Name (Last Name, First Name, Middle Initial): Account Number: Control Number:
Approved for release by: Released by: Received by:
Cu
Branch Officer Designated Branch Personnel/Date/Time stomer/Authorized Representative
(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
TERMS AND CONDITIONS
(Stop Payment Order)
THE DEPOSITOR UNDERTAKES AND AGREES:
1. To notify LANDBANK promptly if said check is recovered or destroyed or when the reason for stop payment ceases to exist
through filling out the Customer Request Form to effectively cancel the Stop Payment Order (SPO), as the case may be.
2. Not to hold LANDBANK liable on account of payment of said check contrary to this request if the same occurs through
inadvertence, accident, or mistake or equipment failure.
3. The SPO shall be valid for six (6) months from the date of the SPO issuance. Unless earlier renewed in writing the SPO shall
be considered expired/cancelled.
4. To hold LANDBANK free from any liability due to SPO/non payment of said checks and indemnify LANDBANK, its officers,
representatives and agents against any or all losses, damages, liabilities, expenses, or costs resulting therefrom.
5. That the SPO is not effective if said check shall have been accepted, certified or negotiated before the date and time this
order is received or before LANDBANK is effectively enabled to send proper notice to its branches.
6. To authorize LANDBANK to return the check for the reason “Drawn Against Insufficient Funds” if such is the case,
regardless of the SPO;
7. That closing of the account upon which this check is drawing or transfer of the same to another LANDBANK branch or
office by the depositor shall automatically cancel this order; and
8. Not to hold LANDBANK liable for any wrong information given about the check or should any of the information called for
in the form be omitted.
Signature over Printed Name/Date
Note:
1. You may claim your ATM Card after five (5) banking days for Metro Manila Branches and ten (10) banking days for Provincial Branches.
2. Unclaimed cards and PIN Mailer shall be perforated and disposed of by the Destination Branch as follows:
Regular Card If remained unclaimed after 90 calendar days from receipt by the Destination Branch
LVDC (OFW Card) and LMPC for TES Beneficiaries If remained unclaimed after 180 calendar days from receipt by the Destination
Branch
3. Please sign your ATM card IMMEDIATELY on the signature panel at the back of the card.
4. In case of PIN nomination, the same should be performed IMMEDIATELY upon receipt of the ATM card.
