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 E & R INC. - FAXE D S - APE P I CONSTRUCTIONE Z COUNTY LINE PKG SHOPE. C. CARTER GINEAGLE AUTO SERVICEEAGLE MOBILE TRANSPORTEAGLE PROPANEEAGLET APTS PAY STATIONEAGLET APTS.EAKIN REGGIE L.EARLEY KEVIN B.EARLY TALMAGE E.EASON ADAEASON ALLENEASON BARBARAEASON CLARAEASON DONNELLEASON ERNESTEASON GLENNELLEASON JANISEASON JIMMYEASON LOUELLAEASON MARY E.EASON NANCY LOUISEEASON RUFUSEAST GA. TURF FARMSEASTERLING OSCAREASTMAN CHARLESEASTRIDGE MICHAEL REV.EASTRIDGE MIKEEATMAN RONALDEBELING BRENDAECCLESTON TERRYECKENROD KAREN JEDEN GENEEDENFIELD BILLY EEDENFIELD C AEDENFIELD DOCKEDENFIELD JAMES E.EDENFIELD JOEEDENFIELD JOHN HEDENFIELD KEITHEDENFIELD LAURA L.EDENFIELD LONNIE M. JR.EDENFIELD MRS. PAULEDENFIELD NANCYEDENFIELD PERRYEDENFIELD PRATTEDENFIELD RANDYEDENFIELD THOMASEDENFIELD TROYEDGIN JENNIFER L.EDINGTON CHARLESEDMAN JAMESEDMONDS CHARLES P.EDMONDS JOSHUA O.EDMUNDS D. B.EDMUNDS W CEDWARDS ALVIN L.EDWARDS CHUCKEDWARDS D WEDWARDS DANIELDEDWARDS DAVIDEDWARDS E. GARY IIIEDWARDS FAYNEEDWARDS FAYNEEDWARDS GLYNN DELLEDWARDS JAMES MEDWARDS JOSEPH JREDWARDS JUDYEDWARDS PERRY EEDWARDS ROBERT CEDWARDS ROBERT L.EDWARDS SHANNONEDWARDS WILLIAM D.EDWARDS' GROCERYEEC CONTRACTING INCEGRET MFG. INC.EHLING WILLIAMEISENMANN HOWARD J.ELDORA CYFAR PROGRAMELDORA P. H. CHURCHELDRIDGE SUSAN R.ELDRIDGE TODDELECTRICAL SYSTEMSELECTRO MECHANICAL ENG.ELERSON HARVEY MD JJRELERSON J. HARVEY JR.ELGIN HOMER D.ELKINS ANNETTEELLENWOOD CHARLES CELLER DORINDAELLERBECK NORMANELLERBEE LINDAELLERBEE LINDAELLINGTON CALVINELLIS ANTHONY EELLIS BETTY A.ELLIS CLAUDIE B.ELLIS CRAWFORD H.ELLIS DANIELLE N.ELLIS DOYELLIS EDELLIS EMMA JEANELLIS FOOD STOREELLIS GEORGEELLIS J. KENNETHELLIS JEANNIEELLIS KIMILA J.ELLIS LANCEELLIS NEOMIA P.ELLIS PHYLLIS DELLIS REIDELLELLIS RICHARDELLIS SERVICE STATIONELLIS STELLA MAEELLIS WILLIAM RELLIS. ESTELLAELLISON GARAGEELLISON GRACEELLISON JOHN W. IIELLISON JULIA MAEELLISON WILLIEELLROD JAMESELLROD ROBERTAELLWOOD EELLZEY DENNISELMORE WILLIAM SREMERSON ELLENEMRY JACKEMULSIFIED ASPHALT CO INCENGLES CHARLTON AENGLISH FLORETTE H.ENGLISH HELEN MARIEENGLISH LARRY ESTATEENGLISH LYLESENGLISH SAMANTHA LENNIS J. A.ENNIS JAMES R.ENNIS MRS. JAMES R.ENNIS R. J.ENTECH INDUSTRIES INC.EPPERSON HENRY W.EPPS BOBBY LEPPS SHARON REQUIPMENT MAINT. CO.EQUITYESKEW JULIANESKEW RUFUS JESKINS BILLY WESPINOSA LARRYESSEL DANIAL AESTATE OF H. W. NEWMANESTATE OUIDA INGRAM FESTES ALBERT V.ESTES RONETHERIDGE LEROYETHERIDGE MEL PAGERETHRIDGE CLARENCEETHRIDGE FELTONEUBANKS BENNIEEUGENE WHITE BACKHOE SERVICEEUNICE W R JREURE ALDWIN G.EURE BROS INCEURE BROS. AIRPLANEEURE BROTHERSEURE WILLIAM G.EVANS ALBERTEVANS BUDDYEVANS CHRISEVANS DEBRAEVANS DEBRA K.EVANS DONEVANS FRANK WEVANS HAROLD TEVANS JEFFEVANS JERRYEVANS KENNETHEVANS PECOLAEVANS WILLARD TEVERETT DOUGLAS JEVERETT JAMES R.EVERETT JANELEVERETT MARLONEVERETT MARVINEVERETT VIRGINIAEVERETT WILMAEVERHART GUY N.EWING PATRICIA R.EZELL J. S. 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?
