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