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Notice to Stop Payment of Check

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					                                 Notice to Stop Payment of Check

Date: ____________________
_________________________
_________________________
_________________________
[name and address of financial institution]


Re: Stop payment of check


To Whom It May Concern:
   This letter is to confirm my telephone request of _________________ [date] that you stop
payment on the following check:
    Name(s) on account: ________________________________
    Account number: ________________                  Check number: ________________
    Payable to: ________________
    Date written: ________________                    Amount of check: ________________
     Please acknowledge receipt of this notice by signing the duplicate of this letter and returning
it to me in the enclosed stamped, self-addressed envelope.
    Thank you for your assistance.


__________________________________________________
Signature

_______________________________
Printed or typed name

_______________________________
Address

_______________________________ _______________________________
Home Phone                                     Work Phone
-----------------------------------------------------------------------------------------------------------
Receipt acknowledged by:


__________________________________________________ Date ________________
Signature

_______________________________
Printed or typed name

_______________________________
Title

				
Work  Session Work Session Owner http://snurl.com/worksession
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