Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Date
{{date}}
Bank Information
{{bank_name}}
{{bank_address}}
Subject: Cancellation of Stop Payment Order - Account No. {{account_number}}
Dear Sir/Madam,
Details of Original Stop Payment Order
I hereby request the cancellation of a stop payment order previously placed on my account, number {{account_number}}, with your institution. The details of the original stop payment order are as follows:
Cheque/Transaction Number: {{cheque_transaction_number}}
Date of Cheque/Transaction: {{cheque_transaction_date}}
Payee Name: {{payee_name}}
Amount: {{currency}} {{amount}}
Date Stop Payment Order Placed: {{stop_payment_order_date}}
Reason for Cancellation
The reason for this cancellation request is: {{reason_for_cancellation}}. I now authorise you to honour the aforementioned cheque/transaction if it is presented for payment.
Indemnity
I understand and agree that by cancelling this stop payment order, I release {{bank_name}} from any liability, responsibility, or claims that may arise from the payment of the aforementioned cheque/transaction. I agree to indemnify and hold harmless the bank against any loss, damage, or expense incurred as a result of my instruction to cancel the stop payment.
Contact Information
Should you require any further information or clarification, please do not hesitate to contact me at {{contact_phone_number}} or {{contact_email_address}}.
Sincerely,
{{customer_name}}
{{customer_address}}
{{customer_signature}}
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