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posted | withdrawn | ||||||||||||||||||||
PAY ORDER № |
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Date | Kind of payment | ||||||||||||||||||||
Amount expressed in words |
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Taxpayer identification number |
Tax registration reason code |
Amount |
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Account number |
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Payer | |||||||||||||||||||||
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RCBIC |
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Account number |
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Payer’s bank | |||||||||||||||||||||
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RCBIC |
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Account number |
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Beneficiary bank | |||||||||||||||||||||
Taxpayer identification number |
Tax registration reason code |
Account number |
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Transact ion type |
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Period of payment |
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Payment purpose |
Payment batch |
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Code | Extra field | ||||||||||||||||||||
Beneficiary | |||||||||||||||||||||
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Payment purpose | |||||||||||||||||||||
Signature mark | marked by the bank as executed | ||||||||||||||||||||
seal | |||||||||||||||||||||
Payer’s / Beneficiary’s account |
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Account details |
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Clearing Register’s Code (1 or >1) 2nd, 3rd level Settlement Code |
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OKUD code of form | ||||||
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Drawer of a document | ||||||
TRANSACTION MEMO |
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Account details | Debit | Amount by digit | ||||
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Account details | Credit | |||||
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Amount expressed in words |
File reference |
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Operation subject, document name, number and date, on the basis of which is composed memo |
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Signature mark | ||||||
Application: _________________ documents of ________ pages | ||||||
Clearing Register’s Code (1 or >1) 2nd, 3rd level Settlement Code |
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Field | Data |
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Transaction Reference Number |
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Pay number |
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Bank Operation Code |
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Account |
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Value Date |
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Currency |
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Debit |
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Credit |
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Payer |
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Correspondent Bank |
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Beneficiary bank |
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Beneficiary |
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Payment purpose |
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Clearing Register’s Code |
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