Stop Payment Request: ACH and Checks

Stop Payment Request: ACH and Checks

  • Date Format: MM slash DD slash YYYY
  • Action Needed

    The ACH stop payment order will remain in effect until (1) one payment of the debit entry has been stopped, or (2) until you provide written notice to release the stop payment order. Notify the Originator that a stop payment was placed on a single entry and direct them to continue the recurring payments. The check stop payment will remain in effect for (1) six months, (2) until one payment of the debt entry has been stopped, or (3) until you provide written notice to release the stop payment order.
    The stop payment order will remain in effect until such payment has been stopped or until you provide written notice to release the stop payment order. I understand that the financial institution may require confirmation that I have revoked authorization with the Originator, and if I do not provide it within 14 days, the stop payment order will cease to be binding and subsequent payments will be allowed to post.
  • Please deduct Stop Payment fee from

  • I understand a stop payment order must be received in time to allow the institution a reasonable opportunity to act on it prior to acting on the debit entry. To be effective, the stop payment order must also sufficiently identify the payment. If the order is accepted orally and notice is given that a written confirmation is required, the written confirmation must be received within fourteen (14) days of the oral order. I understand that if I authorize another payment to this company for any amount, I must advise the financial institution to prevent return of the newly authorized entry. The financial institution is not responsible for posting or return errors caused by insufficient or inaccurate information.