Form Sc3911 - Individual Income Tax Refund Tracer
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11350
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
SC 3911
INDIVIDUAL INCOME TAX
(Rev. 4/16/13)
REFUND TRACER
3101
Before completing this form, you can check your current year refund status on our website under Quick
Links or call our refund hotline (803) 898-5300. Please allow 30 days from the mailing date of your refund before
submitting this form. Complete this form providing all information. If your return has been filed and you have failed to
receive your refund within six (6) weeks from the filing date, a record search will be made. If your check has been cashed
you will receive notification from the State Treasurer's office on how to proceed. If the check is outstanding we will request
a stop payment on the original and a replacement check will be mailed to you. If you have received correspondence from
the Department asking for additional information about your return and have responded, please allow six (6) weeks from
the date you responded before filing this form.
YOUR FIRST NAME AND INITIAL
LAST NAME
YOUR SOCIAL SECURITY NUMBER
SPOUSE'S FIRST NAME AND INITIAL, IF FILING JOINTLY SPOUSE'S LAST NAME, IF DIFFERENT
SPOUSE'S SOCIAL SECURITY
Type
or
print
APT. NO.
CURRENT MAILING ADDRESS (NUMBER AND STREET, OR P. O. BOX)
CITY, STATE AND ZIP CODE
DAYTIME TELEPHONE
YES
NO
WAS THIS AN AMENDED RETURN?
-
(
)
AMOUNT OF REFUND SHOWN ON RETURN: $
TAX YEAR
DATE RETURN WAS FILED:
I DID NOT RECEIVE A TAX REFUND CHECK.
I RECEIVED A TAX REFUND CHECK, BUT IT WAS
STOLEN
DESTROYED.
LOST
If the check cannot be located, payment will be stopped and a new check issued.
IF THE ORIGINAL CHECK IS RECEIVED DURING PROCESSING OF THIS FORM PLEASE CALL (803) 898-5709.
PLEASE SIGN BELOW, EXACTLY AS YOU SIGNED THE RETURN. IF THIS REFUND WAS FROM A JOINT RETURN,
THE SIGNATURES OF BOTH HUSBAND AND WIFE ARE NECESSARY BEFORE A TRACE CAN BEGIN.
DATE
YOUR SIGNATURE
DATE
SPOUSE'S SIGNATURE
Social Security Privacy Act
It is mandatory that you provide your social security number on this tax form. 42 U.S.C 405(c)(2)(C)(i) permits a state to
use an individual's social security number as means of identification in administration of any tax. SC Regulation 117-201
mandates that any person required to make a return to the SC Department of Revenue shall provide identifying numbers,
as prescribed, for securing proper identification. Your social security number is used for identification purposes.
Mail the completed form to: SC DEPARTMENT OF REVENUE, CONTACT CENTER, COLUMBIA SC 29214-0161
DESCRIPTION OF CHECK (FOR OFFICE USE ONLY)
DLN
REFUND CHECK NUMBER
31011026
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