Do I need a notary for the Income Tax Refund Request Form?

No. The applicant and an authorized employer official sign and date the form; it does not require notarization. Attach W-2s and other applicable supporting materials.

How do I submit the Income Tax Refund Request Form?

Send the completed form and all attachments to the City of Troy Income Tax Department at 100 S Market St, Troy, OH 45373. Submit multiple employer forms together.

What attachments does the refund request require?

Attach W-2s. The form also calls for computation worksheets and, when applicable, a travel log or written explanation.

Who completes the employer certification?

An authorized employer official completes Part B. The applicant may not certify their own refund request, and the form says a subordinate employee cannot complete the certification.

Troy, OH · Miami County

No notary required

Income Tax Refund Request Form

Individuals use this form to request a refund of Troy income tax withheld in excess of their tax liability and provide supporting calculations.

What this form is

Use this form to request a refund when Troy income tax withheld exceeds the applicant’s tax liability. The applicant provides tax-year, employment, income, withholding, and refund calculation details; the employer completes a certification. Attach W-2s and other applicable supporting materials, and submit the form for each tax year and employer as instructed.

Who needs it

Individuals claiming excess Troy tax withholding use this form, and an authorized employer official must complete the employer certification.

How to submit it

Submit the completed form and all attachments to the City of Troy Income Tax Department, 100 S Market St, Troy, OH 45373. The form says to submit multiple employer forms together.

About notarization

This document is signed without a notary; the applicant and an authorized employer official sign and date it, and the form requests W-2s and other applicable attachments.

How to submit this form

1
Download the Form
Download the Income Tax Refund Request Form for the tax year you are claiming.
2
Complete the Applicant Section
Enter the tax year and applicant, employment, withholding, and refund calculation details; explain the basis for the claim.
3
Get Employer Certification
Have an authorized employer official complete and sign Part B.
4
Gather Attachments
Attach W-2s and any applicable computation worksheets, travel log, or written explanation.
5
Submit to the City
Send the completed form and attachments to the City of Troy Income Tax Department at 100 S Market St, Troy, OH 45373.

Frequently asked questions

Do I need a notary for the Income Tax Refund Request Form?: No. The applicant and an authorized employer official sign and date the form; it does not require notarization. Attach W-2s and other applicable supporting materials.
How do I submit the Income Tax Refund Request Form?: Send the completed form and all attachments to the City of Troy Income Tax Department at 100 S Market St, Troy, OH 45373. Submit multiple employer forms together.
What attachments does the refund request require?: Attach W-2s. The form also calls for computation worksheets and, when applicable, a travel log or written explanation.
Who completes the employer certification?: An authorized employer official completes Part B. The applicant may not certify their own refund request, and the form says a subordinate employee cannot complete the certification.

Need something notarized?

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