Stop Payment Request

Stop Payment Information

Please select one
- The stop payment is for a check
- The stop payment is for a range of checks
- The stop payment is for a recurring debit card transaction or recurring automatic withdrawal from your account
- This is a one time stop payment for a normally recurring debit card transaction or recurring automatic withdrawal from your account
- The transaction is unauthorized
OK Please select one is required

STOP – You are completing the wrong form. You must complete an Unauthorized Transaction Form

Customer Information

First Name
OK First Name is required
Middle Initial
OK Middle Initial is required
Last Name
OK Last Name is required
Social Security Number
OK Social Security Number is required
Date of Birth
OK Date of Birth is required
Email
OK Email is required
Mother's Maiden Name
Optional OK Mother's Maiden Name is required

Address Information

Street
OK Street is required
City
OK City is required
State
OK State is required
Zip
OK Zip is required
Cell/Home Phone
OK Cell/Home Phone is required
Work Phone
OK Work Phone is required

Account Information

Account Number
OK Account Number is required

Check Number
OK Check Number is required
Payee
OK Payee is required
Amount of Check
OK Amount of Check is required
Reason
OK Reason is required

Start Check Number
OK Start Check Number is required
End Check Number
OK End Check Number is required
Reason
OK Reason is required

Note: Please be aware, you should first try to stop automatic payments with the payee, such as the gym or loan service provider. You are placing a stop payment on this exact AMOUNT from being withdrawn from your account by the payee, another payment varying by only a few cents will be processed as normal.

Amount
OK Amount is required
Payee
OK Payee is required
Reason
OK Reason is required

Additional Comments
Optional OK Additional Comments is required

Security Code

OK is required

If this stop payment is for an electronic transaction, the order does not expire until revoked. Your account bill be charged a stop payment fee, please refer to the bank's fee schedule. I understand that this written stop payment order shall be effective for 6 months from the date of this order, unless renewed by me in writing. I understand that if this order is in confirmation of a prior stop payment order, the oral order is binding upon you only if this written order has been delivered to you within 14 calendar days from the date of the oral order. I understand you will not be responsible for stopping payment on said item and further agree not to hold you liable on account of any payment contrary to this request if the stop payment order was not received at such time and in such manner to afford you a reasonable opportunity to act on it prior to any other action which you may have taken with respect to the item or through inadvertence, accident or oversight or if by reason of such payment other items drawn by me are returned for insufficient funds. Corporate customer ACH stop payment requests expire after 6 months with one renewal allowed. This written statement is true and correct, I am an authorized signer, or otherwise have authority to account, on the account identified in this statement.

Type your name here as your signature
OK Type your name here as your signature is required
Mother's Maiden name or Account Code
OK Mother's Maiden name or Account Code is required

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