Capital Credits # A B C D E F G H I J K L M N O P Q R S T U V W Y Z A & T ENTERPRISES SERVICESA-1 SEPTIC TANK SERVICEAARON CHUCH OF GODAARON H G (GROCERY)AARON JAYAARON JOSIEAARON PHIL C (PLACE)AARON THELMA MAAROW FENCE COMPANYABATTOIR SHURLINGABBOTT BUD RIVERHOUSEABBOTT SHERRIEABBOTT WOODSABBOTT WOODYABEL KENNETHABERCROMBIE GEORGE WABERCROMBIE RODNEYABOUL-KHAIR NANCY SABRAHAM GERNERALABRAHAMS MRS ELAINEABUAMER SHEILAACKERMAN JOYCEACREE CHARLESACTON JENNIFERADAMES PETERADAMS & ADAMS BLDG. CONTR.ADAMS BILLY WADAMS BLDG. CONTRAC.ADAMS C LADAMS CLINTADAMS ELIZABETH MRSADAMS GENEADAMS GEORGE WADAMS HARRIETTE CADAMS HERBERT LEE JRADAMS J HADAMS J R MRSADAMS JAMES IADAMS LEAH JADAMS LEWEYADAMS MAE FRANCESADAMS NOEL AADAMS ROBERT WADAMS THELMA JADAMS TIMADAMS VANESSAADAMS WILLIE CADCOX MARVIN EADDAIR DANNYADDINGTON DAVIDADKINS CHERISHADLER JAMES SAERO SPRAY INC.AFROOZI KAYVAFROOZI KEYHAN AAICARD STEVEN GAIKEN DEANA DAKERMAN PAULINE CAKERMAN WILLIE JAKINS & SONS FARMAKINS BRIANAKINS CABINET SHOPAKINS D MAKINS D PAKINS DEROY MAKINS DONNA LAKINS E CAKINS EDWIN PAKINS F AAKINS FRANCES DAKINS FRED MAKINS H EAKINS HARVEYAKINS HEIDIAKINS HERMAN BAKINS INMAN WAKINS J DOYAKINS J LAKINS J O REVAKINS JAMES W (JIM)AKINS JEANAKINS JEFFAKINS JEFFAKINS JEFF SAKINS JOE OLLIFFAKINS JOHN FAKINS JOHN L & SONSAKINS JOHN ROGERAKINS LEA LANDSCAPESAKINS MARION AAKINS OTHA LAKINS P JAKINS ROBBIEAKINS ROBERT EJRAKINS ROBERT LAKINS RUBY HAKINS RUSSAKINS S EAKINS T MAKINS TABAKINS TAL MAKINS THERESA MAKINS TOMAKINS TRANSPORT - FAXAKINS W WAKINS WELL & PUMP SERVICEAKINS WENDELL & WENDYAKINS WILMAALAMO PLAZA MOTELALAMO PLAZA PAY STATIONALAMO PLAZA RESTAURANTALBANESE TONYALBERTIN ROBERTALBRIGHT DANA LALBRIGHT SCOTT AALDERMAN DAWNALDERMAN EMMITT AALDERMAN ERICALDERMAN FRED MALDERMAN H EARLEALDERMAN HIRAM EARLALDERMAN J D MRSALDERMAN JIMMYALDERMAN JOYCEALDERMAN MATHEWALDERMAN RYAN & JULIEALDERMAN TOMMYALDERMAN W RALDRED WALTER CO.ALDRICH A QALDRICH AILEENALDRICH BOBBYALDRICH CHARLIE TALDRICH FRANKALDRICH GULF SERV. STATIONALDRICH HALDEANALDRICH HEATHER JALDRICH IRON WORKALDRICH IRON WORKSALDRICH JAMESALDRICH JERRYALDRICH JOEALDRICH LONNIEALDRICH ROBERTALDRICH TALMEDGEALDRICH TRAVISALERT SIGN COMPANYALEXANDER BILL AND CHRISALEXANDER HARRY EALEXANDER JOSEPH VERNONALEXANDER JUDITH AALEXANDER PAULAALEXANDER SANDRAALFORD ROBALIFFI DENNISALIFFI JAMES DALIFFI NANCIALL REBECCAALLEN BARNEYALLEN BARNEY SRALLEN BECKYALLEN BENJAMINALLEN BENNETTALLEN BOBBI JALLEN BOBBY LALLEN BONNIEALLEN CHAD EALLEN CHARLES KALLEN CHARLES TALLEN CHARLES T & PENNYALLEN CINDY AALLEN DANNY KALLEN DAVID LALLEN DEBORAHALLEN DONALD NALLEN EDNAALLEN EVELYN QALLEN FRANCIS WALLEN FRANCYNEALLEN J D RIVER HOUSEALLEN J WALLEN JANNIE MALLEN JEREMY LALLEN JIMMY EALLEN JOE MALLEN JOSEPH LALLEN KATHYALLEN LATASHA NICOLALLEN LEMUELALLEN MARIAALLEN MARLIN BALLEN MILDREDALLEN R LALLEN RAY LALLEN ROBERT LALLEN ROSSEVELTALLEN VERAALLEN W NALLEN WILLIAM (BRADALLEN'S GROCERYALLEN'S REFRIGERATION AND ELECALLGOOD MIKEALLIED WIRELESS COMM CORPALLIGOOD BALLISON PHILLIPALLMOND MARIEALLMOND STANLEYALLMOND TRACIALLRED BETHEL EALMAND ALMAALMODOVAR ARNALDO MALMS BRADLEYALONGE FRANK GALSTON ERICALSTON JESSIE MAEALSTON LAURAALSTON MARTHA LEEALSTON MARY LALSTON SIDNEYALSUP JEFFERYALTMAN C BALTMAN DARLINEALTMAN JOHN (J J)ALTMAN JOHNNY JALTMEYER TOMALVAREZ KATELYNALVIN RONNIEAMBROS HENRY FAMBROSE WAYNE HAMERICAN DISTRICTCOAMERICAN TEL & TEL COAMERSON BUDDYAMERSON LONNIEAMMONS LAFAYETTEAMMONS O L (HAPPY)AMMONS REV ROBERTANCHEZ KENNETH AANDERSON & ASSOCIATESANDERSON & SON'S FORD TRACTORANDERSON A C MRSANDERSON ANGIEANDERSON ARETHAANDERSON AUDREYANDERSON B HANDERSON B OANDERSON BETTY SANDERSON C NANDERSON CHARLES WANDERSON CLAYTONANDERSON COHENANDERSON CRYSTALANDERSON DANDERSON D DANDERSON DAVIDANDERSON DENISE DANDERSON DENNIS EANDERSON DERITA MANDERSON DERRELLANDERSON E AANDERSON F EANDERSON F HANDERSON GENEANDERSON GORDON LANDERSON GORDON PANDERSON GROCERYANDERSON H GARLANDANDERSON H JANDERSON HERMANANDERSON IVERSONANDERSON J LANDERSON J L JRANDERSON J OLINANDERSON JAMESANDERSON JAMES RANDERSON JAMIE DANDERSON JEFFREY DANDERSON JERRYANDERSON JOE IANDERSON JOHN B COANDERSON JOHN B PEANUT & GRAINANDERSON JOHN THERONANDERSON KENDALLANDERSON KENNETHANDERSON KENNETH G-FAXANDERSON LATONYAANDERSON LENWELLANDERSON LILLIEANDERSON LOUIS TANDERSON MARYANDERSON MIKEANDERSON MIKE BANDERSON O WAYNEANDERSON OWENANDERSON P DANDERSON PATRICIAANDERSON PRATTANDERSON QUINTONANDERSON R F SRANDERSON R FJRANDERSON ROBINANDERSON RONALD WANDERSON RUDOLPHANDERSON SAMMIEANDERSON SAMMYANDERSON SANDRAANDERSON TERRYANDERSON TIMMYANDERSON TONYA PONDHOUANDERSON TRUMAN FANDERSON VARIEANDERSON VICANDERSON W AANDERSON W DANDERSON W EUGENEANDERSON W JANDERSON W RANDERSON W SANDERSON WAYNEANDREWS BETHANDREWS CARL WANDREWS CYNTHIA BANDREWS R LANDREWS RALPHANDREWS ROBERT LANDREWS THOMAS EANDRON'S STATESBORO GLASSANDRUS LISAANESTHESIOLOGY & CCMANESTHESIOLOGY CRITICAL CAREANGLEY CONNORANGLIN KAYANNIE M'S RESTAURANTANNOINTED HOUSE OF CHRISTANSEL CAROLYNANSLEY ETHEL MITCHELLANSLEY J AANSLEY OTISANTHONY J MANTHONY JAVIS BANTHONY TONYARCOLA FIRE STATIONARENS FRANCIS EAREX CORPORATIONARLINE RONNIE LARMISTEAD RONALDARMOUR DALE JARMSTRONG CLIFTON WARMSTRONG ROBERTARNOLD ANNA JANEARNOLD GEORGE WARNOLD RONALDARNOLDS-PATRON SANDRA HARRINGTON JO ANNARRIOLA JOELARROW FENCE & DECK COARROW FENCE COMPANYARTHUR RAY LARTIS SYLVETTEASERON CASHBURN CURTISASHBY TERRYASHLEY KEAVIN LASPINWALL EMORYASTIN RODNEYATKINS DAVID WATKINSON JAMESATKINSON LOIS GATKINSON MARKATKINSON WALTER JRATLANTA CASUALTY GROUP INCATLANTA NEWSPAPERSATLANTIC CELLULARATLANTIC EXPRESS BROKERAGE INCAULDRIDGE EDAURLAND NORMAN SHOPAUSHERMAN RONALDAUSTIN CEASARAUSTIN DIANNEAUSTIN GERALDAUSTIN JOAN MAUSTIN REXAUSTIN WILLIAM DAUTRY WILLIAM OSRAVILES EDAXSON WILLIAMAYCOCK & IDDINSAYCOCK AND WILLIAMSAYCOCK HARRY DAYCOCK OLIVIAAYCOCK OLIVIA MAYCOCK TOWER COAYERS CARL HSR BULLOCH TELEPHONE COOPERATIVE CLAIM FORM Existing Member Name(Required) First Last Existing Street Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Updated Name(Required) First Last Updated Street Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Account NumberMember NumberPhone NumberIn conjunction with the retirement of capital credits prior to 1990, I hereby make the following certification regarding my status or my entities status prior to receiving our patronage refund: I am a residential customer and have not deducted the cost of communication service on any tax return for the years prior to 1990. The qualified Member above is deceased and I am claiming the Patronage refund on their behalf. I have included a death certificate and a court document to verify that I am qualified to receive the refund and will distribute the proceeds according to the laws of Georgia. My entity is incorporated under the corporate laws of Georgia and our state issued control number below. Control NumberFile UploadMax. file size: 128 MB. Is there anything else you'd like to tell us?
