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 P I CONSTRUCTIONE Z COUNTY LINE PKG SHOPE. C. CARTER GINEAGLE PROPANEEAGLE PROPANEEAGLET APTS PAY STATIONEAGLET APTS.EARLY, TALMAGE E.EASON ADAEASON ALLENEASON ERNESTEASON LOUELLAEASON LOUISEEASON NANCY LOUISEEASON RUFUSEASON, CLARAEASON, DONNELLEASON, GLENNELLEASON, JIMMYEASON, MARY E.EAST GA. TURF FARMSEASTERLING, OSCAREASTMAN, CHARLESEASTRIDGE, MICHAEL REV.EATMAN, RONALDEBELING BRENDAECCLESTON TERRYECCLESTON TERRYEDEN, GENE OR SARAHEDENFIELD BILLY E.EDENFIELD JOHN HEDENFIELD MAXEDENFIELD, DOCKEDENFIELD, JAMES E.EDENFIELD, JOEEDENFIELD, KEITHEDENFIELD, LONNIE M. JR.EDENFIELD, MRS. PAULEDENFIELD, NANCYEDENFIELD, PERRYEDENFIELD, PRATTEDENFIELD, RANDYEDGE RONALD KEDGIN, JENNIFER L.EDINGTON, CHARLESEDMONDS, CHARLES P.EDMUNDS W CEDMUNDS W CEDMUNDS, D. B.EDWARDS D WEDWARDS D WEDWARDS DANIELEDWARDS FAYNEEDWARDS, ALVIN L.EDWARDS, DR. A. JOSEPH, JR.EDWARDS, DR. A. JOSEPH, JR.EDWARDS, E. GARY IIIEDWARDS, FAYNEEDWARDS, ROBERT L.EDWARDS, WILLIAM D.EDWARDS' GROCERYEGRET MFG. INC.EGRET MFG. INC.EHLING, WILLIAMEISENMANN, HOWARD J.ELDORA CYFAR PROGRAMELDORA P. H. CHURCHELECTRICAL SYSTEMSELECTRICAL SYSTEMSELECTRICAL SYSTEMSELECTRICAL SYSTEMSELECTRICAL SYSTEMSELECTRICAL SYSTEMSELECTRO MECHANICAL ENG.ELLENWOOD CHARLES CELLENWOOD CHARLES CELLERBECK, NORMANELLERBEE LINDAELLINGTON, CALVINELLIS DOYELLIS EDELLIS EDELLIS FAYEELLIS FOOD STOREELLIS GEORGEELLIS GEORGEELLIS LANNIEELLIS REMER WELLIS SERVICE STATIONELLIS WILLIAM RELLIS, BETTY A.ELLIS, EMMA JEANELLIS, J. KENNETHELLIS, LANCEELLIS, NEOMIA P.ELLIS, REIDELLELLIS, STELLA MAEELLIS. ESTELLAELLISON BOBBY & ANNIEELLISON GARAGEELLISON GRACEELLISON GRACEELLISON, JULIA MAEELLROD ROBERTAELLWOOD H EENGLISH, FLORETTE H.ENGLISH, HELEN MARIEENNIS JEFFERSON TENNIS, J. A.ENNIS, JAMES R.ENNIS, MRS. JAMES R.ENNIS, R. J.ENTECH INDUSTRIES INC.EPPERSON, HENRY W.EQUIPMENT MAINT. CO.ESKEW RUFUS JESKEW, JULIANESTATE OF H. W. NEWMANESTATE OUIDA INGRAM FRANKLINESTES, ALBERT V.ETHERIDGE FELTONETHRIDGE, CLARENCEETHRIDGE, FELTONEUBANKS BENNIEEUGENE WHITE BACKHOE SERVICEEUNICE W R JREURE BROS INCEURE BROS. AIRPLANEEURE BROTHERSEURE, ALDWIN G.EVANS DEBRAEVANS FRANK WEVANS TWYLAEVANS WILLARD TEVANS, ALBERTEVANS, CHRISEVANS, DONEVANS, J. MARKEVANS, JEFFEVANS, JERRYEVANS, KENNETHEVANS, PECOLAEVERETT DOUGLAS JEVERETT WILMAEVERETT, JAMES R.EVERETT, JANELEVERHART, GUY N.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: 50 MB.Is there anything else you'd like to tell us?
