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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your corporate name in section 11. Ensure that you type or print clearly in black ink.
  3. In section 12, specify the state or country of incorporation. This information is crucial for processing your claim.
  4. For section 13, mark an 'X' in the box next to 'Refund' to indicate the nature of your claim.
  5. In section 14, fill out the amount of your claim. Remember, refunds under $200 will not be processed.
  6. Provide a detailed explanation for your claim in section 15. If you need more space, feel free to attach additional sheets.
  7. Finally, have an authorized officer sign and date the form in section 16, affirming that all information is accurate.

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Refund as a verb simply means to give back money that someone paid for something -- and usually it means that what was purchased was defective or unacceptable. As a noun it means money that is paid back. The bank will refund your late fee.
Rebate, refund, and reimburse These words are related in meaning and can be confusing. They all refer to being paid back money that is owed.
Some common synonyms of reimburse are compensate, indemnify, pay, recompense, remunerate, repay, and satisfy.

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We guarantee to refund your money if youre not delighted with your purchase. Take the goods back to your retailer who will refund you the purchase price. We will refund your delivery costs if the items arrive later than 12 noon. We guarantee to refund your money if youre not delighted with your purchase.
synonyms: give back, repay, return. types: reimburse. pay back for some expense incurred. restitute, restore.
If your business issues a refund to a customer, you should also cancel the related invoice with a credit note. Reimbursement is the act of giving someone money if theyve purchased something on your behalf, so theyre not out of pocket for the amount they have spent.

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