Court fee refund request

Refund of an overpaid fee

Fill in the details

Court name

Your full name

Your address

Case number

Paid amount, UAH

Refund amount, UAH

Reason

Generated document

                                          To [Court name]

                                          Applicant: [Full name]
                                          Address: [address]

                                      REQUEST
                          for court fee refund

In case No. [case number] I paid a court fee in the amount of [amount] UAH.

due to withdrawal of the claim, I request to refund the court fee in the amount of [amount] UAH.

Bank details for refund:
[Provide bank details]

Attachments:
1. Original receipt for the paid court fee
2. Copy of the court ruling (if available)

4/12/2026                                                    _________________ / [Full name] /
                                                                                    (signature)

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