SF1047

Public Voucher for Refunds - Letter Format

Agency
GSA
Revision
Rev. September 1973
Fillable fields
21
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill SF1047 online
Page 1 of form SF1047

Standard Form 1047 (SF 1047): Public Voucher for Refunds (Letter Format)

Standard Form 1047 (SF 1047), Public Voucher for Refunds, is a one-page voucher that shows how a deposit was applied and the balance refunded to the depositor. Its header reads Standard Form 1047, September 1973, and cites 4 Treasury FRM 2000. GSA hosts a copy in its forms library, where its page lists it as Public Voucher for Refunds - Letter Format.

The form is laid out as a short letter. It says a deposit received from the above-named depositor on a stated date, for a stated purpose, has been applied as herein stated and the balance indicated is returned herewith. It then shows the amount of deposit, the amount applied as explained in Remarks, and the balance authorized to be refunded, and records how the refund was made.

The PDF prints no instructions, filing address or privacy notice. You can fill it out free in your browser on this page and download the result without an account.

What's on SF 1047

Voucher and office details

Voucher No., Schedule No., the U.S. department or establishment, bureau or office, Location, and Appropriation or Fund.

To, Address and Paid By

A rounded box for the depositor's name and address, and a PAID BY box at the right.

The deposit sentence

Deposit received from the above-named depositor on a date, for a purpose, has been applied as herein stated and the balance indicated is returned herewith.

Amount lines

Amount of deposit, Applied as explained in Remarks below, a second applied line, and Balance authorized to be refunded.

Remarks and signature

A large Remarks space, then a signature line marked Sign original only and a Title line.

Refund by

Check No.; Cash, with an amount, a date and the signature of payee; or Other method, with an amount and a description.

How to complete SF 1047

  1. 1

    Fill in the voucher header

    Enter the voucher number, schedule number, the U.S. department or office, its location and the appropriation or fund.

  2. 2

    Address it to the depositor

    Write the depositor's name and address in the To and Address box.

  3. 3

    State the deposit

    Complete the printed sentence with the date the deposit was received and what it was for.

  4. 4

    Show how it was applied

    Enter the amount of deposit, any amount applied, and the balance authorized to be refunded. Explain applied amounts in Remarks.

  5. 5

    Sign the original

    Sign the line marked Sign original only and enter the signer's title.

  6. 6

    Record the refund

    Show the check number, or the cash amount and date with the signature of payee, or another method with its amount and a description.

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Where it goes and what the form says

Where it goes

The PDF prints no filing address or routing instructions. The To and Address box holds the depositor's name and address.

Signatures

Both the official's signature and the payee's signature are marked Sign original only.

Regulation and revision

The header cites 4 Treasury FRM 2000. GSA's page lists no authority or regulation and gives 09/1973 as the current revision date.

Related forms

Who uses SF 1047?

  • The federal office making the refund

    The top lines name the U.S. department or establishment, bureau or office, its location and the appropriation or fund, next to a voucher number and schedule number.

  • The depositor

    The To and Address box holds the name and address of the depositor. The deposit sentence refers to the above-named depositor.

  • The signing official

    Below the Remarks space is a signature line marked Sign original only, with a Title line under it.

  • The payee of a cash refund

    When the refund is paid in cash, the Refund by block has a line for the signature of payee, also marked Sign original only.

The form prints no instructions. These are the parties its blocks name.

Official sources and the blank

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Questions about Form SF1047

Who issues SF 1047?

The header reads Standard Form 1047, September 1973, and cites 4 Treasury FRM 2000. GSA hosts a copy in its forms library.

How is SF 1047 different from SF 1049?

GSA's pages list SF 1047 as the letter format and SF 1049 as the table format of the Public Voucher for Refunds. SF 1047 states one deposit in a printed sentence with amount lines. SF 1049 has a table with columns for date of deposit, receipt number, amount deposited, applied charges and balance due depositor.

How can the refund be paid?

The Refund by block lists three ways: a check number; cash, with an amount, a date and the signature of payee; or another method, with an amount and a description.

Where are applied charges explained?

The line Applied as explained in Remarks below points to the Remarks space in the middle of the page.

Does SF 1047 have instructions or a privacy notice?

No. The PDF is a single page with no instructions, filing address, privacy notice or burden statement.