[Date]
[Addressee]
Dear [Name]:
Your correspondence, dated [date], indicated that
I would be receiving a refund for [briefly describe
purpose of refund]. As of this date, I have not yet
received a check.
Since I have moved, I am naturally concerned that
the check may have been sent to the wrong address.
Would you please let me know if a check has been mailed.
If not, I would appreciate your authorizing one to be sent
to the following address:
[full address, city, state, zip code]
Thank you for your attention to this matter.
Yours very truly,
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