Refund Transfer Disclosure Form

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Maryland Refund Transfer Disclosure
1. You are being charged a Refund Transfer (RT) Fee of $___________.
2. Estimated fee for preparing and electronically filing your income tax
return: $
.
3. The RT will be disbursed to you within 21 days (estimated)* from the time
you file your tax return.
* Based on information published on , the IRS issues most refunds in
less than 21 calendar days. Visit for details about your individual
refund. Republic Bank & Trust Company does not guarantee whether, when or in
what amount a tax refund will be issued.
NOTICE
You are paying $_________ to get your tax refund check or
direct
deposit
through
Republic
Bank
&
Trust
Company. YOU CAN AVOID THIS FEE AND STILL
RECEIVE YOUR TAX REFUND IN THE SAME
AMOUNT OF TIME BY HAVING YOUR TAX REFUND
DIRECT DEPOSITED INTO YOUR BANK ACCOUNT.
You also can wait for the Internal Revenue Service to
mail you a tax refund check.
100640202

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