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Refund Claim For Overpaid Fees - Connecticut
| Refund Claim For Overpaid Fees Form. This is a Connecticut form and can be used in General Secretary Of State . |
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Office of Secretary of the State State of Connecticut P.O. Box 150470, Hartford, CT 06115-0470 Denise W. Merrill Secretary of the State James Field Spallone Deputy Secretary of the State Following find the Refund Claim Form you will need to complete in order to obtain a refund of your overpaid fees. It is acceptable to complete the form on-line, however, you will need to print it then sign and date it and MAIL to the address above. You will also need a copy of your canceled check, cash receipt, credit card receipt and any supporting documentation to substantiate your claim. Please remember that you have the option of using these funds toward another filing with this office. If you choose to use the funds in this fashion, please return a copy of the letter indicating that you have money on account with your next submission. Procedures outlined in the Connecticut General Statues, sec. 4-37 and by the office of the comptroller involve a lengthy refund process. Assuming your claim is valid; you can expect to receive a refund within two months from the date received by this office. Please contact me at (860) 509-6154 if I can be of further assistance. Sincerely, David Pritchard VIII Accountant Commercial Recording Division (860) 509-6001 fax (860) 509-6069 Legislation and Election Administration Division (860) 509-6100 fax (860) 509-6127 General Information (860) 509-6000 State Capitol Office (860) 509-6200 fax (860) 509-6209 Deputy Secretary of the State (860) 509-6212 fax (860) 509-6131 Management & Support Services (860)509-6190 fax (860) 509-6175 Internet Home Page www.sots.ct.gov 30 Trinity Street, Hartford, CT 06106 American LegalNet, Inc. www.FormsWorkFlow.com Secretary of the State 30 Trinity Street Mailing Address: P.O. Box 150470 Hartford, CT 06115-0470 Refund Claim for Overpaid Fees Refunds will not be processed unless they comply with Connecticut General Statues sec. 3-99a(c), which states in part that the amount must be in excess of $5.00 and not have accrued for more than one year in order to be refunded. Additionally, a copy of the front and back of the negotiated check, cash receipt or credit card receipt will be required in order to process a refund claim along with any supporting documentation such as a rejection letter or notice of money on account. The following information is required to accurately process a refund: am the only person or entity having a valid claim to the monies being held on account at the office I of the Secretary of the State. I request the check be made payable as follows: (Mailing address, include your reference # if desired) Work order # Processing # Customer ID # Refund Amount $ The forgoing is made under the penalties of false statement Print Name: Signature: Title: Date: Below is for Official Use by The Office of The Secretary of The State of Connecticut Amount Orig. Dep. # Deposit Date Approved By List# SOS-REF-08 Rev. 1/7/11 American LegalNet, Inc. www.FormsWorkFlow.com
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