Sample Statement in the CAMT Format
In the below sample statement, the following charges, adjustments, and taxes are billed to Green Corp. by Seven Bank:
| Charge/Adjustment | Price Method | Charge Rate (Per Unit) | Charge Amount | Adjustment Amount | Tax Rate (Percentage) | Tax Amount |
|---|---|---|---|---|---|---|
| Minimum Balance Charge (P001) | FCHG | $2 | $2 | - | 1 | $0.02 |
| ATM Fees (P002) | FCHG | $5 | $5 | - | 2 | $0.1 |
| Foreign Transaction Charge (P003) | TPRC | $0.2 | $20 | - | 2 | $0.4 |
| Interest Earned | - | - | - | $10 | - | - |
<Document>
<BkSvcsBllgStmt>
<RptHdr>
<RptId>5656587978</RptId>
</RptHdr>
<MsgPgntn>
<PgNb></PgNb>
<LastPgInd></LastPgInd>
</MsgPgntn>
<BllgStmtGrp>
<GrpId>4578767989</GrpId>
<Sndr>
<Nm>Seven Bank</Nm>
<LglNm>Seven Bank Limited</LglNm>
<PstlAdr>
<AdrTp></AdrTp>
<Dept></Dept>
<SubDept></SubDept>
<StrtNm></StrtNm>
<BldgNb></BldgNb>
<PstCd>94122</PstCd>
<TwnNm>San Franciso</TwnNm>
<CtrySubDvsn>CA</CtrySubDvsn>
<Ctry>USA</Ctry>
<AdrLine>Saturn Park, Saturn Street, River Side</AdrLine>
<Flr></Flr>
<PstBx></PstBx>
<BldgNm></BldgNm>
<Room></Room>
</PstlAdr>
<Id>
<FIId>
<BICFI>76CA76CA</BICFI>
</FIId>
</Id>
<CtryOfRes>USA</CtryOfRes>
<CtctDtls>
<NmPrfx>Ms</NmPrfx>
<Nm>G, LINDA</Nm>
<PhneNb>415-555-0103</PhneNb>
<MobNb>415-555-0106</MobNb>
<FaxNb>415-555-0107</FaxNb>
<EmailAdr>linda.g@example.com</EmailAdr>
</CtctDtls>
</Sndr>
<SndrIndvCtct>
<NmPrfx>Mr</NmPrfx>
<Nm>G, RUSSEL</Nm>
<PhneNb>415-555-0104</PhneNb>
<MobNb>415-555-0105</MobNb>
<FaxNb>415-555-0107</FaxNb>
<EmailAdr>russel.g@example.com</EmailAdr>
</SndrIndvCtct>
<Rcvr>
<Nm>Green Corp.</Nm>
<LglNm>Green Corporation</LglNm>
<PstlAdr>
<AdrTp>BILLING</AdrTp>
<Dept></Dept>
<SubDept></SubDept>
<StrtNm></StrtNm>
<BldgNb></BldgNb>
<PstCd>90020</PstCd>
<TwnNm>Los Angeles</TwnNm>
<CtrySubDvsn>CA</CtrySubDvsn>
<Ctry>USA</Ctry>
<AdrLine>Mars Park, Mars Street, Lake Side</AdrLine>
<Flr></Flr>
<PstBx></PstBx>
<BldgNm></BldgNm>
<Room></Room>
</PstlAdr>
<Id>
<OrgId>
<AnyBIC>34CA34CA</AnyBIC>
</OrgId>
<FIId>
<BICFI></BICFI>
</FIId>
</Id>
<CtryOfRes>USA</CtryOfRes>
<CtctDtls>
<NmPrfx>Mr</NmPrfx>
<Nm>G, ALLEN</Nm>
<PhneNb>323-555-0111</PhneNb>
<MobNb>323-555-0112</MobNb>
<FaxNb>323-555-0113</FaxNb>
<EmailAdr>allen.g@example.com</EmailAdr>
</CtctDtls>
</Rcvr>
<RcvrIndvCtct>
<NmPrfx>Mr</NmPrfx>
<Nm>G, JOHNSON</Nm>
<PhneNb>323-555-0114</PhneNb>
<MobNb>323-555-0115</MobNb>
<FaxNb>323-555-0113</FaxNb>
<EmailAdr>johnson.g@example.com</EmailAdr>
</RcvrIndvCtct>
<BllgStmt>
<StmtId>4578672301</StmtId>
<FrToDt>
<FrDt>2020-01-01</FrDt>
<ToDt>2020-01-31</ToDt>
</FrToDt>
<CreDtTm>2020-02-01T13:57:07</CreDtTm>
<Sts>ORGN</Sts>
<AcctChrtcs>
<AcctLvl>DETL</AcctLvl>
<CshAcct>
<Id>
<IBAN>77AA77BB77</IBAN>
</Id>
<Tp>
<Cd>CC</Cd>
<Prtry>Classic Customer</Prtry>
</Tp>
<Ccy>USD</Ccy>
</CshAcct>
<AcctSvcr>
<FinInstnId>
<BICFI>75BA75BA</BICFI>
</FinInstnId>
<Nm>Seven Bank</Nm>
<PstlAdr>
<Dept></Dept>
<SubDept></SubDept>
<StrtNm></StrtNm>
<BldgNb></BldgNb>
<PstCd>94122</PstCd>
<TwnNm>San Franciso</TwnNm>
<CtrySubDvsn>CA</CtrySubDvsn>
<Ctry>USA</Ctry>
<AdrLine>Saturn Park, Saturn Street, River Side</AdrLine>
</PstlAdr>
</AcctSvcr>
<CompstnMtd>INVD</CompstnMtd>
<DbtAcct>
<IBAN></IBAN>
</DbtAcct>
<DelydDbtDt></DelydDbtDt>
<SttlmAdvc>Bank Settlement Advice</SttlmAdvc>
<AcctBalCcyCd>USD</AcctBalCcyCd>
<SttlmCcyCd>USD</SttlmCcyCd>
<HstCcyCd>USD</HstCcyCd>
<Tax>
<ClctnMtd>Method C</ClctnMtd>
<Rgn>SANFRAN</Rgn>
</Tax>
<AcctSvcrCtct>
<NmPrfx>Mr</NmPrfx>
<Nm>G, RUSSEL</Nm>
<PhneNb>415-555-0104</PhneNb>
<MobNb>415-555-0105</MobNb>
<FaxNb>415-555-0107</FaxNb>
<EmailAdr>russel.g@example.com</EmailAdr>
</AcctSvcrCtct>
</AcctChrtcs>
<CcyXchg>
<SrcCcy></SrcCcy>
<TrgtCcy></TrgtCcy>
<XchgRate></XchgRate>
<UnitCcy></UnitCcy>
<QtnDt></QtnDt>
</CcyXchg>
<Svc>
<SvcDtl>
<BkSvc>
<Id>P001</Id>
<Desc>Minimum Balance Charge</Desc>
<SvcTp></SvcTp>
</BkSvc>
<Vol></Vol>
</SvcDtl>
<Pric>
<Ccy>USD</Ccy>
<UnitPric>
<Amt Ccy="USD">2</Amt>
<Sgn>TRUE</Sgn>
</UnitPric>
<Mtd>FCHG</Mtd>
</Pric>
<PmtMtd>INVS</PmtMtd>
<OrgnlChrgSttlmAmt>
<Amt Ccy="USD">2</Amt>
<Sgn>TRUE</Sgn>
</OrgnlChrgSttlmAmt>
</Svc>
<Svc>
<SvcDtl>
<BkSvc>
<Id>P002</Id>
<Desc>ATM Fees</Desc>
<SvcTp></SvcTp>
</BkSvc>
<Vol></Vol>
</SvcDtl>
<Pric>
<Ccy>USD</Ccy>
<UnitPric>
<Amt Ccy="USD">5</Amt>
<Sgn>TRUE</Sgn>
</UnitPric>
<Mtd>FCHG</Mtd>
</Pric>
<PmtMtd>INVS</PmtMtd>
<OrgnlChrgSttlmAmt>
<Amt Ccy="USD">5</Amt>
<Sgn>TRUE</Sgn>
</OrgnlChrgSttlmAmt>
</Svc>
<Svc>
<SvcDtl>
<BkSvc>
<Id>P003</Id>
<Desc>Foreign Transaction Charge</Desc>
<SvcTp></SvcTp>
</BkSvc>
<Vol>10000</Vol>
</SvcDtl>
<Pric>
<Ccy>USD</Ccy>
<UnitPric>
<Amt Ccy="USD">0.2</Amt>
<Sgn>TRUE</Sgn>
</UnitPric>
<Mtd>TPRC</Mtd>
</Pric>
<PmtMtd>FLAT</PmtMtd>
<OrgnlChrgSttlmAmt>
<Amt Ccy="USD">20</Amt>
<Sgn>TRUE</Sgn>
</OrgnlChrgSttlmAmt>
</Svc>
<TaxRgn>
<RgnNb>D001</RgnNb>
<RgnNm>D001</RgnNm>
<CstmrTaxId>677699899</CstmrTaxId>
<InvcNb>8787879000</InvcNb>
<MtdC>
<SvcDtl>
<BkSvc>
<Id>P001</Id>
<Desc>Minimum Balance Charge</Desc>
</BkSvc>
<SvcChrgAmt>
<Amt></Amt>
<Sgn></Sgn>
</SvcChrgAmt>
</SvcDtl>
<SvcDtl>
<BkSvc>
<Id>P002</Id>
<Desc>ATM Fees</Desc>
</BkSvc>
<SvcChrgAmt>
<Amt></Amt>
<Sgn></Sgn>
</SvcChrgAmt>
</SvcDtl>
<SvcDtl>
<BkSvc>
<Id>P003</Id>
<Desc>Foreign Transaction Charge</Desc>
</BkSvc>
<SvcChrgAmt>
<Amt></Amt>
<Sgn></Sgn>
</SvcChrgAmt>
</SvcDtl>
<TaxClctn>
<HstCcy>USD</HstCcy>
<TaxblSvcChrgConvs>
<SrcAmt>
<Amt Ccy="USD">2</Amt>
<Sgn>TRUE</Sgn>
</SrcAmt>
<HstAmt>
<Amt Ccy="USD">2</Amt>
<Sgn>TRUE</Sgn>
</HstAmt>
</TaxblSvcChrgConvs>
<TaxblSvcChrgConvs>
<SrcAmt>
<Amt Ccy="USD">5</Amt>
<Sgn>TRUE</Sgn>
</SrcAmt>
<HstAmt>
<Amt Ccy="USD">5</Amt>
<Sgn>TRUE</Sgn>
</HstAmt>
</TaxblSvcChrgConvs>
<TaxblSvcChrgConvs>
<SrcAmt>
<Amt Ccy="USD">20</Amt>
<Sgn>TRUE</Sgn>
</SrcAmt>
<HstAmt>
<Amt Ccy="USD">20</Amt>
<Sgn>TRUE</Sgn>
</HstAmt>
</TaxblSvcChrgConvs>
<TtlTaxblSvcChrgHstAmt>
<Amt Ccy="USD">27</Amt>
<Sgn>TRUE</Sgn>
</TtlTaxblSvcChrgHstAmt>
<TaxId>
<Nb>D005</Nb>
<Desc>D005</Desc>
<Rate>1</Rate>
<TtlTaxAmt>
<Amt Ccy="USD">0.02</Amt>
<Sgn>TRUE</Sgn>
</TtlTaxAmt>
</TaxId>
<TaxId>
<Nb>D006</Nb>
<Desc>D006</Desc>
<Rate>2</Rate>
<TtlTaxAmt>
<Amt Ccy="USD">0.1</Amt>
<Sgn>TRUE</Sgn>
</TtlTaxAmt>
</TaxId>
<TaxId>
<Nb>D007</Nb>
<Desc>D007</Desc>
<Rate>2</Rate>
<TtlTaxAmt>
<Amt Ccy="USD">0.4</Amt>
<Sgn>TRUE</Sgn>
</TtlTaxAmt>
</TaxId>
<TtlTax>
<Amt Ccy="USD">0.52</Amt>
<Sgn>TRUE</Sgn>
</TtlTax>
</TaxClctn>
</MtdC>
<SttlmAmt>
<Amt Ccy="USD">27.52</Amt>
<Sgn>TRUE</Sgn>
</SttlmAmt>
<TaxDueToRgn>
<Amt Ccy="USD">0.52</Amt>
<Sgn>TRUE</Sgn>
</TaxDueToRgn>
</TaxRgn>
<SvcAdjstmnt>
<Tp>INTEARN</Tp>
<Desc>Interest Earned</Desc>
<Amt>
<Amt Ccy="USD">10</Amt>
<Sgn>TRUE</Sgn>
</Amt>
<ErrDt>2020-01-31</ErrDt>
<AdjstmntId>5656787856</AdjstmntId>
<NewChrgAmt>
<Amt Ccy="USD">10</Amt>
<Sgn>TRUE</Sgn>
</NewChrgAmt>
</SvcAdjstmnt>
</BllgStmt>
</BllgStmtGrp>
</BkSvcsBllgStmt>
</Document>