Stop Payment Check Recipient

{Your Name}
{Your Position}
{Your Company}
{Your Address}

{Name}
{Position}
{Company}
{Address}

{Date}

Dear {Name},

As of {date}, the check described below has not been presented for payment:

Check Number: {Check Number}
Paid To: {Recipient}
Date Written: {Date}
Amount: {Amount}

The {number} days have passed. The check is no longer viable and cannot be cashed as of {date}. Please consider it void.

We would like to cut you a new check for the same amount. Please fill out the following information regarding the address where you would like the check to be sent and then return this letter to the address listed above.

Thank you for your time and feel free to contact me at {phone number} or {email} if you have any questions or concerns.

Sincerely,

{Sender Name}

TO BE FILLED OUT BY RECIPIENT:

Address: _________________________________________
Printed Name: _____________________________________
Signature: ________________________________________
Date: ____________________________________________