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ELECTRONIC FUNDS TRANSFER STOP PAYMENT

This is to stop only the next ACH transaction. Please call us first to initiate a stop payment request. We can be reached at 808-587-2700, or toll-free at 1-888-586-1056 from the neighbor island and the Continental U.S. The order must be received 3 or more business days before the next scheduled payment. Then complete this Stop Payment Order and mail it to the address at the bottom within 14 days from when the order was phoned in. All information must be exact for proper processing.

Date of Request: Acct.#:
Member Name: E-mail Address:
Daytime Phone Number:

Return Code R08 - STOP PAYMENT ON SPECIFIC DEBIT ONLY

Amount: $
Originating Company's Name:
Date of Next Scheduled Payment:

I, (Receiver), authorize the Hawaii State Federal Credit Union (HSFCU) to stop payment on the pre-authorized Electronic Funds Transfer (EFT) payment shown above. I acknowledge that this is not a request to stop all future payments. I release, indemnify, and hold harmless HSFCU from any and all liability associated with the Electronic Funds Transfer Stop Payment Order. I agree that should such EFT transaction be paid during the effective life of this order, the Credit Union's liability shall be limited to the extent of the damages suffered by the Receiver as a result, but not in excess of the amount of the transaction.

I further agree that this order will remain in effect 1) for six (6) months from the date first received, 2) until payment of the debit transaction has been stopped, or 3) until the Receiver withdraws the stop payment order in writing, whichever occurs earliest. HSFCU may lapse an oral stop payment order after 14 days if you do not confirm it in writing within the 14-day period. Also, a non-refundable fee (as stated in the Rate and Fee Schedule) will be assessed to account number , sub-account .

This stop payment order is for a single electronic payment only.


________________________________
Member's Signature
Date:

Unless your signature appears above, the request was orally made and shall not be binding on the Credit Union beyond 14 days from the date of this form unless confirmed in writing by you within the 14-day period. Confirmation should be sent to:


Please complete, print, sign and mail to:
Hawaii State Federal Credit Union
Attn: Webmail
P.O. Box 3072
Honolulu, HI 96802-3072