"Refund Request Form" - Dallas County, Texas

Refund Request Form is a legal document that was released by the District Clerk - Dallas County, Texas - a government authority operating within Texas. The form may be used strictly within Dallas County.

Form Details:

  • Released on July 19, 2021;
  • The latest edition currently provided by the District Clerk - Dallas County, Texas;
  • 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 District Clerk - Dallas County, Texas.

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FELICIA PITRE
DALLAS COUNTY DISTRICT CLERK
NINA MOUNTIQUE
CHIEF DEPUTY
CAUSE NO.: ____________________
PLAINTIFF:
§
IN THE
SELECT ONE
_____
§
DALLAS COUNTY TEXAS
§
DEFENDANT:
§
§
DALLAS COUNTY DISTRICT CLERK REFUND REQUEST FORM
DATE:
PERSON REQUESTING REFUND:
PHONE:
EMAIL:
AMOUNT OF REFUND:
REASON FOR REFUND:
REFUND CHECK INFORMATION
PAYEE:
ADDRESS:
FOR OFFICE USE ONLY
DATE:
AMOUNT:
CHECK#:
Rev #2 7/19/2021 per GFS optimized for Adobe Reader
FELICIA PITRE
DALLAS COUNTY DISTRICT CLERK
NINA MOUNTIQUE
CHIEF DEPUTY
CAUSE NO.: ____________________
PLAINTIFF:
§
IN THE
SELECT ONE
_____
§
DALLAS COUNTY TEXAS
§
DEFENDANT:
§
§
DALLAS COUNTY DISTRICT CLERK REFUND REQUEST FORM
DATE:
PERSON REQUESTING REFUND:
PHONE:
EMAIL:
AMOUNT OF REFUND:
REASON FOR REFUND:
REFUND CHECK INFORMATION
PAYEE:
ADDRESS:
FOR OFFICE USE ONLY
DATE:
AMOUNT:
CHECK#:
Rev #2 7/19/2021 per GFS optimized for Adobe Reader