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BY SIGNING THIS AGREEMENT THE UNDERSIGNED APPLICANT AGREES THAT SHE/HE HAS CONSULTED WITH AN ATTORNEY OR KNOWINGLY WAIVED THE RIGHT TO DO SO AND FULLY UNDERSTANDS ACCEPTS AND AGREES TO THE TERMS CONTAINED HEREIN. NOTARIZATION FOR IMPACT FEE REFUND REQUEST INDEMNIFICATION AND HOLD HARMLESS AGREEMENT STATE OF FLORIDA ss. As such I hereby agree to indemnify defend and hold harmless and against all claims damages losses and expenses direct indirect or consequential including but not limited to...
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It is a form submitted to request a reimbursement of funds.
Individuals or entities who have overpaid for a service or product.
You need to provide your personal information, details of the overpayment, and any supporting documentation.
To request a return of funds that were overpaid.
Details of the overpayment, personal information, and supporting documentation.
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