Affidavit Of Request To Stop Payment {CCG 0693}

CCG 0693 - AFFIDAVIT OF REQUEST TO STOP PAYMENT. This is a Cook County Circuit Court form used when an individual needs to request that the Clerk of the Circuit Court place a stop payment on one or more checks issued by the Clerk’s Office. The affiant must certify under oath that they did not sign, endorse, possess, or receive the check(s), and have not authorized anyone else to do so. The form requires listing each affected check by number, date, and amount, and affirms that the affiant will return the original check if later received. By submitting the affidavit, the requester acknowledges potential civil and criminal liability if any listed check is later negotiated. The form must be notarized before submission. www.FormsWorkflow.com