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Stop Payment Request
Request Date: April 17, 2014, 1:20 PM CDT
        
  Account # *
  Email Address *
  Starting Check # *
  Ending Check # *
  Date Written *   MM/DD/YYYY
  Signer *
  Payee *
  Amount: $ *
  Reason for Stop Payment *
  Comments  
     Upon receipt of this form Ascension Credit Union will place a temporary hold on your check(s). This Stop Payment Order is binding for 14 days only, unless the Account Owner confirms the order with his/her signature (on the proper form) within the 14 day period. Properly signed Stop Payment Orders are effective for 6 months after date accepted and will automatically expire after that period unless renewed in writing.  
  
 
 
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