Cross Border Notification Entries

                            Customer Name:  
                                 Customer ID:  
          Foreign Exchange Indicator:

       Foreign Exchange Reference:
      Exchange Reference Indicator:  
          Destination Country Code:        Destination Currency Code:
          Originating Currency Code:  
     
                          Company Name:             Original Bank Acct. No.:
                               Company ID:                           Account Type: Checking Savings
                       Entry Description:    
       Original Entry Trace Number:  
                         Transaction Type:   Credit    Debit  
     
                             Change Reason:    
                                 Change Field: