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CLEAR FORM PRINT FORM 53-115 (Rev.10-09/3) TEXAS UNCLAIMED PROPERTY HOLDER REIMBURSEMENT REQUEST FORM (For Property Returned to Owner) COMPTROLLER OF PUBLIC ACCOUNTS Unclaimed Property Division Claims
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How to fill out holder reimbursement form

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How to fill out holder reimbursement form:

01
Start by carefully reading and understanding the instructions provided on the form. Make sure you have all the necessary documents and information before proceeding.
02
Begin by entering your personal details accurately, including your full name, address, contact information, and any other required identification details.
03
Provide the relevant details about the holder reimbursement, such as the account number, date of reimbursement, and the reason for the request. Be clear and concise in explaining the circumstances.
04
If required, attach any supporting documents or evidence that validate your reimbursement claim. This might include receipts, bills, or any other relevant documentation.
05
Double-check all the information you have provided on the form to ensure its accuracy and completeness. Look for any errors or omissions and correct them before submitting the form.
06
Sign and date the form as required, certifying the accuracy of the information provided.
07
Submit the completed form, along with any supporting documents, to the relevant authority or department responsible for processing holder reimbursement requests.

Who needs holder reimbursement form:

01
Individuals who have made payments or purchases on behalf of someone else and are entitled to be reimbursed by the holder of the funds.
02
Customers or clients who have experienced a billing error or overpayment and need to request a reimbursement from the holder.
03
Employees or contractors who have incurred expenses while performing their job duties and need to be reimbursed by the employer or company.
It is important to note that the specific requirements and processes for filling out a holder reimbursement form may vary depending on the organization or institution issuing the form. Therefore, it is always recommended to carefully follow the provided instructions and seek any additional guidance if needed.
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Holder reimbursement form is a document used by holders of unclaimed property to request reimbursement for amounts paid to rightful owners of such property.
Any holder of unclaimed property who has paid rightful owners and wishes to request reimbursement must file the holder reimbursement form.
To fill out the holder reimbursement form, holders must provide detailed information about the property, the rightful owner, and the amounts paid. They must also submit supporting documentation as required.
The purpose of holder reimbursement form is to facilitate the process of recovering funds paid to rightful owners of unclaimed property by holders, making it easier for them to claim reimbursement.
On the holder reimbursement form, holders must report details of the unclaimed property, amounts paid to rightful owners, supporting documentation, and any other relevant information as requested.
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