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When completed, mail or fax to:  \n1st Ed Credit Union, 1156 Kennebec Drive, Chambersburg, PA 17201-2809 Phone 717-264-6506 • Fax 717-264-1441 • [msr@1edcu.org](msr@1edcu.org)  \nSTOP PAYMENT REQUEST FORM  \nTransaction Details:  (Please complete ALL areas of this section)  \nAccount Name: Account \\#:  \n\n| Today’s Date: Date Initiated/Written: Amount: |  |  |\n| --- | --- | --- |\n| Account Type: Share Draft Checking: | Share Savings: | Expected Clearing Date: |\n| Payable to/Originator: |  | Company ID (if known): |\n| Was this item lost, stolen or unauthorized? | If yes, please | explain: |\n\nIf you believe that there is fraud or unauthorized activity on your account, please contact us immediately. Please complete ONE of the following:  \n☐ This request is to stop one share draft / check \\#   \n☐ This request is to stop a block of share drafts / checks \\#   to   \n☐ This request is to stop an ACH item ONE TIME ONLY, to resume on  ☐ I have a history of ACH payments to this Originator; the last payment date was  \n☐ This is a first-time ACH payment to this Originator.  \n☐ This request is a permanent REVOCATION OF AUTHORIZATION for anACH debit. (Complete statement below). I authorized  (company name), to originate one or more ACH debit entries to my account. On  (date of notification), I instructed  \n ,(company name), to stop all future payments, by providing notice in the  \nmanner specified in the original agreement and/or contract. As evidence of this notification,  \n(complete one of the following statements)  \n☐ I spoke to  in the department on ☐ I provided written notice to revoke all future payments. A copy is attached.  \n☐ CANCEL the Stop Payment Request for the item(s) identified in the Transaction Details. The Stop Payment is no longer needed.  \nThe cancellation of a share draft/check that has already been returned as “stopped” will not be honored and a substitute share draft/check should be initiated.  \nI ACKNOWLEDGE THAT I HAVE READ AND AGREE TO BE BOUND BY THE STOP PAYMENT TERMS AND CONDITIONS, (PAGE 2 OF THIS DOCUMENT) .  \nMember Signature Date Day-time Phone Number  \nFor credit union use only:  \nReceived by:   Date: Time:   Fee:  Verified by:   Date: Time:   \nThe undersigned agrees that the information provided completely, accurately, and correctly identifies the check serial number or Originator, amount, and the transaction to be stopped. Failure to do so may result in the payment of the item(s) listed.  \nThe undersigned understands that 1st Ed CU cannot identify and therefore attempt to stop a payment if the originating company name or check serial number is different from what has been provided. The Company ID may change, therefore bypassing 1st Ed CU’s ability to detect the item. 1st Ed CU agrees to make all reasonable attempts to locate the item.  \nAll Stop Payment requests must be provided to 1st Ed CU at such time and in such manner as to allow the credit union a reasonable opportunity to act upon the Stop Payment order prior to acting on the debit entry. This request will not be honored or effective if the debit item has been paid, certified, or accepted prior to this order.  \nA Stop Payment Request will be honored on consumer transactions only.  \nVerbal requests are valid for fourteen (14) calendar days. This signed form must be received by 1st Ed CU within 14 days of the original request. If a request is not signed and returned to us within the time limit, the Stop Payment order may be declared void and will no longer be binding.  \nThis order is for one (1) Stop Payment only and is not renewable. A separate form is needed for multiple ACH merchants/companies, multiple payees (for checks), multiple checks that are not a block of checks or in sequential order, or to renew a previous request.  \nShould future developments make the possible cancellation of this order; the undersigned agrees to notify 1st Ed CU in writing. To cancel a Stop Payment, the account holder may complete the Transactio","cbCaiiYVUZX6kemO","https://ap.wps.com/l/cbCaiiYVUZX6kemO","pdf",737469,"English","# STOP PAYMENT REQUEST FORM\n## Transaction Details\n## Types of Requests (Share Draft/Check, ACH)\n## Cancellation and Terms\n## Fees, Validity, and Credit Union Use","[{\"question\":\"止付申请表需要填写哪些交易信息？\",\"answer\":\"需完成Transaction Details全部区域，包括账户名称、账户号码、账户类型、收款方/发起方信息、金额、期望清算日期，以及该项目是否丢失、被盗或未经授权等说明。\"},{\"question\":\"ACH止付请求有哪些选项？\",\"answer\":\"可选择止付单笔ACH一次性条目，或为永久撤销授权（REVOCATION OF AUTHORIZATION）。若为永久撤销，还需填写授权发起方、通知日期及提供的通知证据声明。\"},{\"question\":\"口头止付与签署提交的有效期与生效条件是什么？\",\"answer\":\"口头请求有效期为14个日历天，签署并由1st Ed CU在原请求后的14天内收到方可生效。若该借记条目在本订单前已被支付、认证或接受，则本请求不予生效。\"}]","STOP PAYMENT REQUEST FORM - read and agree to stop payment terms | PDF",1789624695]