Celina, OH · Mercer County

No notary required

Application for Celina Tax Refund

Celina taxpayers use this application to request a refund of city tax withheld, providing personal details, a reason for the refund, and supporting documents.

What this form is

This application lets a taxpayer request a Celina tax refund and indicate why a refund is due. Applicants provide identifying and contact information, select a reason, and state the refund amount. The form requires a copy of the federal W-2 showing Celina city taxes withheld; depending on the reason selected, it also calls for an employer letter or proof of birth date.

Who needs it

A taxpayer requesting a Celina tax refund for nonresident status, being under 18, employer withholding error, or another stated reason should complete this application.

How to submit it

Submit the application to the City of Celina Office of Tax Administrator, 225 N. Main St., P.O. Box 117, Celina, OH 45822-0017. Call 419-586-2594 for assistance.

About notarization

This application is signed without a notary; it requires a federal W-2 copy and, for some refund reasons, an employer letter or proof of birth date, with no sworn attachment stated.

How to submit this form

  1. 1

    Download The Application

    Download the Celina tax refund application PDF.

  2. 2

    Complete The Form

    Enter your identifying and contact information, mark a refund reason, and provide the requested refund amount.

  3. 3

    Gather Supporting Documents

    Include a federal W-2 showing Celina city taxes withheld and any employer letter or birth-date proof required for your selected reason.

  4. 4

    Submit To The Tax Administrator

    Send the application to the City of Celina Office of Tax Administrator at the address listed on the form.

Frequently asked questions

Do I need a notary for the Celina tax refund application?
No. The application is signed without a notary. It requires a federal W-2 copy and, for some refund reasons, an employer letter or proof of birth date; the form does not state that any attachment must be sworn.
How do I submit the Celina tax refund application?
Submit it to the City of Celina Office of Tax Administrator at 225 N. Main St., P.O. Box 117, Celina, OH 45822-0017. The form lists 419-586-2594 for assistance.
What documents must accompany the application?
All refund applications require a copy of the federal W-2 showing Celina city taxes withheld. Depending on the reason selected, attach an employer letter or proof of birth date.
What information does the application request?
It asks for the applicant’s Social Security number, name, address, phone number, refund reason, and refund amount. It also includes supervisor contact and signature fields for an employer-withholding-error claim.

Need something notarized?

This Application for Celina Tax Refund doesn’t need a notary — but if you have another Celina form that does, a commissioned online notary can help.