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                 NOTICE TO BANK TO STOP PAYMENT ON CHECK

       Date:

  
        To:

        Gentlemen:

 
               You are hereby directed to stop payment upon presentment

               of the following check:

               Name of Payee:

               Date of Check:

               Amount:

               Check Number:

               This stop order shall remain in effect until further written notice.

 
 
                                       _______________________________

                                       Name of Account

                                       _______________________________

                                       Account Number

                                       By:____________________________

Note - This form should be sent again after six months.