Do I need a notary for the Refund Request Form for Non-Resident Taxpayers?

No. The form has signature and date fields for the claimant and employer but does not specify a notarized attachment or related step.

How do I submit the non-resident tax refund request?

Submit the signed form and required attachments to the Income Tax Department at 150 E High Ave, Suite 041, New Philadelphia, OH 44663.

What documents must accompany the refund request?

The form lists copies of W-2s, a yearly employer schedule of days or hours worked in New Philadelphia, and an employer schedule of dates and locations worked outside the city.

Who completes the employer certification?

The employer completes the certification section, including the employer name, federal ID number, authorized representative's signature and title, phone number, and date.

New Philadelphia, OH · Tuscarawas County

No notary required

Refund Request Form for Non-Resident Taxpayers

Non-resident taxpayers use this form to request a refund of New Philadelphia city income tax withheld by an employer.

What this form is

Non-resident taxpayers use this form to claim a refund of New Philadelphia income tax withheld by an employer for time worked outside the city. It asks for taxpayer, employment, work-location, and wage information, and includes a section for the employer to certify the claim. The form lists required W-2 copies and employer schedules; it says to allow 90 days for processing.

Who needs it

A non-resident whose employer withheld New Philadelphia income tax may use this form to request a refund for time worked outside the city.

How to submit it

Submit the signed form and required supporting documents to the Income Tax Department, 150 E High Ave, Suite 041, New Philadelphia, OH 44663. The form lists W-2 copies and employer schedules as attachments.

About notarization

This document is signed without a notary; the claimant and employer sign and date their sections, and no notarized attachment or related step is specified.

How to submit this form

1
Download The Form
Download the Refund Request Form for Non-Resident Taxpayers.
2
Complete The Required Sections
Fill in the taxpayer and employment details and sign and date the claimant section.
3
Gather Required Attachments
Attach W-2 copies and the employer schedules listed on the form; have the employer complete its certification.
4
Submit To The Income Tax Department
Send the signed form and attachments to 150 E High Ave, Suite 041, New Philadelphia, OH 44663.

Frequently asked questions

Do I need a notary for the Refund Request Form for Non-Resident Taxpayers?: No. The form has signature and date fields for the claimant and employer but does not specify a notarized attachment or related step.
How do I submit the non-resident tax refund request?: Submit the signed form and required attachments to the Income Tax Department at 150 E High Ave, Suite 041, New Philadelphia, OH 44663.
What documents must accompany the refund request?: The form lists copies of W-2s, a yearly employer schedule of days or hours worked in New Philadelphia, and an employer schedule of dates and locations worked outside the city.
Who completes the employer certification?: The employer completes the certification section, including the employer name, federal ID number, authorized representative's signature and title, phone number, and date.

Need something notarized?

This Refund Request Form for Non-Resident Taxpayers doesn’t need a notary — but if you have another New Philadelphia form that does, a commissioned online notary can help.