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Refund Request Fairfax Circuit Court Land Records

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REFUND REQUEST

AIRFAX

IRCUIT

OURT

AND

ECORDS

IN ORDER TO PROCESS A REQUEST FOR A REFUND, WE REQUIRE THE

FOLLOWING INFORMATION:

 A copy of the first page of the document in question and any other pages that

support your claim. (Example: Schedule A for the wrong county.)

 A full copy of the receipt including the instrument number, receipt number,

and check number.

 This form completed in its entirety.

PLEASE NOTE:

 No refunds will be issued more than 3 years from the recordation date.

 Clerk’s fees are nonrefundable.

 Only county taxes for Fairfax County are refundable from this office.

 No refunds will be issued unless proof of a state fees refund is provided.

 Refund of state fees must be requested from Virginia at this address:

Department of Taxation Attn: Tax Unit, P.O. Box 565, Richmond, Virginia 23218

Name of company or individual requesting refund:

_____________________________________________________________________________________________

Type of Instrument (document type): _______________________________________________________________

Date of Recordation: ________________________

Instrument Number: ________________________

Book & Page Number: ______________________

Brief explanation describing why you are requesting a refund:

_____________________________________________________________________________________________

Amount of Refund Requested:

County Grantee Tax: ________________________________________

County Grantor Tax: ________________________________________

Total Refund Requested: _____________________________________

____________________________________

Make Refund Check Payable To:

____________________________________

Address:

RESET FORM

____________________________________

PRINT FORM

Refund Request Fairfax Circuit Court Land Records

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