St. Marys, OH · Auglaize County
Refund Request Form
Individuals use this form to request a refund of city tax withheld in excess of their tax liability and provide supporting information.
What this form is
Use this form to claim a refund of city tax withheld in excess of your liability. It asks for the tax year, city or village, residency and employer details, wage and tax calculations, and an explanation of the refund. The taxpayer completes Part A, and the employer must complete Part B; attach the W-2 and any other documentation required for the claim.
Who needs it
Individuals claiming a refund of city tax withheld in excess of their liability should file a separate form for each employer.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the taxpayer and employer sign and date their respective sections.
How to submit this form
- 1
Download The Form
Download the St. Marys Refund Request Form.
- 2
Complete Part A
Enter the tax year, city or village, taxpayer and employer information, refund calculation, and explanation.
- 3
Gather Attachments
Attach the W-2. If the claim is based on work outside the taxing jurisdiction, attach a log showing dates and locations.
- 4
Have The Employer Complete Part B
The employer must complete and sign the certification in Part B.
- 5
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who should file the St. Marys Refund Request Form?
- Individuals claiming a refund of city tax withheld in excess of their liability should file. If more than one employer withheld tax, complete a separate form for each and submit all forms together.
- What attachments are required?
- The form says to attach the W-2. Claims based on work outside the taxing jurisdiction also require a log showing dates and locations; other requirements may apply to specific claims.
- Do I need a notary for the St. Marys Refund Request Form?
- No. This form is signed without a notary; the taxpayer and employer sign and date their respective sections.
- How do I submit the St. Marys Refund Request Form?
- Submit it to the city department named on the form; check the city website for current contact details.