Westfield Center, OH · Medina County

No notary required

Income Tax Refund Form

Individuals use this form to request a refund of Westfield Center municipal income tax withheld in excess of their tax liability.

What this form is

The Income Tax Refund Form lets an individual claim a refund of Westfield Center municipal income tax withheld in excess of the amount owed. The form asks for taxpayer and wage details, the reason for the claim, a refund calculation, and signatures. It lists supporting documents required for each claim reason, including W-2 copies; some claims also require an employer certification and additional records.

Who needs it

Individuals seeking a refund of Westfield Center municipal income tax withholding use this form and provide documentation for their stated reason.

How to submit it

Mail the completed form to Village of Westfield Center Income Tax Dept., P.O. Box 750, Westfield Center, OH 44251. The form lists 330-887-5151 for questions.

About notarization

This document is signed without a notary; the taxpayer and, when required, the employer sign and date their respective sections.

How to submit this form

  1. 1

    Download The Form

    Download the Income Tax Refund Form PDF.

  2. 2

    Complete The Form

    Enter taxpayer details, select the reason for your claim, and complete the refund calculation and signature sections.

  3. 3

    Gather Required Documents

    Attach the W-2 copies and any other supporting documents required for your claim reason; include employer certification when required.

  4. 4

    Mail The Form

    Mail the completed form and attachments to the Village of Westfield Center Income Tax Dept. at P.O. Box 750, Westfield Center, OH 44251.

Frequently asked questions

Do I need a notary for the Income Tax Refund Form?
No. The form does not require notarization; the taxpayer signs and dates the form, and an employer signs and dates the certification when the claim reason requires it.
How do I submit the Income Tax Refund Form?
Mail the completed form to Village of Westfield Center Income Tax Dept., P.O. Box 750, Westfield Center, OH 44251. Call 330-887-5151 with questions.
What documents should I include with my refund request?
Include copies of your W-2s showing the required amounts. The documents required vary by claim reason; the form may also call for records such as a birth certificate, tax return, or employer certification.
What information does the form ask for?
It asks for taxpayer and wage information, the reason for the refund claim, a calculation of the amount requested, and taxpayer signatures. Some claims also require an employer certification.

Need something notarized?

This Income Tax Refund Form doesn’t need a notary — but if you have another Westfield Center form that does, a commissioned online notary can help.