Michigan Department Of State Refund Request Form
Download a blank fillable Michigan Department Of State Refund Request Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Michigan Department Of State Refund Request Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Clear Form
MICHIGAN DEPARTMENT OF STATE REFUND REQUEST FORM
State law authorizes the Secretary of State to refund fees only under certain conditions.
SECTION A: Applicant Data (For All Requestors)
Name
Daytime Telephone (
)
Address
MI
City
State
Zip Code
☐
☐
☐
☐
☐
Payment Method
Cash
Check
Credit Card
EFT
Other
If your transaction was originally paid by credit card, please provide the last 4 digits and expiration date:
*
*
*
*
*
*
* *
*
*
*
*
/
Expiration Date:
Name (Please print)
Signature
Date
Date of Transaction
Amount Requested $
Reason for requesting refund
ALL SALES TAX REFUNDS:
Please send all sales tax refund requests to the Department of Treasury,
Technical Services Section, P.O. Box 30698 Lansing, MI 48909-8198. For questions regarding sales tax call
(517) 636-4357
SECTION B:
Driver License, Personal Identification Card, Driver Reinstatement Fee or Title Refund Requests
Check only one:
DRIVER REINSTATEMENT FEE REFUND
DRIVER LICENSE OR PERSONAL IDENTIFICATION CARD REFUND
Driver License or Personal Identification Card Number:
TITLE REFUND
For a title refund, submit the brown copy of the title application form TR-11C.
Vehicle Identification Number
Vehicle Make
Vehicle Year
SEE BACK OF THIS FORM FOR LICENSE PLATE, TAB, SNOWMOBILE, OR WATERCRAFT REFUND
Page 1 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business