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IRS Form8300

(Rev. December 2023)

Department of the Treasury Internal Revenue Service

Report of Cash Payments Over $10,000
Received in a Trade or Business

See instructions for definition of cash.

Use this form for transactions occurring after December 31, 2023. Do not use prior versions after this date. For Privacy Act and Paperwork Reduction Act Notice, see the instructions.

FinCEN Form8300

(Rev. August 2014)

OMB No. 1506-0018

Department of the Treasury Financial Crimes Enforcement Network
1 Check appropriate box(es) if: a checkbox Amends prior report; b checkbox Suspicious transaction.
Part I

Identity of Individual From Whom the Cash Was Received

2 If more than one individual is involved, check here and see instructions . . . . . . . . . . . . . . . . . . . . . . . . checkbox

3Last name

4First name

5M.I.

6Taxpayer identification number

7Address (number, street, and apt. or suite no.)

8Date of birth

(see instructions)

M M D D Y Y Y Y

9City

10 State

11ZIP code

12Country (if not U.S.)

13Occupation, profession, or business

14 Identifying document (ID)

a Describe ID

b Issued by

c Number
Part II

Person on Whose Behalf This Transaction Was Conducted
15 If this transaction was conducted on behalf of more than one person, check here and see instructions . . . . . . . . . . . . . checkbox

16Individual’s last name or organization’s name

17First name

18M.I.

19Taxpayer identification number

20Doing business as (DBA) name (see instructions)

Employer identification number

21Address (number, street, and apt. or suite no.)

22Occupation, profession, or business

23City

24State

25ZIP code

26Country (if not U.S.)

27 Alien identification (ID)

a Describe ID

b Issued by

c Number
Part III

Description of Transaction and Method of Payment

28

Date cash received

M M D D Y Y Y Y

29 Total cash received

$

30

If cash was received in
more than one payment,
check here . . . . . checkbox

31

Total price if different from item 29

$

32 Amount of cash received (in U.S. dollar equivalent) (must equal item 29) (see instructions):
a U.S. currency $ (Amount in $100 bills or higher $ )
b Foreign currency $ (Country )
Issuer's name(s) and serial number(s) of the monetary instrument(s)
c Cashier's check(s) $ }
d Money order(s) $
e Bank draft(s) $
f Traveler's check(s) $
33 Type of transaction 34 Specific description of property or service shown in 33.
a

checkbox Personal property purchased

 f

checkbox Debt obligations paid

 Give serial or registration number, address, docket
b

checkbox Real property purchased

g

checkbox Exchange of cash

 number, etc.
c

checkbox Personal services provided

 h

checkbox Escrow or trust funds

d

checkbox Business services provided

 i

checkbox Bail received by court clerks
e

checkbox Intangible property purchased

 j

checkbox Other (specify in item 34)
Part IV

Business That Received Cash

35Name of business that received cash

36Employer identification number

37Address (number, street, and apt. or suite no.)

Social security number

38City

39 State

40ZIP code

41Nature of your business

42Under penalties of perjury, I declare that to the best of my knowledge the information I have furnished above is true, correct, and complete.

Signature
Title
Authorized official
43 Date of signature

M M

D D

Y Y Y Y

44 Type or print name of contact person

45 Contact telephone number

IRS Form 8300 (Rev. 12-2023)

Multiple Parties

(Complete applicable parts below if box 2 or 15 on page 1 is checked.)

Part I

Continued—Complete if box 2 on page 1 is checked

3Last name

4First name

5M.I.

6Taxpayer identification number

7Address (number, street, and apt. or suite no.)

8Date of birth

(see instructions)

M M D D Y Y Y Y

9City

10 State

11ZIP code

12Country (if not U.S.)

13Occupation, profession, or business

14 Identifying document (ID)

a Describe ID

b Issued by

c Number

3Last name

4First name

5M.I.

6Taxpayer identification number

7Address (number, street, and apt. or suite no.)

8Date of birth

(see instructions)

M M D D Y Y Y Y

9City

10 State

11ZIP code

12Country (if not U.S.)

13Occupation, profession, or business

14 Identifying document (ID)

a Describe ID

b Issued by

c Number
Part II

Continued—Complete if box 15 on page 1 is checked

16Individual’s last name or organization’s name

17First name

18M.I.

19Taxpayer identification number

20Doing business as (DBA) name (see instructions)

Employer identification number

21Address (number, street, and apt. or suite no.)

22Occupation, profession, or business

23City

24State

25ZIP code

26Country (if not U.S.)

27 Alien identification (ID)

a Describe ID

b Issued by

c Number

16Individual’s last name or organization’s name

17First name

18M.I.

19Taxpayer identification number

20Doing business as (DBA) name (see instructions)

Employer identification number

21Address (number, street, and apt. or suite no.)

22Occupation, profession, or business

23City

24State

25ZIP code

26Country (if not U.S.)

27 Alien identification (ID)

a Describe ID

b Issued by

c Number

Comments – Please use the lines provided below to comment on or clarify any information you entered on any line in Parts I, II, III, and IV
IRS Form 8300 (Rev. 12-2023)