds of a speciﬁed entity discovered in a previous reporting period continued to be held.

(a) A suspicious activity report was ﬁled in relation to the customer or entity.
(b) A suspicious activity report is being prepared and will be ﬁled in relation to the customer or entity on the Suspicious Activity Report form issued by the ONDCP.

(5) No match was found with the identity of any speciﬁed entity in the custom- er database.

(6) No suspicious transaction was detected that appeared to indicate possible links to a speciﬁed entity or terrorism ﬁnancing.

(7) No property or funds was discovered that was identiﬁed as belonging to or being held on behalf of a speciﬁed entity.
(8) No property or funds was known to be in the possession or control of the reporting institution which belonged to or was held on behalf of any speci- ﬁed entity .

PART E – Particulars of Funds/Property Related to a Speciﬁed Entity 14. a.

Name of speciﬁed entity (terrorist or terrorist organization) to whom the funds or property belongs or is related (eg.

by direct or indirect ownership or control) b.


The following funds and/or other property related to the speciﬁed entity have been identiﬁed (include detailis of accounts involved and transactions conduct- ed).

c.Total value of the funds or property: I declare the information given herein is true and correct to the best of my knowledge and belief.
Date of report: ........................................ dd-mmmm-yyyyy Name of reporting ofﬁcer: ...................................................................................

Position of reporting ofﬁcer: .................................................................................................. Signature (Sign here) X Form issued 1 September 2011