| Request Stop Payment - Single ACH with Exact Amount | |
|---|---|
| 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) |
| Company Name: | X Company (person or merchant) |
| Amount (with decimal point)Exact $10 range | 1500.00 (if the amount
is $1500.00 or more please contact Bookkeeping Stops 800-749-4583 ext 2124) |
| Request Stop Payment - Single ACH with $10 Range | |
|---|---|
| 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) |
| Company Name: | X Company (person or merchant) |
| Amount (with decimal point)Exact $10 range | 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.) |