Stop Payment Order

Date  

Account Number

Name  

Pin Number  

Draft Number  

Draft Amount  

Payable To  

Please stop payment on the draft described above, unless you have already paid, certified or accepted it. I understand that this written request will cease to be effective six (6) months from todays date. The Credit Union will not be liable for payment of the draft contrary to this request unless payment is caused by the Credit Union's negligence and causes actual loss to me. The Credit Union's liability shall not, in any event, exceed the amount of the draft. I agree to reimburse the Credit Union for any loss in sustains in honoring this request.

By submitting this request I agree to the above terms.



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