FEDERATED FAMILY CREDIT UNION
STOP PAYMENT FORM

Complete this form then print it and return it to us via fax, mail or in person. 
  

Fax To: (414) 278-0890 Mail To: Federated Family Credit Union  626 E. Wisconsin Ave., Ste 102  Milwaukee, WI 53202 (414) 278-7220	Charges: Single check: $25.00
Date Received:	Time Received:
Maker (member):	Phone:
Address: City: State:   Zip:
Draft #:  Dated:   Amount:
Payee:    Reason for Stop
Share Draft Checking Account #:
In compliance with your request, we have placed a stop payment order against the draft described above.  An oral order is binding for fourteen (14) calendar days unless confirmed in writing within that period.  A written order, if not previously revoked, will automatically expire six (6) months from date received unless renewed in writing at Federated Family Credit Union. The undersigned agrees to indemnify Federated Family Credit Union against all loss, damage, claims, and expenses for its refusing payment of the above item.  The undersigned agrees to notify the credit union promptly of the issuance of a duplicate draft or the return of the original draft.   X____________________________________________ Member's Signature and Date
To Release Stop Payment Release  - Date: The above stop payment request is withdrawn. X____________________________________________ Member's Signature To release this stop payment, sign and date the above release and return this copy to the Federated Family Credit Union.
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