Southeast Corporate -- Share Draft Adjustment Form

Member Manuals

Member$MART

ALMonitor Online

corpCash

File Transfer

OnDemand

Image Depot

APEX-ACH

ACH Org. Form

corpSafe

EPD Int’l Wires

Share Draft Adj

Virtual Dep Forms

Deposit Adj.

Research

Scanner Maint.

All required fields have an asterisk ( * ).

Credit Union Information

*CU Name:

*CU Fax:

xxx-xxx-xxxx

*R&T #:

Your Contact Information

*First Name:

*Last Name:

*Phone:

Extension:

Email:

Adjustment Information

Please Select Adjustment Type (Required)

Encode Error

Paid Twice

Not Our Item

Source of Receipt

*Listed As:

Difference:

*Should Be:

*Check #:

*Member Name:

*Clear Date:

mm / dd / yy

Clear Date:

mm / dd / yy

*Trace #:

Trace #:

(Paid Twice - 2nd presentment Information)

Reason for Adjustment

Debits or Credits

Debit Adjustment:

Credit Adjustment:

NOTE: Southeast Corporate no longer accepts Debit or Credit Adjustments $25.00 and under. This is in compliance with the Federal Reserve Bank change effective February 14, 2005.