Georgia
Federal
District Court
Northern District
Last updated: 1/31/2022
Application For Refund Of Fees Paid Electronically
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Description
APPLICATION FOR REFUND OF FEES PAID ELECTRONICALLY THROUGH PAY.GOV Date of Request: Case Number: Amount to be Refunded: Reason for Request: Date of Fee Payment: Receipt Number: Supervisor's Recommendation: Action Taken: _______ _______ _______ Approved Denied Referred to Judge for further action __________________________ DATE _______________________________________ JAMES N. HATTEN Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com
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