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Get Jackson Area Federal Credit Union Stop Payment Request Form

Check number: _________________ Name: ________________________ Check amount: _________________ Account: ______________________ Payable to: ____________________ Social Sec: ____________________ Date on check: _________________ Phone: _______________________ Reason for stop payment:  Not enough funds  Canceling services  Services for funds were not provided  Paid with cash or other funds  Lost/stolen checkbook  Wrong payment amount  Other: _____________________________________.

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