2025 Printable Template
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Form last updated: 03/2024. Please verify this is the current version before use.
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Step 01
Access the form in the PDF editor.
Step 02
Select the appropriate option for waiver or remission in Box 1.
Step 03
Fill in the debtor's name and relevant personal information.
Step 04
Provide details of the erroneous payment or debt.
Step 05
Review the form for accuracy before submission.
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