Fillable STOP PAYMENT REQUEST (Old Dominion University)

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STOP PAYMENT REQUEST (Old Dominion University)

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The STOP PAYMENT REQUEST (Old Dominion University) form is 1 page long and contains:

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  • 2 check-boxes
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Country of origin: US
File type: PDF

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STOP PAYMENT REQUEST
Payee Name:
Student ID:
ODU Check Number:
Amount of Check:
Date of Original Check:
Payee Certification Statement
I certify that I have not received the ODU check noted above and request a stop payment on this
instrument. I understand that it will no longer be valid after this request is made. I further certify
that I will not attempt to negotiate it at a future date, should it come into my possession, and
agree to be liable for any additional charges that result from any attempt by me to negotiate it. It
takes approximately 10 business days from submission of this form before a replacement
check can be issued.
Please mail the replacement check to the following address:
Please approve pick up of replacement check when available.
Signature Date
ODU E-mail:
Telephone:
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STOP PAYMENT REQUEST (Old Dominion University)

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Completed 29 July 2020

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