Notice of Stop Payment on Check



{DATE}

{Mr./Mrs./Ms/Dr} {FIRST NAME} {LAST NAME}

{TITLE}

{COMPANY}

{ADDRESS}

{CITY}, {STATE} {ZIP CODE}

Dear {Mr./Mrs./Ms/Dr} {LAST NAME}:

This is to authorize you to place a "STOP PAYMENT" order on the following check:

Account #: _____________________

Account Name: __________________

Check #: _______________________

Name of Payee: _________________

Date of Check: _________________

Amount of Check: _______________

Thank you for your immediate attention to this matter. If you should find any trouble with this transaction, please call me at (XXX) XXX-XXXX between 0:00 a.m. and 0:00 p.m.

Sincerely,

{YOUR NAME}

{YOUR TITLE}