#1030 @001 Enter the name of account holder: @107 Enter the street address of account holder: @108 Enter the city, state, zip code of account holder: @002 Enter the name of banking institution: @100 Enter the street address of the bank: @101 Enter the city, state, zip code of bank: @102 Enter the bank account number: @103 Enter the check number: !104 Enter the amount of the check: @105 Enter the name of payee of the check: @106 Enter the state where the banking institution is located: #end control section #1030 /* Para. 1030: Stop Payment Order to bank*/ STOP PAYMENT ORDER To: @002 @100 @101 You are hereby directed to stop payment on the following check on my account: Account number: @102 Check number: @103 Amount of the check: $ @104 (!104 dollars) Payee of the check: @105 This order is made under and subject to the provisions of Section 4-403 of the Uniform Commercial Code of the State of @106. Dated: _____________________________ ____________________________________________ @001 @107 @108