Fort Recovery, OH · Mercer County
Tax Refund Form
Employees use this form to request a municipal income tax refund and provide information about their claim and the reason for it.
What this form is
Use this form to request a refund of municipal income tax withheld from an employee. It asks for the employee’s identifying and contact information, tax year, refund amount, and reason for the claim. The form states that each refund application must include a copy of a Federal W-2 and be signed and dated by both the employee and employer to be processed.
Who needs it
An employee seeking a municipal income tax refund for a listed reason, such as withholding in error, can use this form.
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 form is signed without a notary; the employee and employer sign and date it, and no notarized attachment is specified.
How to submit this form
- 1
Download The Form
Download the Tax Refund Form PDF.
- 2
Complete The Claim
Enter the requested employee, tax year, refund amount, and claim reason information.
- 3
Attach The W-2
Include a copy of the Federal W-2 as instructed on the form.
- 4
Sign And Submit
Have the employee and employer sign and date the form, then submit it to the city department named on the form.
Frequently asked questions
- What is the Fort Recovery Tax Refund Form for?
- It is used to request a municipal income tax refund. The employee provides claim details and the reason for the refund, and the employer also signs and dates the form.
- What must be attached to the refund application?
- The form says every refund application must include a copy of a Federal W-2 and be signed and dated by both the employee and employer to be processed.
- Do I need a notary for the Tax Refund Form?
- No. The form has no notary block; the employee and employer sign and date it, and it does not specify a notarized attachment.
- How do I submit the Tax Refund Form?
- The form does not give a submission address or contact method. Submit it to the city department named on the form; check the city website for current contact details.