Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Enter your first name, middle initial (if applicable), last name, and Social Security Number in the designated fields.
3. If you are filing a joint application, provide your spouse’s first name, middle initial, last name, and Social Security Number.
4. Indicate if you have a new address by checking the box provided and fill in your mailing address, city, state, and ZIP Code.
5. Provide your date of birth and, if applicable, your spouse's date of birth.
6. Indicate the number of Form EP-3 receipts you are attaching.
7. Select your filing status by marking one of the options: Single, Married filing joint application, or Married filing separate application.
8. On line 1, add the total of all contributions made during 2023 as per your Form EP-3 receipts and enter the sum.
9. On line 2, enter $100 if filing jointly, or $50 if filing separately or as single.
10. On line 3, enter the lesser amount from line 1 or line 2. This amount represents your refund.
11. For direct deposit, fill in your bank account details on line 4, choosing between checking or savings, and enter the routing and account numbers.
12. Affirm the accuracy of your form by signing in the designated fields and date your signatures. Ensure your spouse signs if applicable.
13. Finally, review all entered information for accuracy, then save your changes, download, print, or share the completed form as needed.

Complete your 2023 Form PCR application online today to claim your political contribution refund.