Who uses the Municipal Income Tax Refund Application?

A taxpayer seeking a refund of New Boston municipal income tax can use the application to state the claim’s reason, provide income details, and request employer certification.

What documents should I attach?

Attach the documentation listed for the reason you select. The form gives examples including a W-2 and proof of birthdate, a list of workdays and work locations, or a copy of a return showing taxes paid to another city.

Do I need a notary for the Municipal Income Tax Refund Application?

No. The document has taxpayer and employer signature and date fields but no notary block; it identifies no attachment that must be notarized or sworn.

New Boston, OH · Scioto County

No notary required

Municipal Income Tax Refund Application

New Boston taxpayers use this application to claim a municipal income tax refund and provide information about their employer, income, and reason for the claim.

What this form is

This application lets a taxpayer request a refund of New Boston municipal income tax and explain the basis for the claim. It asks for taxpayer, employer, tax-year, and income details, along with an employer certification and computations. Applicants must select a reason and attach the documentation listed for that reason, such as a W-2, proof of birthdate, workday list, or another city’s tax return.

Who needs it

A taxpayer seeking a refund of New Boston municipal income tax should complete this application and have the employer provide the requested certification.

How to submit it

The form lists Village of New Boston, 3980 Rhodes Avenue, New Boston, OH 45662, and phone 740-456-4103. It does not specify where or how to submit the application.

About notarization

This document is signed without a notary; it asks the taxpayer and employer to sign and date their statements, with no notarized or sworn attachment identified.

How to submit this form

1
Download the Application
Download the Municipal Income Tax Refund Application PDF.
2
Complete the Taxpayer Information
Enter the taxpayer, employer, tax year, income, and refund claim details, and select the reason for the claim.
3
Gather Required Attachments
Attach the documentation specified for the selected claim reason and have the employer complete its certification.
4
Sign and Date
Sign and date the taxpayer statement; the employer also signs and dates its certification.
5
Submit the Application
The form lists the Village of New Boston address but does not specify where or how to submit the application.

Frequently asked questions

Who uses the Municipal Income Tax Refund Application?: A taxpayer seeking a refund of New Boston municipal income tax can use the application to state the claim’s reason, provide income details, and request employer certification.
What documents should I attach?: Attach the documentation listed for the reason you select. The form gives examples including a W-2 and proof of birthdate, a list of workdays and work locations, or a copy of a return showing taxes paid to another city.
Do I need a notary for the Municipal Income Tax Refund Application?: No. The document has taxpayer and employer signature and date fields but no notary block; it identifies no attachment that must be notarized or sworn.
How do I submit the Municipal Income Tax Refund Application?: The form lists Village of New Boston at 3980 Rhodes Avenue, New Boston, OH 45662, and phone 740-456-4103, but does not state submission instructions.

Need something notarized?

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