This form is used by taxpayers for completing a claim against the United States for the proceeds of an Internal Revenue refund check.
The latest form for Limited Payability Claim Against the United States For Proceeds of an Internal Revenue Refund Check expires 2021-05-31 and can be found here.
Document Name |
---|
Form and Instruction |
Supporting Statement A |
Extension without change of a currently approved collection | 2024-07-31 | ||
Approved without change |
Extension without change of a currently approved collection | 2021-05-28 | |
Approved without change |
Revision of a currently approved collection | 2017-10-25 | |
Approved without change |
Extension without change of a currently approved collection | 2014-05-28 | |
Approved without change |
Extension without change of a currently approved collection | 2011-03-28 | |
Approved without change |
Extension without change of a currently approved collection | 2010-02-26 | |
Approved without change |
Extension without change of a currently approved collection | 2006-12-21 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 2006-06-01 |