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Fillable PS Form 3533, Application and Voucher for Refund of Postage ...

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Application and Voucher for Refund of Postage, Fees, and Services (Use blue or black ink and print within the boxes.) Part 1 - Application (Completed by customer) Customer/Company Name Mailing Address Apt. or Suite No. City State ® ZIP + 4 Telephone No. (Include area code) Amount of Refund Request Customer Account No. $ X , , . Signature of Customer Date of Request (MM/DD/YYYY) Privacy Act...
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