Request to stop payment on check

1234, Main Street
Boston, MA 02123

04 April, 2005

<Recipient Address Goes Here>


Re: Request for Stop Payment
Account No. <number>

I am writing to request that you stop payment on a check written on the above-referenced account. I would like to stop payment on check number <check number>, which was issued on <date>, and made payable to <payee>. The check was issued in the amount of <amount>.

I would appreciate it if you would provide me with written confirmation that payment on this check has been stopped. Thank you for your assistance in this matter.


Robert Anderson

encl: <List of enclosed items goes here>

Download request to stop payment on check Word Format

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