I request that you send a replacement refund, and if I receive two refunds, I will return one. Use Form 843 to claim a refund or request an abatement of certain taxes, interest, penalties, fees, and additions to tax.Check the box below that indicates your reason for filing Form 843. Tax. Abatement or refund of tax other than income, estate, or gift tax. To file a Utah return, first complete your federal return, even if you do not have to file with the IRS. Use Form 843 to claim a refund or request an abatement of certain taxes, penalties, additions to tax, interest, and fees. The payment must be sent within 60 days of the date of the notice. If you disagree with the total in the letter, you can request a review of your account. Page provides taxpayers and tax professionals the mailing address for submitting Form 843. Wage Tax refund requests must be submitted through the Philadelphia Tax Center.