| Modify Stop Payment - All ACH | ||
|---|---|---|
| Your Full Name: | Happy Customer | |
| Security Access Code OR Last 4 digits of your SSN/EIN: | 1111 | |
| FSNB Account#: | 2222222 (located on bank statements) | |
| Your Daytime Phone #: | 580-XXX-SSSS (Cell phone, home number or business) | |
| Type of Payment: ACH | ||
| Modified ACH Type: Single All | ||
| Modified Company Name: | X Company | |
| Modified ACH Amount (with decimal point):
Exact $10 range Any Amount | 150.00
(By providing FSNB with an amount, this indicates that you only want this amount to be stopped. All other amounts from this company will be honored as long as funds are available.) | |
| OR | Exact $10 range Any Amount | 150.00-160.00 (A dollar range indicates that you only wish FSNB to stop items from this company within that dollar range; items that present against the account outside the dollar range will be paid as long as funds are available.) |
| OR | Exact $10 range Any Amount | (Leaving the amount blank indicates that you want FSNB to stop ALL recurring ACH payments from this company, no matter what the amount is.) |