We have identified the following overpayment and are in good faith voluntarily refunding all monies collected in error. To manually report an overpayment claim or to report an offset due to a restored benefit on a case with an existing claim.Attach a completed and signed Form. 50-162, Appointment of Agent for Property Tax Matters, if the form has not been filed with the appraisal district. Below is the text of a sample notice letter that would need to be modified to fit the specifics of your complaint. In this article, we discuss how to write a demand letter, what to include in a demand letter, and provide a Texas demand letter template. Complete this form if any of the following applies: You think that you are not at fault for the overpayment and you cannot afford to pay the money back. •. Enter the total amount refunded to BCBSTX.

Excess Payment Letter Format In Texas

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