To submit this form, ensure all sections are filled out clearly. You can send it via mail to the IRS address indicated on the form or fax it using the number provided. For quicker processing, consider checking if online submission is available for your specific case.

Important dates for 2024 include the tax filing deadline on April 15, and claims must be submitted within 30 days of receiving this form. In 2025, keep the same deadlines in mind and stay updated for any IRS announcements regarding refund processes.

The purpose of this form is to allow taxpayers to claim refunds from the IRS, particularly when checks are not received. It serves to document discrepancies and support claims against the Treasury. The form ensures all parties are held accountable by requiring truthful reporting and signed affirmations.

• 1. Taxpayer Identification Number: Unique identification number for tax purposes.
• 2. Payee Name and Address: The name and address to whom the check is issued.
• 3. Check Amount: The total amount of the IRS refund check.
• 4. Check Date: Date on which the check was issued.
• 5. Signature Section: Area for the payee’s signature to validate the claim.

If you fail to submit this form, your claim for the refund may be denied or closed. This could result in a significant financial loss as you may miss the opportunity to recover your funds. It is critical to adhere to the submission guidelines to avoid legal and financial repercussions.

• Claim Denial: Your refund claim might be denied due to incomplete or missing submission.
• Legal Action: Failure to reimburse an overpayment could lead to legal consequences.
• Lost Refund: You may permanently lose your chance to reclaim funds if not documented.

• 1. Missing Refund Check: Use this form to report if your expected refund check did not arrive.
• 2. Fraudulent Cashing of Check: File a claim if you suspect your check was cashed unlawfully.
• 3. Change of Address Issues: Apply when your mail has not reached you after moving.