"Refund Request Form" - Wyoming

Refund Request Form is a legal document that was released by the Wyoming Secretary of State - a government authority operating within Wyoming.

Form Details:

  • The latest edition currently provided by the Wyoming Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Wyoming Secretary of State.

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Wyoming Secretary of State
Herschler Building East
Suites 100 & 101
122 W. 25th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Email: Business@wyo.gov
Refund Request Form
Refunds will be reviewed using information provided below. As such, please complete all information that is
applicable to your request. Please also note that convenience fees associated with electronically filed
documents will not be refunded.
Business ID#:
Receipt No.:
Name/Business:
Address:
City:
State
Zip Code:
Contact Person:
Phone:
Document Filed:
Amount Requested:
Reason for Refund:
Signature:
Date:
Printed Name:
Title:
Refund Approval - Secretary of State's Office Only
Refund Amount:
Receipt No.:
Authorized Signature:
Wyoming Secretary of State
Herschler Building East
Suites 100 & 101
122 W. 25th Street
Cheyenne, WY 82002-0020
Ph. 307.777.7311
Email: Business@wyo.gov
Refund Request Form
Refunds will be reviewed using information provided below. As such, please complete all information that is
applicable to your request. Please also note that convenience fees associated with electronically filed
documents will not be refunded.
Business ID#:
Receipt No.:
Name/Business:
Address:
City:
State
Zip Code:
Contact Person:
Phone:
Document Filed:
Amount Requested:
Reason for Refund:
Signature:
Date:
Printed Name:
Title:
Refund Approval - Secretary of State's Office Only
Refund Amount:
Receipt No.:
Authorized Signature: