Form Sc 3911 - Refund Tracer - 2011
ADVERTISEMENT
1STATE OF SOUTH CAROLINA
STATE OF SOUTH CAROLINA
1350
DEPARTMENT OF REVENUE
DEPARTMENT OF REVENUE
SC 3911
(Rev. 6/20/11)
REFUND TRACER
3101
Check your refund status on our website under Quick Links or call our refund hotline (803) 898-5300 before
completing this form if you have not received your current year refund. Please allow 30 days from the mailing date of your refund
before submitting 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
CURRENT MAILING ADDRESS (NUMBER AND STREET, OR P. O. BOX)
APT. NO.
CITY, STATE AND ZIP CODE
DAY TIME TELEPHONE
WAS THIS AN AMENDED RETURN?
YES
NO
(
)
AMOUNT OF REFUND SHOWN ON RETURN: $________________
TAX YEAR
DATE RETURN WAS FILED: ____________________
I DID NOT RECEIVE A TAX REFUND CHECK.
I HAVE RECEIVED CORRESPONDENCE ABOUT THIS RETURN. (SEE INSTRUCTIONS BELOW.)
I RECEIVED A TAX REFUND CHECK, BUT IT WAS
LOST
STOLEN
DESTROYED.
IF THE DEPARTMENT OF REVENUE CANNOT LOCATE THE CHECK, PAYMENT WILL 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
Complete this form providing all required 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. You will receive a reply by mail advising you
of the results of the record search. If you have responded to the department's request for additional information about your
return, please allow six (6) weeks from the date you responded before filing this form.
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
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial