Dear Sir or Madam:
You are hereby directed to stop payment on the following check under the name: ____________________________.
Account number: ____________________
Check number: ______________
Amount of the check: $______________.
Payee of the check: __________________________________________
This order is made under and subject to the provisions of Section 4-403 of the Uniform Commercial Code of the State of ___________.
I have just cause for this Stop Payment under federal and state laws.
Yours very truly,
Signer on Account
cc File and Payee on Check