Form Eft 24 08 E – Fill Out and Use This PDF

STOP PAYMENT OF PREAUTHORIZED TRANSFER

R08 – Canceled Authorization

PRINT, COMPLETE, SIGN, and MAIL this request form to Bank of Hawaii, Electronic Payments Group #121, P.O. Box 2900, Honolulu, HI 96846. Please be sure to make a copy of this request for your records.

CUSTOMER NAME

STREET ADDRESS / PO BOX OR RURAL ROUTE				APT / SUITE NO.
CITY		STATE		ZIP CODE
HOME PHONE		BUSINESS PHONE
(	)	(	)
NAME OF PERSON/COMPANY		TRANSACTION AMOUNT*
		$	OR	ANY AMOUNT

I, _____________________________________________, authorized the Company named above to originate a preauthorized transfer

(PRINT NAME OF ACCOUNT HOLDER)

to debit funds from my checking / savings account ___________________________________ at Bank of Hawaii. I hereby request that

(ACCOUNT NUMBER)

CHECK ONE:

A ONE TIME stop payment be placed on the transaction which will be debited from my account on

________________________, __________.

(MONTH / DAY)(YEAR)

CONSUMER ACCOUNTS ONLY:

A stop payment be placed on the transaction which will be debiting my account beginning _____________________, ________

(MONTH / DAY)(YEAR)

through ________________________, __________.

(MONTH / DAY)

(YEAR)

A stop payment be placed for ALL future payments.

I understand that if this request is received later than three business days before the scheduled transfer date, Bank of Hawaii cannot guarantee that the debit will be stopped, and will not be liable to me if it is unable to stop payment. This request will remain active until withdrawn by me in writing. The debit transaction was not originated with fraudulent intent by me or any person acting in concert with me.

(*) Unless a specific amount is provided, the next transaction received from the person or company will be returned.

This is my proper signature, and I am authorized to sign orders for the checking/savings account described above. I agree to pay Bank of Hawaii a processing fee (refer to current fee schedule) for this request, and for any amount (including attorney’s fees and costs) which it must pay and to defend it against any claims which are made because the information provided by me was incorrect, incomplete, or was given with the intent to improperly avoid payment of a legitimate debt.

WITHDRAWAL OF PREVIOUS STOP PAYMENT REQUEST

I voluntarily withdraw this stop payment request. The Bank if not obligated to stop future payments to the person or company identified above.

FOR BANK USE ONLY

* PLEASE REFER TO BR 80-20*

REQUEST RECEIVED:

DIRECT

PHONE

MAIL (Letter attached)

ACTION TAKEN:

BY BRANCH / DEPT. NO.

DATE

Online Checked

Copy of statement attached

ACCEPTED BY

TIME

AM

Notified customer of fee

PM

Guam, American Samoa, Saipan, fax copy to Bank of Hawaii – EPG #121

FOR EPG USE ONLY

COMPANY ID

PROCESSED BY

DATE

DISTRIBUTION: 1 – EPG #121

2 – Branch / Department File

EFT-24.08_E (Rev 5-2010)