INLAND REVENUE DEPARTMENT, STAMP OFFICE 3/F, Revenue Tower, 5 Gloucester Road, Wan Chai, Hong Kong Tel. No.: 2594 3201 Web site: www.ird.gov.hk Fax No.: 2519 6740 E-mail: taxsdo@ird.gov.hk REQUISITION FOR ALLOWANCE TICKET FOR SPOILED OR UNWANTED STAMPS Name ……………………………………………………….……………………… Address Tel. No. .…………….….…….………….. ………………………………………………………………………………………………………………..………….. request an Allowance Ticket for the under-mentioned Spoiled or Unwanted Stamps. ………………………………………….. …………………………………….…………………… Date Signature with chop Description of Documents & Reasons Quantity Duty Total (on each) $ ¢ $ ¢ INLAND REVENUE DEPARTMENT, STAMP OFFICE ALLOWANCE TICKET This receipt is issued in lieu of spoiled or unwanted stamps which have been returned to Stamp Office and entitles the claimant either to new stamps to the value shown above or to a refund of cash, after completion of the following: (Please tick ✓ in the appropriate box) □ Stamps in lieu □ Refund by cheque □ Refund in cash (under $20) --- Specimen signature of person to receive cash ……………………….… Name …………………………………………………….. IRSD25 (8/2012) .……………………………………….……………….. Signature with chop This allowance shall lapse upon the expiration of a period of one year from the date on which it is made, that is, the machine-printed date shown above.