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 KACZMARICK CAROL WKADILAK JASONKALMBACHER LISA LKAPOKKARIKKA RACHELKARPINSKY AUDREY LKARPINSKY MARK PKASPAR SHAWNKASSEES JACKKAY'SKEARNEY CLINTONKEARNEY WILLIAMKEARSE LETA AKEEL CLIFFORDKEEL GEORGEKEEL GEORGE MRS.KEEL KENNYKEEL MATTKEEL REV. H. E.KEEL RONALD DKEEL TOMKEEL TOMMYKEEL VERONICAKEELIN EARLKEEN MRS. MATTIEKEEN MSG H M MSGKEENE M B SRKEENE OLIVERKEIPPEL JENNIFERKEITH CONNIEKELLAM RONNIE GENEKELLEY DAVIDKELLEY DAVID KKELLEY TERESAKELLY CRYSTALKELLY JAMES SKELLY JERILYN SKELLY JERRY LKELLY MEL JRKELLY MELBURN B JRKELLY MICHAEL CKELLY STEPHANIEKELLY TISH GKELNHOFER RICHARDKELTON GEORGE RKEMBREL SKIPKEMP BOBBY EKEMP ERNEST DKEMP GINNYKEMP KIDKEMP LISA MARIEKEMP SANFORDKEMP W ALTONKEN'S I G AKENDALL KRISTY & SIMSKENDRICK CONSTRUCTION COKENDRICK GEORGE M (WOODYARD)KENDRICK GEORGE SCALESKENDRICK GEORGE SHOPKENDRICK JOHN MKENDRICK L J JRKENDRICK LISAKENDRICK OTTOKENDRICK RANDY LEE SRKENDRICK RUTH JKENDRICK SARA WKENDRICK SHIRLEYKENDRICK WILLIAM JKENDRICK WOODYARD INC.KENDRICKS BILLY RKENDRICKS JOEKENDRICKS JUNIORKENDRICKS MARY HELENKENDRICKS SHIRLEYKENDRIX OTTOKENNDEDY CINDYKENNEDY A R SERVICE STATIONKENNEDY A. R.KENNEDY CECIL E. SR.KENNEDY CRAIGKENNEDY E. M.KENNEDY ELIKENNEDY ELTON AKENNEDY ELWINKENNEDY H. C.KENNEDY J. R.KENNEDY JAMES E.KENNEDY JAMES L.KENNEDY JESSIE LKENNEDY JOSEPH MKENNEDY JOSEPH M.KENNEDY LESLIE PKENNEDY LYNSEYKENNEDY MICHAELKENNEDY MIKEKENNEDY QUEEN CKENNEDY S. R.KENNEDY SHIRLEY DKENNEDY TINYKENNY'S AUTO SALESKENT BABETTEKENT BRONS DKENT MD WILLIAM FKEPHART WILLIAM KKERBY ANGELA MKERR DAVIDKERSEY ANNA MAUDEKERSEY BRENDA CKERSEY JERRYKERSEY SONYAKERSEY WALTERKESSLER MIKE CKESSLER T. C.KETCHABAW JOHNKEY AUSTINKEY BOBBYKEY DANNYKEY DONNAKEY JAMES AKEY RACHELKEY RANDY (SHOP)KEY ROSA LEEKEY WINTON JRKIBILKO BEVKICKLIGHTER ALVIN HKICKLIGHTER J ALLENKICKLIGHTER JANEKICKLIGHTER LAVINIA MKICKLIGHTER LOLA SKICKLIGHTER Q TKICKLIGHTER ROBERT HKICKLIGHTER SARAKICKLIGHTER SATELLITE SYSTEMSKICKLIGHTER T WKICKLIGHTER W CKICKLIGHTER WILLIAM CKICKLIGHTER WILLIAM RKIDDER WILLIAMKIGHT DONALDKIGHT LINDAKIKER BARBARA SKILE DEBORAH LKILLEBREW JAMES EKILPATRICK T KKIM BYONGKIMBLE ARTHURKIMBLE C GARYKIMBROUGH KATHYKIMSEY GARYKINARD LORI BKINDLE ANTHONYKING ANNIE LKING CHARLES LKING CHARLES WKING ELNORIAKING FINISHING CO.KING FLOYD WKING GENEVIEVE MKING GEORGIANNKING GWENKING HERBERT JKING JAMES AKING JAMES HAMPSONKING JANNIE LUEKING JOHN WKING LEROYKING MARYKING MORGANKING MORGAN CKING OLIN DKING RONALD NKING RUSSELLKING S EKING SHELTONKING SMITH GJRKING SUSIEKING TIMOTHY AKING WILLIAM CKING WILLIE AKINGERY JAMES LARRYKINGERY LISA KKINNON JENNIFER M.KIRBY DENNIS S.KIRBY HAZEL C.KIRBY MARY TKIRKHART KELLIE JKIRKLAND BRYAN KKIRKLAND DERRIX JR.KIRKLAND ELLA JANEKIRKLAND JEANKIRKLAND LLOYDKIRKLAND LULAKIRKLAND MARCIAKIRKPATRICK J. V.KISER HOWARD BKISER HOWARD B.KITCHENS CYNTHIAKITCHENS JAMES C.KITCHENS KEVIN EKITCHENS MARK WKITCHENS MICHAELKITCHENS MIKEKITCHENS REV. WILLIAMKITCHENS SHARONKITCHINGS ALBERTKITCHINGS SANDRA DKITCHINGS T.KITCHINS MARTHAKITTRAIL JOHNKIWANIS OF BROOKLETKLECKLEY CHERYLKLEIN DEO AIIIKLINE GLENN NKLOTZ CONSTRUCTION COKLOTZ JUNEKLUTTZ RICHARD S.KLUTTZ STEPHANIEKMI LAND RESOURCES INCKMI LAND RESOURCES, INC.KNIGHT ALLENKNIGHT BOBBY EKNIGHT BONNIEKNIGHT CHARLES L.KNIGHT CHARLES LINDYKNIGHT CHARLIE W.KNIGHT CLIFF E.KNIGHT DOY BOBBYKNIGHT EDWARD FKNIGHT GLADYSKNIGHT GREGKNIGHT GREG RIVERHOUSEKNIGHT IDELLKNIGHT JACKKNIGHT JAMES W.KNIGHT JERRIKNIGHT JIMMIE LEEKNIGHT JOYCE G.KNIGHT JULIAKNIGHT JUNIORKNIGHT LAURY B.KNIGHT LOTTIE E.KNIGHT MATTIE L.KNIGHT MRS. BLANCHEKNIGHT NETTIE H.KNIGHT T.S.KNIGHT VANCEKNIGHT VERNONKNIGHT WKNIGHT WILLIAM D.KNIGHT WILLIEKNIGHT WINTONKNIGHT'S SMALL ENGINE REPAIRKNIGHTON DAVIDKNOPF REXKNOWLES JAMESKNOWLES VIOLA C.KOLB OSCAR C.KOLBE RONALD R.KOLE PETERKOLLARS THOMASKOLLOCK PETRONIAKOON L. H.KOONCE MRS. LILLIANKOPERSKI ROBKOTH JEFF R.KRAMER BETTY J.KRAMER STARLING H.KREBS ANTHONY S.KRENSON EARL R.KRESSLER T. C.KRICKEL A BKRONBERG MARVIN W.KRUK TARIS FKRYSINSKI WILLIAM T.KUDLAK TOSHIAKULPER GREG RKURZ CHRISKUSTOM AUTO BODYKWOLEK JOSEPHKYSER JONATHAN AKYSOR DARWIN 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?
