Northside FCU
Northside Federal Credit Union
 
STOP PAYMENT FORM
     
Last Name
________________________________ MI ______________
First Name  
________________________________ State   ______________ 
Street Address
________________________________ Zip   ______________ 
City
________________________________ Home Phone _________________________
    Work Phone _________________________
Account #
________________________________ E-mail _________________________
Check # to Stop
________________________________ Amount $______________
Payable To
________________________________ 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
(in person or by mail or fax)
  _______________________________________
   Signature

   ________________________
   Date

You Must Print, Sign, and Mail to Credit Union
or Fax to 404-845-5033


 
 
georgia credit unions
georgia credit unions
georgia credit unions
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