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RF1 - REFUND REQUEST APPLICATION

NEW YORK CITY DEPARTMENT OF BUILDINGS. RF1 - REFUND REQUEST APPLICATION . Form must be type written Please read the instructions for important information before completing this form. 1 Applicant Information: REQUEST Date: (Print Name) (Phone #) (E-Mail Address). 2 Account Information: Transaction Date (mm/dd/yy): Invoice#/Online Transaction ID#. Order#. APPLICATION /Job # The APPLICATION status is a factor in determining the REFUND amount. (If applicable). Borough or Unit: Select One Block: Lot: 3 Reason For REFUND REQUEST : Check the appropriate box below and attach additional documentation if necessary.

Request Amount: $ _____ (A minus B) If payment was made by check or money order a copy of the front and back of the cancelled check or money order and all supporting documentation must be submitted with this application to the Borough Office or Central Unit where

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  Request, Refund, Refund request

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