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Federal Free Printable Form 3911 (Rev. 10-2022) for 2024 Federal Taxpayer Statement Regarding Refund

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Taxpayer Statement Regarding Refund
Form 3911 (Rev. 10-2022)

Form 3911 Department of the Treasury - Internal Revenue Service OMB Number 1545-1384 Taxpayer Statement Regarding Refund (October 2022) The information below is in reply to your inquiry on about your Federal tax refund for If you did not receive your refund or if the refund check you received was lost, stolen or destroyed, complete the entire form. If there are portions of the form that do not apply to you, you may mark them as N/A. Return to us in the envelope provided or fax the form to . Note: You must complete a separate Form 3911 for each refund for which you are requesting information. Note: If you are in possession of a check which was not cashed within one year of the issue date as the law requires, it can no longer be cashed, contact the service for instructions on how to return your check. For information on how to complete or where to send this form, visit www.irs.gov/forms-pubs/about-form-3911-taxpayer-statementregarding-refund. Section I Print your current name(s), taxpayer identification number (for individuals, this may be your social security number or your ITIN, for businesses, it is your employer identification number) and address, including ZIP code. If you filed a joint return, enter the information of both spouses on lines 1 and 2 below. 1. Your name Taxpayer Identification Number 2. Spouse’s name (if a name is entered here, spouse must sign on line 11) Taxpayer Identification Number 3. Current address Apt. No. City State Area code Give us a phone number where you can be reached between 8 a.m. and 4 p.m. Include area code. ZIP code Telephone number Enter the information on line 4 exactly as it appeared on your tax return, if no change from above, enter N/A in fields below. 4. Name(s) Address on return if different from current address Apt. No. City State ZIP code If you authorized a representative to receive your refund check, enter his or her name and mailing address below. 6. Address (include ZIP code) 5. Name of representative 7. Type of return Individual Type of refund requested Business, Check Form Tax period Other Direct Deposit Refund amount $ Name of bank (where you normally cash or deposit your checks) Account type Checking Saving Other Bank RTN Section II Date filed Account number Refund Information (check all boxes that apply to you) 8. I didn’t receive a refund. I received a refund check, but it was 9. I received the refund check and signed it. Lost Stolen Destroyed NOTE: The law doesn’t allow us to issue a replacement check if you endorsed it and someone other than you cashed the check, since that person didn’t forge your signature. Section III Certification Sign below. If this refund was from a joint return, both spouses must sign, before we can begin a trace. Under penalties of perjury, I declare that I have examined this form, and to the best of my knowledge and belief, the information is true, correct, and complete. I request that you send a replacement refund, and if I receive two refunds, I will return one. 10. Signature (for business returns, signature of person authorized to sign the check) Date 11. Spouse’s signature, if required (for businesses, enter the title of the person who signed above) Date Catalog Number 41167W www.irs.gov Form 3911 (Rev. 10-2022) Privacy Act and Paperwork Reduction Act Notice We ask for the information on this form to carry out the Internal Revenue laws of the United States. You aren’t required to give us the information since the refund you claimed has already been issued. However, without the information we won’t be able to trace your refund, and may be unable to replace it. You may give us the information we need in a letter. We need the information to ensure that you are complying with these laws and to allow us to determine the correctness of your refund or the right amount of payment. Your Social Security Number and the other information are being requested in order that the Department of the Treasury can process your refund. The authority of requesting your social security number is 26 United States Code, section 6109. If you cannot or will not furnish the information, the tracing of your refund may be delayed. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or record relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Internal Revenue Code section 6103. The time needed to compete and file this form will vary depending on individual circumstances. The estimated average time is less than 5 minutes. If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would be happy to hear from you. You can write to the Internal Revenue Service, Attention: Tax Products Coordinating Committee, Western Area Distribution Center, Rancho Cordova, CA 95743-0001. Do not send this form to this office. Instead, please use the envelope provided or mail the form to the Internal Revenue Service center where you would normally file a paper tax return. Catalog Number 41167W www.irs.gov Form 3911 (Rev. 10-2022)
Extracted from PDF file 2023-federal-form-3911.pdf, last modified October 2022

More about the Federal Form 3911 Individual Income Tax TY 2023

Form 3911 can be filed with the IRS to inquire about a lost, damaged, stolen, or otherwise missing Federal tax refund payment. If needed, the IRS will issue a replacement check.

We last updated the Taxpayer Statement Regarding Refund in January 2024, so this is the latest version of Form 3911, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 3911 directly from TaxFormFinder. You can print other Federal tax forms here.

Other Federal Individual Income Tax Forms:

TaxFormFinder has an additional 774 Federal income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 1040-EZ Income Tax Return for Single and Joint Filers With No Dependents
Form 1040-V Payment Voucher
Form 1040-ES Estimated Tax for Individuals
1040 (Schedule A) Itemized Deductions
Form 2210 Underpayment of Estimated Tax by Individuals, Estates, and Trusts

Download all  tax forms View all 775 Federal Income Tax Forms


Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 3911 from the Internal Revenue Service in January 2024.

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About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Federal Form 3911

We have a total of eleven past-year versions of Form 3911 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form 3911

Form 3911 (Rev. 10-2022)

2022 Form 3911

Form 3911 (Rev. 10-2022)

2021 Form 3911

Form 3911 (Rev. 1-2018)

2020 Form 3911

Form 3911 (Rev. 1-2018)

2019 Form 3911

Form 3911 (Rev. 4-2009)

2018 Form 3911

Form 3911 (Rev. 4-2009)

2017 Form 3911

Form 3911 (Rev. 4-2009)

2016 Form 3911

Form 3911 (Rev. 4-2009)

Taxpayer Statement Regarding Refund 2015 Form 3911

Form 3911 (Rev. 4-2009)

Taxpayer Statement Regarding Refund 2012 Form 3911

Form 3911 (Rev. 4-2009)

Taxpayer Statement Regarding Refund 2011 Form 3911

Form 3911 (Rev. 4-2009)


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