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STOP PAYMENT REQUEST: ACH and Checks


The ACH stop payment will remain in effect (1) for six months from the date of the stop payment order, (2) until one payment of the debit entry has been stopped, or (3) until the Receiver withdraws the stop payment order, whichever occurs earliest.

I understand that this stop payment order applies only to the specific criteria listed above and is effective for a period of six months. I understand to prevent payments from posting to my account after the expiration of this stop payment order I must (1) revoke the authorization with this company in the manner specified in the authorization or (2) renew this stop payment order
The ACH stop payment will remain in effect (1) for six months from the date of the stop payment order, or (2) until the Receiver withdraws the stop payment order, whichever occurs earliest.


Stop Payment Terms and Conditions

I (the owner of the account number listing above) hereby instruct (financial institution) to stop payment on the above transaction(s). It is my understanding that this stop payment order will expire no later than six months from the date of the stop payment order. I understand that I may renew this request when the six-month period ends by completing a new Stop Payment Request Order. I understand that placing a stop payment order on a recurring ACH transaction will not cancel my authorization with the merchant.
It is understood that by placing this Stop Payment Request on the transaction(s) listed above that the account holder agrees to hold the financial institution harmless against any and all loss, claims, damages, and costs, including court cost and attorney’s fee, hat the financial institution may suffer or incur by reason of non-payment of the above transaction if presented prior to withdrawal of these instructions or expiration thereof.

Timing of Stop Payment Order

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 and for some ACH debits, the order must be received at least three banking days prior to the scheduled date to the transfer. 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 date received and will automatically expire after that period unless renewed in writing. With the respect of ACH debits, the institution and the undersigned agree to abide by the ACH Rules and regulations regarding Stop Payment Orders.


Stop Payment Fee
$25.00


Type of Transaction:

Authorized Signature


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