Form ADV-LD-PFR "Petition for Refund of Taxes Paid by Mistake or Error" - Alabama

What Is Form ADV-LD-PFR?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2014;
  • The latest edition provided by the Alabama Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ADV-LD-PFR by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form ADV-LD-PFR "Petition for Refund of Taxes Paid by Mistake or Error" - Alabama

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ADV-LD-PFR
03/14
State of Alabama,
}
_______________________ County }
Petition For Refund of Taxes Paid by Mistake or Error
(Reference Code of Alabama 1975, Title 40-10-160-166 Article 6)
TO THE HONORABLE ___________________________________, JUDGE OF PROBATE, _________________________
COUNTY:
Your petitioner _______________________________________________________ respectfully represents and shows that
unto your honor as follows: That on the ________________ day of ___________________, 20_____, petitioner paid to
___________________________________________ Tax Collector of _______________________________ County,
through mistake or error, or by reason of double assessment, or in the assessment or collection of taxes, or other error,
taxes which were not due and collectable upon the property of the petitioner; that said payment was made on account of an
assessment against it as set in the Certificate of __________________________________________, Tax Assessor of
_____________________________ County.
That the total taxes paid in error amount to $_______________________ and were described as follows:
State Tax . . . . . . . . . $______________________
Double Assessment ____________________
School Tax . . . . . . . . $______________________
Homestead Exemption __________________
County Tax . . . . . . . . $______________________
Valuation Error ________________________
Municipal . . . . . . . . . $______________________
Classification Error _____________________
Commission . . . . . . . $______________________
Other ________________________________
Total . . . . . . . . . . . . . $______________________
Petitioner is entitled to have refunded said taxes so paid in error on the ________________ day of ___________________,
20_____.
Wherefore petitioner prays that your honor will make such Certificate as is required by law to the end that petitioner may
have and procure the refund of such amount as the premises entitle it.
Petitioner: ________________________________________
Before me, _________________________________________, a Notary Public, in and for said County and State, appeared
____________________________________________ who being by me duly sworn, says that the allegations of the above
and foregoing petition are true.
Sworn to and subscribed before me this the ________________ day of ___________________, 20_____.
____________________________________________, N.P.
The petition of _________________________________________ having been duly presented to and considered by me, I
________________________________________ Judge of Probate of ________________________________ County,
Alabama do hereby certify that the allegations therefore are true, and that the petitioner did on the ________________ day
of ___________________, 20_____, pay unto the said _______________________________________, as Tax Collector
of ______________________________ County, Alabama, the sum of $___________________________ for taxes for which
petitioner was not liable and that the said petitioner is entitled to a refund of said money as set out in petition.
WITNESS my signature and seal of office this the ________________ day of ___________________
_______________________________________________
Probate Judge of __________________________ County.
We, the undersigned, do hereby certify that the above petition is true and accurate on the property described, for the tax year
20_______.
______________________________________ Tax Assessor
___________________________________ Tax Collector
State Distribution
PETITIONERS NAMES AND ADDRESSES:
2-1/2M $
100000-030
__________________________________________________
1M
$
301602-030
__________________________________________________
3M
$
300824-030
__________________________________________________
DO NOT FILL IN
__________________________________________________
ADV-LD-PFR
03/14
State of Alabama,
}
_______________________ County }
Petition For Refund of Taxes Paid by Mistake or Error
(Reference Code of Alabama 1975, Title 40-10-160-166 Article 6)
TO THE HONORABLE ___________________________________, JUDGE OF PROBATE, _________________________
COUNTY:
Your petitioner _______________________________________________________ respectfully represents and shows that
unto your honor as follows: That on the ________________ day of ___________________, 20_____, petitioner paid to
___________________________________________ Tax Collector of _______________________________ County,
through mistake or error, or by reason of double assessment, or in the assessment or collection of taxes, or other error,
taxes which were not due and collectable upon the property of the petitioner; that said payment was made on account of an
assessment against it as set in the Certificate of __________________________________________, Tax Assessor of
_____________________________ County.
That the total taxes paid in error amount to $_______________________ and were described as follows:
State Tax . . . . . . . . . $______________________
Double Assessment ____________________
School Tax . . . . . . . . $______________________
Homestead Exemption __________________
County Tax . . . . . . . . $______________________
Valuation Error ________________________
Municipal . . . . . . . . . $______________________
Classification Error _____________________
Commission . . . . . . . $______________________
Other ________________________________
Total . . . . . . . . . . . . . $______________________
Petitioner is entitled to have refunded said taxes so paid in error on the ________________ day of ___________________,
20_____.
Wherefore petitioner prays that your honor will make such Certificate as is required by law to the end that petitioner may
have and procure the refund of such amount as the premises entitle it.
Petitioner: ________________________________________
Before me, _________________________________________, a Notary Public, in and for said County and State, appeared
____________________________________________ who being by me duly sworn, says that the allegations of the above
and foregoing petition are true.
Sworn to and subscribed before me this the ________________ day of ___________________, 20_____.
____________________________________________, N.P.
The petition of _________________________________________ having been duly presented to and considered by me, I
________________________________________ Judge of Probate of ________________________________ County,
Alabama do hereby certify that the allegations therefore are true, and that the petitioner did on the ________________ day
of ___________________, 20_____, pay unto the said _______________________________________, as Tax Collector
of ______________________________ County, Alabama, the sum of $___________________________ for taxes for which
petitioner was not liable and that the said petitioner is entitled to a refund of said money as set out in petition.
WITNESS my signature and seal of office this the ________________ day of ___________________
_______________________________________________
Probate Judge of __________________________ County.
We, the undersigned, do hereby certify that the above petition is true and accurate on the property described, for the tax year
20_______.
______________________________________ Tax Assessor
___________________________________ Tax Collector
State Distribution
PETITIONERS NAMES AND ADDRESSES:
2-1/2M $
100000-030
__________________________________________________
1M
$
301602-030
__________________________________________________
3M
$
300824-030
__________________________________________________
DO NOT FILL IN
__________________________________________________