STOP PAYMENT FORM
Name
   
Street
City State   Zip
E-mail Work   Home  
Check # to Stop  Payable To Amount
Account # Date Written 
 
Disclosure: All items must be accurate or our computer systems will not properly stop payment. You need to print, sign and return this form to create a stop payment that is valid for 180 days.
   
   _______________________________
   Signature
___________________
Date

Artesian City Federal Credit Union
P.O.BOX 428
Albany, GA 31702-0428
You Must Print, Sign, and Return to Credit Union