Updated November 16, 2025

Stop Payment Request Letter PDF — Free Bank Template

If you mailed a check that went missing, spot an unauthorized debit, or need to block a duplicate charge, your bank will usually ask for a written stop payment request. A short letter with the amount, date, payee, and account details helps them place the hold quickly and proves you asked in time. Use the free tool below to generate a professional PDF you can email or print.

When to use a stop payment

• Lost or stolen checks that might be cashed by someone else.
• Fraud concerns on an ACH debit or debit card transaction.
• Duplicate charges or vendor errors you need to halt before posting.
• Pending payments you want to cancel while you dispute an invoice.

What info banks usually require

Banks typically want the exact numbers that let them find the payment in their system:

• Account number or last 4 digits.
• Payment amount, currency, and the date it was authorized or scheduled.
• Payee or merchant name, plus a check number if applicable.
• Your contact phone and email for confirmations.

Why having a PDF copy matters

Keeping a PDF copy of your request helps if you need to prove when you notified the bank or escalate a dispute. It also keeps the key details consistent if you talk to multiple representatives or submit the request through online banking.

How to use the CourtPDF tool

1. Open the Stop Payment Request PDF tool.
2. Enter your name, address, and account number.
3. Add the bank name/address, payment amount, date, and payee or merchant.
4. Note the reason (lost check, unauthorized debit, duplicate charge).
5. Download the PDF and send it through your bank’s secure message or branch.