3911 Form 2022 Printable, Fillable PDF

3911 Form 2022 Printable, Fillable PDF3911 Form, also known as a Taxpayer Statement Regarding Refund, is used to request a refund. This form is used by a taxpayer to enquire about the status of a refund that they anticipate receiving. In order to complete this form, you’ll need specific information about the tax return for which you’re requesting assistance. The information on 3911 Form will be used by the IRS to investigate the situation and confirm that you did not receive the refund that was at issue.

What Exactly Is Form 3911?

The Internal Revenue Service of the United States distributes 3911 Form, which is connected to tax preparation and filing. This form is referred to as a “Taxpayer Statement Regarding Refund” in certain circles. Taxpayers who have filed an income tax return but have not received their refund or have misplaced the refund check that has been given to them should complete and submit this form.

This form will ask for information on the first tax return that was submitted, as well as other pertinent information. You will need to know the date on which you filed your taxes, the amount of your tax return, and the form on which you asked the money to be paid, whether it was a check or an electronic transfer, in order to complete the transaction. Account numbers and the name of your bank will need to be included on your tax return, as well as any other pertinent information you may provide. If you do this, the Internal Revenue Service will be able to prove that you did not file your tax return.

3911 Form 2022 Printable, Fillable PDF

Form 3911: Instructions On How To Fill It Out (Step By Step)

You will need to give the following information in order to complete Form 3911:

Date of the inquiry

The year in which you file your tax return is

Amounts refunded

Dates for refunds

Check or direct deposit are also acceptable methods of payment.


  • The United States Postal Service returned the check because they were unable to deliver it.
  • The check was not cashed within one year of its issuance date, and as a result, it is no longer valid under state law.
  • It has been misplaced, stolen, or destroyed.

Introduction to Section I:

  • Name
  • TIN
  • The spouse’s name
  • The TIN of the spouse
  • Address
  • Call the following phone number:
  • Personal information has been updated.
  • The representative’s full name
  • Specify the nature of the return.
  • The kind of refund that has been requested

Section II-Information Regarding Refunds

  • I have not received a refund; it was lost, stolen, or destroyed; it was received and signed by the customer.
  • Whether or not you have received mail about your tax return,
  • You should provide the name of the bank and account number where you regularly cash or deposit checks.
  • Whether or not you were the recipient of a return anticipation loan,
  • Refunds were not received despite the use of routing transit numbers and account numbers on the return.

Section III-Accreditation and Recognition

  • Signature
  • Date
  • The signature of the spouse
  • Date

Section IV-Check Specs and Description

  • “Schedule number” is an abbreviation for the number of days in a week.
  • The deadline for requesting a refund
  • Amount
  • Other (DLN, check/symbol, and so on)

3911 Form 2022 Printable, Fillable PDF

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