Fill and Sign the Stopped Payment Form

NOTICE OF DISHONORED CHECK (due to stop -payment by issuer) Date: ___________________________ To: [Read the attached code section for the full provisions upon which this Notice is based.] You are hereby notified that a check or instrument numbered ___________ , dated ________________ , 20 ___ , drawn on _______________________________ (bank or other drawee) in the amount of $ ___________ , and payable to ___________________________ , has been dishonored (not paid). The check was not paid because you stopped payment, and the payee demands payment. You may have a good faith dispute as to whether you owe the full amount. If you do not have a good faith dispute with the payee and fail to pay the payee the full amount of the check in cash, a service charge of an amount not to exceed twenty -five dollars ($25.00) for t he first check passed on insufficient funds and an amount not to exceed thirty -five dollars ($35.00) for each subsequent check passed on insufficient funds, and the costs to mail this notice within 30 days after this notice was mailed, you could be sued an d held responsible to pay at least both of the following: (1) The amount of the check. (2) Damages of at least one hundred dollars ($100.00) or, if higher, three times the amount of the check up to one thousand five hundred dollars ($1,500.00). If the court determines that you do have a good faith dispute with the payee, you will not have to pay the service charge, treble (triple) damages, or mailing cost. If you stopped payment because you have a good faith dispute with the payee, you should try to work out your dispute with the payee. You may wish to contact a lawyer to discuss your legal rights and responsibilities. Contact the payee at the following address/phone: Signed: _______________________ [name of payee] Print Name: _______________________ Title: _______________________ SEC. 1719 - California Civil Code: (a) (1) Notwithstanding any penal sanctions that may apply, any person who passes a check on insufficient funds shall be liable to the payee for the a mount of the check and a service charge payable to the payee for an amount not to exceed twenty -five dollars ($25) for the first check passed on insufficient funds and an amount not to exceed thirty -five dollars ($35) for each subsequent check to that payee passed on insufficient funds. (2) Notwithstanding any penal sanctions that may apply, any person who passes a check on insufficient funds shall be liable to t he payee for damages equal to treble the amount of the check if a written demand for payment is mailed by certified mail to the person who had passed a check on insufficient funds and the written demand informs this person of (A) the provisi ons of this section, (B) the amount of the check, and (C) the amount of the service charge payable to the payee. The person who had passed a check on insufficient funds shall have 30 days from the date the written demand was mailed to pay t he amount of the check, the amount of the service charge payable to the payee, and the costs to mail the written demand for payment. If this person fails to pay in full the amount of the check, the service charge payable to the payee, and t he costs to mail the written demand within this period, this person shall then be liable instead for the amount of the check, minus any partial payments made toward the amount of the check or the service charge within 30 days of the written demand, and damages equal to treble that amount, which shall not be less than one hundred dollars ($100) nor more than one thousand five hundred dollars ($1,500). When a person becomes liable for treble damages for a check that is the subject of a written demand, that person shall no longer be liable for any service charge for that check and any costs to mail the written demand. (3) Notwithstanding paragraphs (1) and (2), a person shall not be liable for the service charg e, costs to mail the written demand, or treble damages if he or she stops payment in order to resolve a good faith dispute with the payee. The payee is entitled to the service charge, costs to mail the written demand, or treble damages only upon proving by clear and convincing evidence that there was no good faith dispute, as defined in subdivision (b). (4) Notwithstanding paragraph (1), a person shall not be liable under that paragraph for the service charge if, at any time, he or she presents the payee with written confirmation by his or her financial institution that the check was returned to the payee by the financial institution due to an error on the part of the financial institution. (5) Notwithstanding paragraph (1), a person shall not be liable under that paragraph for the service charge if the person presents the payee with written confirmation that his or her account had insuffic ient funds as a result of a delay in the regularly scheduled transfer of, or the posting of, a direct deposit of a social security or government benefit assistance payment. (6) As used in this subdivision, to "pass a check on insufficie nt funds" means to make, utter, draw, or deliver any check, draft, or order for the payment of money upon any bank, depository, person, firm, or corporation that refuses to honor the check, draft, or order for any of the following reasons: (A) Lack of funds or credit in the account to pay the check. (B) The person who wrote the check does not have an account with the drawee. (C) The person who wrote the check instructed the drawee to stop payment on the check. (b) For purposes of this section, in the case of a stop payment, the existence of a "good faith dispute" shall be determined by the trier of fact. A "good faith dispute" is one in which the court finds that the drawer had a reasonable be lief of his or her legal entitlement to withhold payment. Grounds for the entitlement include, but are not limited to, the following: services were not rendered, goods were not delivered, goods or services purchased are faulty, not as prom ised, or otherwise unsatisfactory, or there was an overcharge. (c) In the case of a stop payment, the notice to the drawer required by this section shall be in substantially the following form: ... [see form included herewith] ... (d) In the case of a stop payment, a court may not award damages or costs under this section unless the court receives into evidence a copy of the written demand that, in that case, shall have been sent to the drawer and a signed certified mail receipt showing delivery, or attempted delivery if refused, of the written demand to the drawer's last known address. (e) A cause of action under this section may be brought in small clai ms court by the original payee, if it does not exceed the jurisdiction of that court, or in any other appropriate court. The payee shall, in order to recover damages because the drawer instructed the drawee to stop payment, show to the sati sfaction of the trier of fact that there was a reasonable effort on the part of the payee to reconcile and resolve the dispute prior to pursuing the dispute through the courts. (f) A cause of action under this section may be brought by a h older of the check or an assignee of the payee. A proceeding under this section is a limited civil case. However, if the assignee is acting on behalf of the payee, for a flat fee or a percentage fee, the assignee may not charge the payee a greater flat fee or percentage fee for that portion of the amount collected that represents treble damages than is charged the payee for collecting the face amount of the check, draft, or order. This subdivision shall not apply to an actio n brought in small claims court. (g) Notwithstanding subdivision (a), if the payee is the court, the written demand for payment described in subdivision (a) may be mailed to the drawer by the court clerk. Notwithstanding subdivision (d), in the case of a stop payment where the demand is mailed by the court clerk, a court may not award damages or costs pursuant to subdivision (d), unless the court receives into evidence a copy of the w ritten demand, and a certificate of mailing by the court clerk in the form provided for in subdivision (4) of Section 1013a of the Code of Civil Procedure for service in civil actions. For purposes of this subdivision, in courts where a sin gle court clerk serves more than one court, the clerk shall be deemed the court clerk of each court. (h) The requirements of this section in regard to remedies are mandatory upon a court. (i) The assignee of the payee or a holder of the check may demand, recover, or enforce the service charge, damages, and costs specified in this section to the same extent as the original payee. (j) (1) A drawer is liable for damages and costs only if all of the requirement s of this section have been satisfied. (2) The drawer shall in no event be liable more than once under this section on each check for a service charge, damages, or costs. (k) Nothing in this section is intended to condition, curt ail, or otherwise prejudice the rights, claims, remedies, and defenses under Division 3 (commencing with Section 3101) of the Commercial Code of a drawer, payee, assignee, or holder, including a holder in due course as defined in Section 330 2 of the Commercial Code, in connection with the enforcement of this section.