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North Carolina extends Holder reporting deadline until December 31, 2017 for businesses impacted by recent natural disasters.  Formal request for an extension is not required.
Holder Reimbursement Request

Holders requesting a reimbursement for funds returned to owners should complete a Holder Reimbursement Request Form

After printing the form on standard 8.5 x 11 paper, complete the form and mail it to the address listed on the form.  Don't forget to include documentary evidence when submitting a reimbursement request.  The request should be signed by two officers.