Payment Remittance Advice

<?format-date:/OutboundPaymentInstruction/PaymentInstructionInfo/InstructionCreationDate;’XDODEFDATE’?>

Grp:OutboundPayment
From Payer First Party Payer Name Supplier or Party SupplierorPartyName
Addressline1Addressline2Addressline3 To Payee Payee Name
City Address line1Addressline2Addressline3
State/Province City
Country State/Province
Postal Code Country
Postal Code
Bank Name Payee Bank Account Bank Name
Bank Number Payee Bank Number
Branch Number Payee Branch Number
Bank BIC Code Payee Bank branch BIC code
Bank Account Masked Payee Bank Account Number
IBAN Payee IBAN

The following payment has been remitted.

Payment Reference Payment Reference Number

Number
Paper Document Number Paper Document Number
Payment Date Payment Date
Payment Currency Payment Currency Code
Payment Amount Payment Amt

Remittance Detail
Document Reference Document Document Document Amount Withheld Discount Amount Paid
Number Date Currency Amount Taken
Grp<Doc Ref Number Date Currency Document Withheld Amt Discount Amt Payment
Amt Amt>Grp
Total Withheld Amt Discount Amt Payment Amt

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