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Reset Form Michigan Department of Treasury 3165 (Rev. 04-12) Treasury Use Only Claim Number Michigan Holder Request for Refund Prepared by: Use this form to request a refund of unclaimed property
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Point by point, here is how to fill out the Michigan holder request form:

01
Download the Form: Begin by downloading the Michigan holder request form from the official website of the Michigan Department of State.
02
Provide Personal Information: Fill in the required personal information on the form, including your full name, address, phone number, and email address. Make sure to double-check the accuracy of the information provided.
03
Indicate the Type of Request: Select and indicate the type of request you are making. For example, if you are requesting a duplicate driver's license, choose the appropriate option from the given choices.
04
Reason for the Request: Specify the reason for your request by checking the appropriate box. Some common reasons include lost, stolen, damaged, or expired identification.
05
License Information: Provide your driver's license or identification card number along with the issue date and expiration date, if applicable.
06
Signature and Date: Sign and date the form to certify the accuracy of the information provided.
07
Payment: Check the payment options accepted and include the required fees. Make sure to enclose the payment securely with the form.
08
Mailing Address: Write your current mailing address where you would like the requested document to be sent. Double-check the address for accuracy.
09
Submission: Once you have completed filling out the form, carefully review all the information and ensure that everything is accurate and complete. Keep a copy of the form for your records. Submit the form along with the payment via mail or as instructed on the Michigan Department of State website.

Who needs Michigan holder request for:

01
Individuals who have lost their driver's license and need a duplicate.
02
Individuals whose driver's license has been stolen and need a replacement.
03
Individuals with damaged or expired identification cards who require a new one.
04
Individuals who have changed their name or address and need an updated license.
05
Individuals whose driver's license has been suspended or revoked and need a reinstatement.
06
Individuals who need to update their current photo on their identification card.
Remember, it is important to consult the official Michigan Department of State website or contact their office directly for the most up-to-date and accurate information regarding the Michigan holder request form.
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Michigan holder request is for reporting unclaimed property held by businesses or organizations to the state of Michigan.
Businesses or organizations holding unclaimed property are required to file a michigan holder request.
To fill out a michigan holder request, businesses or organizations need to provide information about the unclaimed property being reported.
The purpose of a michigan holder request is to ensure that unclaimed property is properly reported and returned to its rightful owners.
Information such as the name of the owner, last known address, description of the property, and the date the property became unclaimed must be reported on a michigan holder request.
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