| STOP PAYMENT FORM | ||
| Last
Name
First Name MI |
Union Fidelity FCU 1415 N. Loop West Suite 110 Houston, TX 77008 Fax: (713) 869-0846 |
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| Street
Address
City State Zip |
Cell
Home |
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| Account # | Check Number to Stop | |
| Payable to | ||
| Amount | Date Written | |
| Disclosure: You need to sign and return this form to create a stop payment that is valid for 180 days. Union Fidelity FCU will not be responsible for checks that have already been processed or presented. A fee of $25 will be charged to your checking account for processing the stop payment request. | ||
_______________________________ Signature |
________________ Date |
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| I understand it is my responsibility to update any and all stop payments not the responsibility of my Credit Union. | ||
_______________________________ Signature |
________________ Date |
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