ANNEX III
REPORTING FOR CRYPTO-ASSET SERVICE PROVIDERS
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                         CRYPTO-ASSET SERVICE PROVIDER TEMPLATES  | 
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                         Template number  | 
                     
                         Template code  | 
                     
                         Adressees  | 
                     
                         Name of the template /group of templates  | 
                  
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                         INFORMATION ON HOLDERS  | 
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                         6  | 
                     
                         S 06.00  | 
                     
                         Crypto-asset service providers  | 
                     
                         INFORMATION ON HOLDERS  | 
                  
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                         INFORMATION ON TRANSACTIONS  | 
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                         7  | 
                     
                         S 07.01  | 
                     
                         Crypto-asset service providers  | 
                     
                         TRANSACTIONS DURING REPORTING PERIOD - TOTAL  | 
                  
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                         7  | 
                     
                         S 07.02  | 
                     
                         Crypto-asset service providers  | 
                     
                         TRANSACTIONS DURING REPORTING PERIOD - TOTAL_EU  | 
                  
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                         7  | 
                     
                         S 07.03  | 
                     
                         Crypto-asset service providers  | 
                     
                         TRANSACTIONS THAT ARE ASSOCIATED TO ITS USES AS A MEANS OF EXCHANGE WITHIN A SINGLE CURRENCY AREA - TOTAL  | 
                  
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                         7  | 
                     
                         S 07.04  | 
                     
                         Crypto-asset service providers  | 
                     
                         DISTRIBUTED LEDGER ADDRESSES FOR MAKING TRANSFERS ON BEHALF OF CLIENTS  | 
                  
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                         INFORMATION ON TOKEN  | 
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                         8  | 
                     
                         S 08.00  | 
                     
                         Crypto-asset service providers  | 
                     
                         TOKEN HELD BY CASP  | 
                  
               
            
                        
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                         Holders - at reference date  | 
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                         Name  | 
                     
                         Code  | 
                     
                         Type of code  | 
                     
                         Retail/Non-retail  | 
                     
                         Country  | 
                  
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                         0010  | 
                     
                         0020  | 
                     
                         0030  | 
                     
                         0040  | 
                     
                         0050  | 
                  
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                         Country:  | 
                  
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                         Number  | 
                     
                         Amount  | 
                  
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                         0010  | 
                     
                         0020  | 
                  
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                         Transactions during reporting period - total  | 
                     
                         0010  | 
                     
                         
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                         of which made within the country  | 
                     
                         0020  | 
                     
                         
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                         of which received transaction to the country  | 
                     
                         0030  | 
                     
                         
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                         of which sent transaction from the country  | 
                     
                         0040  | 
                     
                         
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                         Number  | 
                     
                         Amount  | 
                  
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                         0010  | 
                     
                         0020  | 
                  
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                         Transactions during reporting period - total  | 
                     
                         0010  | 
                     
                         
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                         of which made within the EU  | 
                     
                         0020  | 
                     
                         
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                         of which received transaction to the EU  | 
                     
                         0030  | 
                     
                         
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                         of which sent transaction from the EU  | 
                     
                         0040  | 
                     
                         
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                         Single currency area:  | 
                  
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                         Number  | 
                     
                         Amount  | 
                  
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                         0010  | 
                     
                         0020  | 
                  
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                         Transactions during reporting period - total  | 
                     
                         0010  | 
                     
                         
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                         Distributed ledger address  | 
                  
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                         0010  | 
                  
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                         Number  | 
                     
                         Amount  | 
                  
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                         0010  | 
                     
                         0020  | 
                  
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                         Token held by CASP  | 
                     
                         0010  | 
                     
                         
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                         of which held via EU clients of the CASP  | 
                     
                         0020  | 
                     
                         
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