Accounts and Reports Setoff Program
Municipality
DESCRIPTION OF DATA ELEMENTS FOR DELINQUENT DEBTS FORM
Debtor ID Number (9 characters)
The debtor's EIN or SSN.
Debtor ID code (1 character)
This code is used to identify the type of debtor identification number being submitted.
1 = Employer Identification Number (EIN)
2 = Social Security Number (SSN)
Creditor Agency Number (5 characters)
The Municipality number used for submitting debts for setoff is the second, third,
fourth, fifth, and sixth digit of your employer identification number (EIN).
First Name (12 characters)
The debtor's first name.
Middle Initial (1 character)
The debtor's middle initial.
Last Name or Business Name (25 characters)
The debtor's last name or the business name if the debtor is a business.
Account ID Number (14 characters)
A unique number, other
than the debtor identification number, assigned by the creditor agency to a debt. The use
of this field is optional and the creditor agency may use this field if it will be of
assistance in locating or identifying particular debts. If a creditor agency elects to not
use this option, this field should be left blank.
Type of Debt Code (2 characters)
This code is used to identify the general type of debt being submitted.
31 = For all municipal debts
Type of Debt Description (30 characters)
A description of the debt owed.
Amount (9 characters)
The amount of the debt owed. No commas permitted. Decimal point must be used.
