This is an informal invoice issued by a supplier to correct an error and indicate the extra amount owed. On many occasions, the debit memo is created according to a complaint filed by a client. Other situations that require the issuance of the same include expense transfer and charge reallocation.
Sample Debit Memo Template
The details of this document should be filled out clearly and accurately and the information is only for official use.
Date _______________ Bank No. ______________
Transaction Date ___________ Payee _______________ Data entry ______________
Fund account Class IRS Amount
011345675876 65488 00 $ 2000 USD
011165764342 67400 00 $ 800 USD
$ 900 USD
Total $ ___________
Explanation
Purchase order 1921756254
Invoice UK365599875
Send wire to: ____________________________
Bank: Equity Bank (United Kingdom)
Bank code: 068
Account No: 01108055771400
Swift: EQBL UK
IBAN: EQ6427060077011801247
Account Name: Smith Construction
Initiated by: ______ Checked by: _______ Approved by: _________
Date_____________ Date______________ Date________
Download Debit Memo Template in Word Format