On the terms hereinafter set out, the undersigned account holder hereby instructs Freedom Credit Union, to stop payment on the above transaction. The stop payment order shall remain in effect 1) until written notice is received from the account holder to revoke the stop payment order; or 2) until the payment of the entry has been stopped, whichever occurs first.
On the terms hereinafter set out, the undersigned account holder hereby instructs Freedom Credit Union, to stop payment on the above transaction(s).
Expires after 6 months if not renewed.
The account holder agrees to provide Freedom Credit Union with written confirmation of the revocation within 14 calendar days from
today's date. If Freedom Credit Union does not receive the required written confirmation, then it will honor subsequent debits
to the account.
By directing Freedom Credit Union to stop payment on the above transaction(s), the account holder agrees to
hold Freedom Credit Union harmless against any and all loss, claims, damages, and costs, including court
costs and attorney's fees, that Freedom Credit Union may suffer or incur by reason of non-payment of the
above transaction if presented prior to withdrawal of these instructions or expiration thereof.
The account holder understands that the stop payment request must be received at least three (3) business days before a scheduled debit(s) or in time to give Freedom Credit Union reasonable time to act upon it.
The account holder also understands that it is necessary to provide the correct information related to the transaction(s)
and that failure to do so may result in the payment of the above item(s). The account holder agrees to hold
harmless and indemnify Freedom Credit Union for all expenses, costs, and damages incurred by payment
of the above item(s) if such payment is the result of failure of the account holder to meet the time requirements
noted above, or if such payment is the result of failure of the account holder to furnish any item of information
requested above completely, accurately and correctly.
I further state that the debit transaction(s) was not originated with fraudulent intent by me or any person acting
in concert with me, and that the signature below is my own proper signature. I certify under penalty of perjury
that the foregoing is true and correct.
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