How to Fill out the NACHA Header Information Correctly

| Immediate Destination: | 101000048 |
| Immediate Origin: | 104113958 |
| Company Name: | **Your Name** |
| Company Identification: | **EIN** |
| Company Entry Description: | **Description** |
| Origination DFI Identification: | 10411395 |
| Immediate Destination Name: | FRB KC |
| Immediate Origin Name: | Adams Bank & Trust |
Figure - 1 shows the NACHA Header fields and their correct values.� There are three that are Client defined and are shown above.� The remaining fields will remain constant and should never be changed, including the reference code.� The reference code should remain blank at all times unless directed otherwise.