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Get NY RF1 2013-2023

Nformation before completing this form. Applicant Information: Request Date: (Print Name) (Phone #) (E-Mail Address) Account Information: Transaction Date (mm/dd/yy): Invoice#/Online Transaction ID# Order# Application/Job # The application status is a factor in determining the refund amount. (If applicable) Borough or Unit: 3 4 Select One 5 Lot: Reason For refund Request: Check the appropriate box below and attach additional documentation if necessary. Fee Exempt (FE) ECB Dismiss.

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