First Name: MI: Last Name:
Check # to Stop Amount
Date Written (mm/dd/yy)
Disclosure: All items must be accurate or our computer systems will not properly stop payment.
You need to print, sign and return this form to create a stop payment that is valid for 180 days
There is a fee for each stop payment. Click here to view Fee Schedule.
You Must Print, Sign, and Return to Credit Union along with a copy of a photo I.D.
by mail (162 N. Gross Road Kingsland, GA 31548), fax (912-882-8559), or in person. A signature is needed to complete the process.