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Stop Payment Form - ACH
Submitter Information (Required)
First Name
(required)
Last Name
(required)
Resolve the errors marked in red before submitting again.
Contact Information
Phone Number:Email Address:

 
Mailing Address (required)

We will not update our records with this information. If this information needs updated, please submit an "address/contact change form".

Contact Preference
If we have questions about this form, how would you like us to contact you? (required)
Stop Payment Information
Checking Account Number:
Amount of ACH:
Payee:
Date Transaction is to post to your Account:
Reason for Stop Payment:

Stop payments may only be placed on one item (ACH) at a time.  A $37.00 fee per stop payment will be assessed to the account.

If any of the above information is not accurate, this request may not stop the payment of the check.  The Bank will not be held liable for this error.

This stop payment will only be valid for 183 days.  If the stop payment needs to be made for a longer timeframe (i.e.: recurring ACH), you must visit one of our offices to place this type of stop payment.