Form Sc 3911 - Refund Tracer - 1998
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1SC 3911
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 6/98)
REFUND TRACER
3101
PLEASE ALLOW AT LEAST TWELVE WEEKS TO PROCESS A RETURN BEFORE FILING THIS FORM!
LAST NAME
YOUR FIRST NAME AND INITIAL
YOUR SOCIAL SECURITY NUMBER
SPOUSE'S LAST NAME, IF DIFFERENT
SPOUSE'S FIRST NAME AND INITIAL, IF FILING JOINTLY
SPOUSE'S SOCIAL SECURITY NUMBER
CURRENT MAILING ADDRESS (NUMBER AND STREET, OR P. O. BOX)
APT. NO.
CITY, STATE AND ZIP CODE
KIND OF RETURN FILED
SC 1040
SC 1040A
SC 1040NR
DAY TIME TELEPHONE
AREA CODE
SC 1040X
SC 1120
SC 1041
(
)
TAX PERIOD ENDED
AMOUNT OF REFUND SHOWN ON RETURN: $________________
DATE RETURN WAS FILED: ____________________
CERTIFICATION
I DID NOT RECEIVE A TAX REFUND CHECK.
I RECEIVED A TAX REFUND CHECK, BUT IT WAS
LOST
STOLEN
DESTROYED.
I HAVE RECEIVED CORRESPONDENCE ABOUT THIS RETURN. (SEE INSTRUCTIONS BELOW.)
I HAVE NOT RECEIVED CORRESPONDENCE ABOUT THIS RETURN.
IF THE DEPARTMENT OF REVENUE CANNOT LOCATE THE CHECK, I REQUEST PAYMENT BE STOPPED AND A NEW CHECK ISSUED.
IF THIS CHECK WAS A REFUND ON A JOINT RETURN, THE SIGNATURES OF BOTH HUSBAND AND WIFE ARE NEEDED BEFORE THE CLAIM
CAN BE PROCESSED.
YOUR SIGNATURE
DATE
INDIVIDUAL RETURN
SPOUSE'S SIGNATURE
DATE
SIGNATURE OF PERSON AUTHORIZED TO SIGN
TITLE
ALL OTHER RETURNS
DATE
EMPLOYER IDENTIFICATION NO.
(CORPORATION, TRUST, ETC.)
DESCRIPTION OF CHECK
(FOR OFFICE USE ONLY)
DLN
DATE OF SEARCH
AMOUNT OF REFUND
REFUND CHECK NUMBER
DATE ON REFUND CHECK
REMARKS:
PLEASE ALLOW AT LEAST TWELVE WEEKS TO PROCESS A RETURN BEFORE FILING THIS FORM
If you have responded to the Department's request for additional information about your return, please allow 6 weeks from the date you
responded before filing this form.
If your return has been filed and you have failed to receive your refund within the time limit, a record search will be made upon request.
Complete this form, furnishing all required information. A reply will be made advising you of the results of the record search.
Mail the completed form to: SC DEPARTMENT OF REVENUE
Income Tax
Columbia, SC 29214-0015
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