Tax Refund Garnishment Dispute Form
Submit your dispute regarding a tax refund garnishment by providing the required case details and dispute information.
Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Case Reference Number
*
Type of Garnishment
*
Federal Tax Debt
State Tax Debt
Child Support
Student Loan
Other
Date of Garnishment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Amount in Dispute (USD)
*
Reason for Dispute
*
Incorrect garnishment amount
Debt already paid
Not responsible for debt
Documentation error
Other
Upload Supporting Documentation (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred Resolution
*
Release of full garnished amount
Partial release
Review and clarification
Other
Additional Comments
Submit Dispute
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