Request For Refund {EDC.003-850}

EDC 3-850 - REQUEST FOR REFUND. This form is used in the United States Bankruptcy Court, Eastern District of California. It provides sections for the requester's contact information, details about the payment being refunded, and a declaration of truthfulness under penalty of perjury. The form also includes specific instructions for attorneys and additional sections for payee information and certification. It outlines the purpose of the form, requirements for accurate completion, and classifications for U.S. tax purposes. Please fill out the following form to request a refund. When you have completed the form, please mail this form to the address listed. NOTE: If you originally paid by cash, check or money order, a refund request will not be considered without an attached AO 213P form. Attorneys who paid by credit card, see box in this form for more information. www.FormsWorkflow.com