Prior Quarter Void Check Request Form

*If you use the Empeon trust account for live checks, please complete the Empeon Trust Void Check Request Form*
Void Reason:
Please Note:
Taxes from prior quarter voids will be refunded directly by the tax agencies (as the funds are already paid to the tax agencies)
Prior quarter voids will be processed within 5-7 business days.
I understand that it is the client’s responsibility to verify that all items were set up as requested, and it is the client’s responsibility to test the accuracy of the calculations resulting directly or indirectly from this request.
In no event will Empeon be liable for any direct, indirect, incidental, consequential, punitive, or monetary damages, occurring as a result of this request, whether or not such damages were foreseeable and even if Empeon was advised that such damages were likely or possible.
Client Agreement Confirmation