Please complete this form if one or more of the following applies to you or your business:
If none of the paragraphs above apply to you or your business - you must complete a 2015 AML/CTF compliance report form, available by logging in to your AUSTRAC Online account.
Note: If you sold the business in 2015 but provided a designated service during that year you are still required to provide a 2015 AML/CTF compliance report.
HINT: Type the reference exactly as it appears on your letter to ensure AUSTRAC can correctly identify you.
Please select ONE of the options below and complete any additional information as prompted.
I/my business am/is not required to lodge a compliance report for the 2015 reporting period (1 January 2015 to 31 December 2015) because we (tick the most applicable):
sold the business during 2015 and have submitted a request to be removed from the Reporting Entities Roll.
Date of sale:
Contact details of new owner:
ceased business during 2015 and have submitted a request to be removed from the Reporting Entities Roll.
Date business ceased:
merged or were acquired by another business during 2015.
Date of merger/acquisition:
Contact details of controlling entity:
have already lodged an AML/CTF compliance report for 2015 (AUSTRAC Account Number must be included).
AUSTRAC Account Number:
are a member of the following designated business group and another member of the group has lodged the group's 2015 AML/CTF compliance report:
I declare that: