Stop Payment Order (Share Draft Range) Header Image

Stop Payment Order (Share Draft Range)

Today's Date

Member Information

Name

Share Draft Number(s)

The member agrees to hold the Drawee harmless from liability, costs and expenses arising from the Drawee's refusal to pay an item as to which the member has given a stop payment order. The drawee agrees to exercise ordinary care in endeavoring to comply with a stop payment order, but if through inadvertence, oversight, accident or otherwise the Drawee pays the item contrary to a stop payment order the member and the Drawee agree that the Drawee shall be immediately entitled to charge the member's account for the amount thus paid and such charge shall stand regardless of whether the member is entitled to recover from the Drawee on account thereof, and the member's sole remedy shall be to prove and recover only such actual money damages as may be occasioned to the member solely on account of only such item.

THIS STOP PAYMENT SHALL BE EFFECTIVE FOR SIX MONTHS FROM DATE OF ORDER SHOWN HEREON.

Authorized Signature

Print and sign this form before clicking "Submit From". Credit Union must have this form hand delivered, mailed to Credit Union, or faxed to (979) 647-4813 within 14 days.

Use your mouse or finger to draw your signature above
Powered by Formstack Create your own form