Printable Replacement Check Request Georgia Form in PDF Customize Replacement Check Request Georgia Here

Printable Replacement Check Request Georgia Form in PDF

The Replacement Check Request Georgia form (Form IA-81) is used to request a replacement for a refund check that has not been received, or to stop payment on a check that has been lost, stolen, or destroyed. This form is also applicable for checks that have expired after 180 days of issuance. It is important to follow the guidelines provided to ensure a smooth processing of your request.

Customize Replacement Check Request Georgia Here
Overview

The Replacement Check Request Georgia form, officially designated as Form IA-81, serves as a vital tool for taxpayers who have not received their refund checks. This form is specifically designed for individuals seeking to replace checks that have been mailed but are either lost, stolen, or destroyed. It also applies to those whose refund checks have expired, provided they have not been cashed for over 180 days. Importantly, taxpayers must wait at least 15 business days after the check's mailing date before submitting a replacement request. The form requires essential information, including taxpayer details, the refund amount, and the reasons for the request. A declaration must be signed by the taxpayer, affirming the accuracy of the information provided. Once submitted, the Georgia Department of Revenue will issue a stop payment on the original check. Taxpayers must be cautious; if the original check is found after the request is made, it must not be cashed and should be returned to the Department. The completed form can be submitted via mail or fax, ensuring that taxpayers have a clear pathway to resolving issues with their refund checks.

Dos and Don'ts

When filling out the Replacement Check Request Georgia form, it is essential to follow specific guidelines to ensure a smooth process. Below is a list of things you should and shouldn't do.

  • Do use this form to replace a refund check that has been mailed but never received.
  • Do request a stop payment on a check that has been lost, stolen, or destroyed.
  • Do fill out the form if your refund check has expired and has not been cashed for more than 180 days after issuance.
  • Don't request a replacement check if it has been less than 15 business days since the check was mailed.
  • Don't forget to allow 10-15 business days for processing your completed form.
  • Do ensure that all required taxpayer information is accurately filled out, including names, Social Security numbers, and contact details.
  • Don't cash the original check if you find it after submitting the request; instead, return it to the Department.

Misconceptions

Misconceptions about the Replacement Check Request Georgia form can lead to confusion and delays in processing. Here are four common misunderstandings:

  • It is unnecessary to wait 15 business days before requesting a replacement check. Many people believe they can request a replacement immediately after the check is mailed. However, you must wait at least 15 business days to ensure the check has not been delivered.
  • All types of checks can be replaced using this form. Some individuals assume that any check can be replaced with this form. In reality, it is specifically for refund checks that have been lost, stolen, or not received.
  • Submitting the form guarantees a replacement check will be issued quickly. While the form initiates the process, it does not guarantee immediate issuance. The processing time can take 10-15 business days after submission.
  • There is no need to return the original check if it is found after submitting the request. Some may think they can cash both the original and replacement checks. This is incorrect. If you find the original check after submitting the request, you must return it to the Department.

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Form Attributes

Fact Name Description
Purpose of the Form This form is used to request a replacement for a refund check that has been mailed but never received.
Stop Payment Request It allows taxpayers to request a stop payment on checks that are lost, stolen, or destroyed.
Expired Checks Taxpayers can use this form if their refund check has expired and has not been cashed for more than 180 days after issuance.
Waiting Period Do not request a replacement check if it has been less than 15 business days since the original check was mailed.
Processing Time Upon submission, allow 10-15 business days for processing the completed form.
Declaration Requirement Taxpayers must declare that the information provided is true, correct, and complete, under penalties of perjury.
Power of Attorney If represented by a third party, a properly executed Power of Attorney (Form RD-1061) must accompany the request.
Submission Methods The completed form can be submitted via mail or fax to the Georgia Department of Revenue.

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(R evised 4/29/15)

Form IA-81

Replacement Check Request Form

GENERAL INSTRUCTIONS

DO Use this form to replace a refund check that has been mailed but never received.

DO Use this form to request a stop payment on a check that has been lost, stolen or destroyed.

DO Use this form if you have a refund check that has expired and has not been cashed for more than 180 days after issuance.

DON’T Request a replacement check if it has been less than 15 business days since the check was mailed.

PLEASE Allow 10-15 business days processing time for your completed form.

REFUND TAX YEAR: _____________

REFUND AMOUNT: $_______________

Check Tax Type:

Individual

Sales and use tax

Withholding

Motor Fuel

IFTA

Corporate

TAXPAYER INFORMATION (E-mail: ____________________________________________)

Primary Taxpayer Name or Name of Business:

 

 

 

 

 

Spouse Name (if applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSN

 

 

 

 

 

 

 

 

 

 

SSN

(spouse, if applicable)

 

 

 

 

 

 

 

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Tax Identification Number (STI)

 

Check Number (if known)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address on Return:

 

City

 

 

 

 

 

 

 

 

 

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Mailing Address: (if different from above)

City

 

 

 

 

 

 

 

 

 

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

Daytime Telephone Number

Fax Number

 

 

 

 

 

Name of Contact Person (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reasons for request (choose one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check Never Received

Lost

 

Stolen

 

 

Expired

 

 

 

 

Destroyed

 

 

 

 

 

 

 

 

 

Other (Please Explain :__________________________________)

Note: A “STOP PAYMENT” will be issued on the original refund check upon receipt of this form. If you receive/find your original check after submitting this form, please destroy the check.

DECLARATION:

I hereby declare, under penalties of perjury, that I have examined this request and, to the best of my knowledge and belief, it is true, correct and complete. If you are being represented by an attorney, accountant, or other third party, a properly executed Power of Attorney (Form RD-1061) authorizing the representative to act for the taxpayer must be included with this form.

Taxpayer’s Signature and Date

Spouse’s Signature and Date (if applicable)

Representative’s Name

Title (if applicable)

Representative’s Signature

Date

HOW TO SUBMIT YOUR FORM: You may submit your completed request to the Department as follows:

Mail to: Georgia Department of Revenue, PO Box 740389, Atlanta, GA 30374-0389

Similar forms

  • Lost Check Affidavit - This document allows individuals to formally declare that a check has been lost. Similar to the Replacement Check Request, it requires details about the check and the circumstances of its loss.
  • Stop Payment Order - This form is used to request a stop payment on a check that has not yet been cashed. Like the Replacement Check Request, it addresses issues of checks that are lost or stolen.
  • Refund Request Form - This document is used to request a refund from a government entity. It shares similarities with the Replacement Check Request in that it requires information about the taxpayer and the refund amount.
  • Direct Deposit Authorization Form - This form allows taxpayers to set up direct deposit for their refunds. While it serves a different purpose, it also involves the management of refund payments, similar to how the Replacement Check Request manages lost checks.
  • Power of Attorney Form (Form RD-1061) - If someone is acting on behalf of a taxpayer, this form must be submitted. It is relevant to the Replacement Check Request as it ensures that the representative can legally handle the request.
  • Homeschool Letter of Intent - Essential for families pursuing homeschooling, this form notifies the local school district of their intent and ensures compliance with state regulations. For more information, refer to the important Homeschool Letter of Intent guidelines.
  • Change of Address Form - This document is used when a taxpayer needs to update their mailing address. Like the Replacement Check Request, it ensures that important documents, including checks, are sent to the correct location.