STOP PAYMENT FORM
Last Name
First Name         MI
Locoga FCU
1592 Norman Drive
Valdosta, GA 31601
Fax: (229) 244-5995
Street Address
                 City 
              State          Zip
Cell
Home
E-mail
Account # Check Number to Stop
Payable to
Amount Date Written
Disclosure: You need to sign and return this form to create a stop payment that is valid for 180 days. Locoga Federal Credit Union will not be responsible for checks that have already been processed or presented. A fee of $25 will be charged to your checking account for processing the stop payment request.

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   Signature

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   Date

I understand it is my responsibility to update any and all stop payments not the responsibility of my Credit Union. 

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   Signature

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   Date
You Must Print, Sign, and Return to Credit Union
(by mail, fax or in person)
A signature is needed to complete the process