
| Prompt | Response | Req | Len |
|---|---|---|---|
| Payment Code | Informational only. Displays the Payment Code. | 5 | |
| Amount $ | Informational only. Displays the payment amount. | 15 | |
| Remarks | Type any remarks you want. | 40 | |
| Payment Date | Type the date you want or click the calendar icon to select a date. | 10 | |
| Batch Number | Type the batch number or click the magnifying glass to search the table. | 17 | |
| Check Number | Type the check number. | 20 | |
| ICN Number | Type the ICN number. | 20 |