This document should be completed by someone familiar with your institution’s check processing

be a member of the Item Processing Department or your check vendor if outsourced.

Sources for Check21 data include:
- Item processing – inhouse and hosted
- Check vendor if outsourced
- Return x9 files exchanged with Federal Reserve Bank

If Necessary, Your Project Manager will be able to provide clarity around data required in this spr

Data Questions:
Indicate which Image Files your institution is already sending to Verafin
Inclearing? (Y/N): * See Note
If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937)
Onus? (Y/N): * See Note
If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937)
Incoming Returns? (Y/N):

If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937)

Outgoing Returns? (Y/N):
If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937):

Indicate which Image Files your institution is going to be sending to Verafin * See notes above
Inclearing? (Y/N):
If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937)
Onus? (Y/N):
If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937)
Incoming Returns? (Y/N):
If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937)
Outgoing Returns? (Y/N):
If yes: enter File name ex: (i.e., Inclearing_yyyyMMMdd.x937):
Does your institution use Teller Capture for in-branch check
deposits? (y/n)
Does your institution use Branch Capture for in-branch check
deposits? (y/n)

Additional Data Questions

Please provide routing numbers that Verafin will see for checks clearing on your institution. (Compl
Types Routing # Tab)

Provide five examples for incoming returns/chargebacks. (complete the Incoming Returns/Charge
include customer sensitive or PII data.

Provide five examples for outgoing returns. (complete the Outgoing Returns Tab) Do NOT includ
data.

Provide identifiers for Non-Check Items (complete the Non Check Items Tab)
 with your institution’s check processing flow; typically, this would
check vendor if outsourced.

e clarity around data required in this spreadsheet

ng to Verafin
Yes
B767_Verafin.[yyyy]-[mm]-[dd]_[hh]-[tt]-[ss].x937
Yes
B767_Verafin.[yyyy]-[mm]-[dd]_[hh]-[tt]-[ss].x937
No
ANB is not currently receiving an electronic a X9 file
from FED.
YES
LIP228VRFRTN[mm][dd][yy][hh][tt][ss].x937

nding to Verafin * See notes above

 Yes - Teller Capture (vertex)

No

ecks clearing on your institution. (Complete the Relationship

omplete the Incoming Returns/Chargebacks Tab) Do NOT

Outgoing Returns Tab) Do NOT include customer sensitive or PII

n Check Items Tab)

Not receiving an electronic file from File. Not receiving an X9 file.

* Note
The “Verafin Query” file ( all-inclusive file ) includes all DDA debits from inclearings and POD as well as all transit debits.
The internal DDA Routing numbers for Verafin to filter out of the :
50110001
52280001
52280030

52280077

"Verafin Query file" - All inclusive file name:

B767_Verafin.[yyyy]-[mm]-[dd]_[hh]-[tt]-[ss].x937
Routing Numbers
Use this workbook to provide your institution’s 9-digit routing numbers that Verafin will encounter for checks
clearing on your institution.

Attach the completed workbook to your Check21 Integration Package when returning the complete package to the
Verafin team.
Routing Number
067011977

50110001 INTERNAL ROUTING NUMBER * See Note under Data questions tab
52280001 INTERNAL ROUTING NUMBER * See Note under Data questions tab
52280030 INTERNAL ROUTING NUMBER * See Note under Data questions tab
52280077 INTERNAL ROUTING NUMBER * See Note under Data questions tab
Incoming Returns / Chargeback

Use this workbook to provide five examples to show how incoming returns/chargebacks are identified in your core banking system.
Attach the completed workbook to your Check21 Integration Package when returning the complete package to the Verafin team.

DO NOT send customer sensitive data or Personal Identifying Information when providing examples.

Date of Return Check Amount Transaction Code or Description

(yyyyMMMdd) (provide examples with unique dollar values)

20220608 $1,025.00 NS- NSF Tran Code 135 -CHARGEBACK ITEM

20220608 $3,985.00 NS- NSF Tran Code 135 -CHARGEBACK ITEM
20220608 $1,500.00 CL- CLOSED ACCOUNT Tran Code 135 -CHARGEBACK ITEM
20220609 $4,438.50 NS- NSF Tran Code 135 -CHARGEBACK ITEM
20220610 $50.00 CL- CLOSED ACCOUNT Tran Code 135 -CHARGEBACK ITEM
Outgoing Returns

Use this workbook to provide five examples to show how outgoing returns (checks written against your own accounts that fail to clear) are posted
to your core banking system.

Attach the completed workbook to your Check21 Integration Package when returning the complete package to the Verafin team.

DO NOT send customer sensitive data or Personal Identifying Information when providing examples.

Date of Return Check Amount Transaction Code or Description

(yyyyMMMdd) (provide examples with unique dollar values)

20220606 $2,475.00 14- Return Fraud

20220502 $1,950.00 120- Return NSF
20220502 $300.00 90- Closed Account
20220311 $755.82 14- Altered Check
20220225 $91.50 14- Stale Dated
Non-Check Items
If your Check21 files contain non-check items, such as Deposit Tickets or Cash Withdrawal Tickets, indicate how Verafin will identify these
items.

Use this workbook to provide your institution’s internal routing number, item processing trancode, and channel of deposit that identify
these items to Verafin.
Routin
Attach theNumber / workbook
completed to your Check21 Integration Package when returning the complete package to the Verafin team.
Description
Trancode
067011977 DDA Withdrawals
n-check items, such as Deposit Tickets or Cash Withdrawal Tickets, indicate how Verafin will identify these

our institution’s internal routing number, item processing trancode, and channel of deposit that identify

k to your Check21 Integration

Deposit Channel Package when returning the complete package to the Verafin team.