GSA Form 3635 "Refund"

What Is GSA Form 3635?

This is a legal form that was released by the U.S. General Services Administration on March 1, 2011 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2011;
  • The latest available edition released by the U.S. General Services Administration;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of GSA Form 3635 by clicking the link below or browse more documents and templates provided by the U.S. General Services Administration.

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Download GSA Form 3635 "Refund"

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TO:
REFUND
CHIEF, ACCOUNTS RECEIVABLE BRANCH (6BCR)
(See Below for Instructions)
INSTRUCTIONS
Use this form whenever a refund is due to a successful bidder.
Item Number
Enter each number as shown on the SASy generated Register of Remittances Received for
1, 2, 3, 4, 5a-5d
original payment.
Enter the bidder number, name and complete address of the successful bidder and TIN (SSN/EIN)
6a-6g
for the cited contract number(s).
Enter the appropriate refund amount, reason for the refund, and agency retrieval information for
7a-7d, 8
refund, and INCLUDE A COPY OF GSA PURCHASER'S RECEIPT.
9a - 9c
The Sales Contracting Officer must review the completed form, then sign and date.
10a - 10c
The Sales Manager must review the completed form, then sign and date.
1. ORIGINAL REGISTER
2. CONTRACT NUMBERS
3. SALE NUMBER
NUMBER FOR PAYMENT
a.
d.
b.
e.
4. LOT NUMBER
c.
f.
5. METHOD OF PAYMENT
c. DEPOSIT TICKET NUMBER
d. DATE
b. CREDIT CARD
a. CASH
(Attach copy of slip)
6. SUCCESSFUL BIDDER'S INFORMATION
a. SUCCESSFUL BIDDER'S NUMBER
b. SUCCESSFUL BIDDER'S NAME
c. SUCCESSFUL BIDDER'S STREET ADDRESS
d. CITY
e. STATE f. ZIP CODE
g. SUCCESSFUL BIDDER'S TIN (SSN/EIN)
7. REFUND (Attached Copy of Purchaser's Receipt)
a. FULL AMOUNT
b. RETAIN IN ACCORDANCE
d. REASON (Check One)
(Retain) ($)
WITH THE SALES T&C
PROPERTY NOT AVAILABLE
MISDESCRIPTION
c. IF OTHER THAN a OR b, EXPLAIN
BIDDER IN DEFAULT
OTHER (Explain):
8. AGENCY AND RETRIVAL AMOUNT FOR REFUND
Sales 255 Account
Agency - Agency Location Code (ALC)
$
$
9a. CONTRACTING OFFICER'S NAME
9b. SIGNATURE OF CONTRACTING OFFICER
9c. DATE
10a. SALES MANAGER'S NAME
10b. SIGNATURE OF SALES MANAGER
10c. DATE
GENERAL SERVICES ADMINISTRATION
GSA 3635 (REV. 3/2011)
Prescribed by FSS P 4055.11
TO:
REFUND
CHIEF, ACCOUNTS RECEIVABLE BRANCH (6BCR)
(See Below for Instructions)
INSTRUCTIONS
Use this form whenever a refund is due to a successful bidder.
Item Number
Enter each number as shown on the SASy generated Register of Remittances Received for
1, 2, 3, 4, 5a-5d
original payment.
Enter the bidder number, name and complete address of the successful bidder and TIN (SSN/EIN)
6a-6g
for the cited contract number(s).
Enter the appropriate refund amount, reason for the refund, and agency retrieval information for
7a-7d, 8
refund, and INCLUDE A COPY OF GSA PURCHASER'S RECEIPT.
9a - 9c
The Sales Contracting Officer must review the completed form, then sign and date.
10a - 10c
The Sales Manager must review the completed form, then sign and date.
1. ORIGINAL REGISTER
2. CONTRACT NUMBERS
3. SALE NUMBER
NUMBER FOR PAYMENT
a.
d.
b.
e.
4. LOT NUMBER
c.
f.
5. METHOD OF PAYMENT
c. DEPOSIT TICKET NUMBER
d. DATE
b. CREDIT CARD
a. CASH
(Attach copy of slip)
6. SUCCESSFUL BIDDER'S INFORMATION
a. SUCCESSFUL BIDDER'S NUMBER
b. SUCCESSFUL BIDDER'S NAME
c. SUCCESSFUL BIDDER'S STREET ADDRESS
d. CITY
e. STATE f. ZIP CODE
g. SUCCESSFUL BIDDER'S TIN (SSN/EIN)
7. REFUND (Attached Copy of Purchaser's Receipt)
a. FULL AMOUNT
b. RETAIN IN ACCORDANCE
d. REASON (Check One)
(Retain) ($)
WITH THE SALES T&C
PROPERTY NOT AVAILABLE
MISDESCRIPTION
c. IF OTHER THAN a OR b, EXPLAIN
BIDDER IN DEFAULT
OTHER (Explain):
8. AGENCY AND RETRIVAL AMOUNT FOR REFUND
Sales 255 Account
Agency - Agency Location Code (ALC)
$
$
9a. CONTRACTING OFFICER'S NAME
9b. SIGNATURE OF CONTRACTING OFFICER
9c. DATE
10a. SALES MANAGER'S NAME
10b. SIGNATURE OF SALES MANAGER
10c. DATE
GENERAL SERVICES ADMINISTRATION
GSA 3635 (REV. 3/2011)
Prescribed by FSS P 4055.11