1. Item Description - I request Credit Union to stop payment on the share draft, check, preauthorized electronic funds transfer ("EFT"), or ACH draft ("item") described above. I warrant that the item description, including the date or scheduled transfer date, its exact amount, the item number and payee are correct. I understand that the EXACT information on the item is necessary for Credit Union's computer to identify the item. If I give Credit Union the incorrect amount or any other incorrect information, the Credit Union will not be responsible for failing to stop payment on the item.

2. Electronic Draft/Check Conversion Transaction - I understand that if I authorize the conversion of an item to an electronic transaction that it will be presented for payment electronically through automated clearinghouse (ACH) processes, unless the box for Electronic Draft/Check Conversion Transaction located above under the Item No(s)/Type section is marked, I warrant that the item upon which I am requesting to stop payment is not an Electronic Draft/Check Conversion Transaction. I understand that the credit union will not stop payment on an item if it is processed as an Electronic Check Conversion Transaction and I have not indicated that above.

3. Preauthorized Electronic Funds Transfer - I understand that a request to stop the payment of a Preauthorized Electronic Funds Transfer will only apply to the transfer scheduled for the date noted above, under the Date of Item/Transfer section. If I wish to stop additional Preauthorized Electronic Funds Transfers, I will submit additional stop payment requests.

4. Postdated Items - If this Notice involves a Postdated Item, as indicated above, I hereby request the Credit Union to Stop Payment on the share draft or check if presented for payment prior to the date of the Item. My Stop Payment Notice on a Postdated Item is subject to all other terms and conditions for Stop Payment Orders.

5. Stop Payment Order - I agree that the Credit Union will not be responsible for stopping payment unless my Stop Payment Order is received by the Credit Union:

   1. within a reasonable time for the Credit Union to act on my order prior to a final payment or similar action; or

   2. at least three (3) business days before the scheduled date of the preauthorized EFT or ACH draft.

   I understand that my stop payment request is conditional and subject to Credit Union's verification that the Item has not already been paid or that some other action to pay the Item has not been taken. I understand that my Stop Payment Order will be effective as follows: I may make an oral Stop Payment Order which will lapse within fourteen (14) calendar days unless confirmed in writing within that time. A written Stop Payment Order will be effective for six (6) months. A written Stop Payment Order may be renewed in writing from time to time. I also agree to notify the Credit Union promptly upon the issuance of any duplicate Item which replaces the Item subject to this order or upon return of the original Item. I agree to pay the Credit Union a stop payment fee for each request as set forth above.

6. Indemnification - I agree to indemnify and hold harmless from all costs, including attorney's fees, (to the extent permitted by law) damage or claims related to the Credit Union's action in refusing payment of the Item, including claims of any joint owner, payee, or endorsee, or in failing to stop payment of an Item as a result of incorrect information provided by me.

7. This Stop Payment Request is subject to the Uniform Commercial Code as adopted by the State where the Credit Union's main office is located, by automated clearinghouse rules and by other local clearinghouse rules.

Clicking the submit button below will act as your signature on this Stop Payment form. By clicking the submit button, you certify that you understand and agree to the Terms set herein.