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 KAPOKKAY'SKEARNEY WILLIAMKEARNEY, CLINTONKEEL KENNYKEEL MATTKEEL, CLIFFORDKEEL, GEORGEKEEL, GEORGE MRS.KEEL, REV. H. E.KEEL, TOMKEEL, VERONICAKEEN MSG H M MSGKEEN, MRS. MATTIEKEENE M B SRKEENE, OLIVERKEIPPEL JENNIFERKEITH, CONNIEKELLAM RONNIE GENEKELLEY DAVIDKELLEY TERESAKELLY JAMES SKELLY JERRY LKELLY MELBURN B JRKELLY MICHAEL CKEMBREL, SKIPKEMP BOBBY EKEMP ERNEST DKEMP GINNYKEMP KIDKEMP W ALTONKEN'S I G AKEN'S IGAKENDRICK CONSTRUCTION COKENDRICK GEORGE M (WOODYARD)KENDRICK GEORGE SCALESKENDRICK GEORGE SCALESKENDRICK GEORGE SHOPKENDRICK GEORGE SHOPKENDRICK GREGKENDRICK JOHN MICHAELKENDRICK JOHN MICHAELKENDRICK L J JRKENDRICK LISAKENDRICK OTTOKENDRICK OTTOKENDRICK RUTH JKENDRICK SARA WISEKENDRICK WILLIAM JKENDRICK WOODYARD INC.KENDRICK WOODYARD INC.KENDRICKS MARY HELENKENDRICKS SHIRLEYKENDRICKS, JUNIORKENDRICKS, JUNIORKENDRIX OTTOKENNEDY A R SERVICE STATIONKENNEDY HAL & LEIGHKENNEDY JESSIE LKENNEDY MICHAELKENNEDY MIKEKENNEDY SHIRLEY DKENNEDY, A. R.KENNEDY, CECIL E. SR.KENNEDY, E. M.KENNEDY, ELIKENNEDY, ELWINKENNEDY, ELWINKENNEDY, H. C.KENNEDY, H. C.KENNEDY, J. R.KENNEDY, JAMES E.KENNEDY, JAMES L.KENNEDY, S. R.KENNEDY, TINYKENNY'S AUTO SALESKENT BABETTEKENT BRONS DKENT MARGARETKENT MD WILLIAM FKERR DAVIDKERSEY ANNA MAUDEKERSEY SONYAKERSEY, JERRYKERSEY, WALTERKESSLER, T. C.KEY DANNYKEY DONNAKEY RANDY (SHOP)KEY ROSA LEEKEY, AUSTINKEY, BOBBYKIBILKO BEV & RONKICKLIGHTER ALVIN HKICKLIGHTER INA BKICKLIGHTER J ALLENKICKLIGHTER JANEKICKLIGHTER LOLA SKICKLIGHTER Q TKICKLIGHTER SARAKICKLIGHTER SATELLITE SYSTEMSKICKLIGHTER T WKICKLIGHTER W CKICKLIGHTER WILLIAM RKIGHT LINDAKIKER BARBARA SKILLEBREW JAMES EKIMBLE ARTHURKIMBLE ARTHURKIMSEY GARYKING CHARLES LKING CHARLES WKING ELNORIAKING FINISHING CO.KING GENEVIEVE MKING HERBERT JKING JAMES AKING JAMES HAMPSONKING JOHN WKING LEROYKING MORGANKING MORGAN CKING MRS ANNIE LKING MRS ANNIE LKING OLIN DKING RONALD NKING RUSSELLKING S EKING SHELTONKING SMITH G JRKING SUSIEKING WILLIAM CKING WILLIE AKINGERY, JAMES LARRYKIRBY, DENNIS S.KIRBY, MARY T. MRS.KIRKHART KELLIE J.KIRKLAND, DERRIX JR.KIRKLAND, DERRIX JR.KIRKLAND, ELLA JANEKIRKLAND, JEANKIRKLAND, LULAKIRKLAND, MARCIAKIRKPATRICK, J. V.KISER HOWARD BKISER, HOWARD B.KISER, HOWARD B.KISER, HOWARD B.KITCHENS MIKEKITCHENS, CYNTHIAKITCHENS, JAMES C.KITCHENS, MICHAELKITCHENS, REV. WILLIAMKITCHINGS ALBERTKITTRAIL JOHNKIWANIS OF BROOKLETKIWANIS OF BROOKLETKIWANIS OF BROOKLETKIWANIS OF BROOKLETKLAY JAMES BKLECKLEY, CHERYLKLOTZ CONSTRUCTION COKLUTTZ, RICHARD S.KMI LAND RESOURCES INCKMI LAND RESOURCES INCKMI LAND RESOURCES, INC.KNIGHT BROTHERS FARMKNIGHT CALVIN MKNIGHT EDWARD FKNIGHT IDELL MRSKNIGHT JULIAKNIGHT MARGARET MRSKNIGHT, ALLENKNIGHT, CHARLES L.KNIGHT, CHARLES LINDY JR.KNIGHT, CHARLIE W.KNIGHT, CLIFF E.KNIGHT, GLADYSKNIGHT, GLADYSKNIGHT, GREGKNIGHT, JACKKNIGHT, JAMES W.KNIGHT, JERRIKNIGHT, JIMMIE LEEKNIGHT, JUNIORKNIGHT, LAURY B.KNIGHT, LOTTIE E.KNIGHT, MATTIE L.KNIGHT, MRS. BLANCHEKNIGHT, NETTIE H.KNIGHT, T.S.KNIGHT, VANCEKNIGHT, WILLIAM D.KNIGHT, WILLIEKNIGHT, WINTONKNIGHT'S SMALL ENGINE REPAIRKNOWLES, VIOLA C.KOLB, OSCAR C.KOLE, PETERKOLLARS, THOMASKOLLOCK, PETRONIAKOON, L. H.KOONCE, MRS. LILLIANKRAMER, BETTY J.KRAMER, STARLING H.KRENSON, EARL R.KRESSLER, T. C.KRICKEL A BKRONBERG, MARVIN W.KRUSE FRANKIEKRYSINSKI, WILLIAM T.KUSTOM AUTO BODYKWOLEK, JOSEPHKYSOR, DARWINBULLOCH 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?