Contested Dishonored Returns

Customer Name:
Customer ID:
Contested Return Code: Standard Entry Class:
Original Entry Trace No.: Entry Description:
Original Return Date: Transaction Type: CreditDebit
Account Type: Checking Savings
Company Name: Original Bank Acct. No.:
Company ID Number: Original Settlement Date:
Amount:
Return Trace Number: Dishonored Return Code:
Return Settlement Date: Dishonored Return Trace No.:
Original Return Code: Dishonored Settlement Date:
Original Returning Bank T/R No.:
Returning Bank ID: