Florida affidavit stop payment: Fill out & sign online

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Click ‘Get Form’ to open the affidavit stop in the editor.
Begin by entering your full name in the designated fields for Last Name, First Name, and Middle Initial.
Fill in your current address, including city, county, and state.
Input the case number(s) related to your request.
Select the reason for your stop payment request by checking one of the options: Lost Check, Stolen Check, or Stale-Dated Check.
Provide details for one check only: enter the check number, amount, and date of issuance.
If applicable (for stolen checks), ensure you have a police report ready to accompany this affidavit.
In the explanation section, provide any relevant information regarding the status of the check. If there is none, simply state 'none'.
Review all entered information for accuracy before signing. Remember that this affidavit must be signed and notarized.
Finally, return the completed form to the STATE OF FLORIDA DISBURSEMENT UNIT at the provided address.

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