Who can use the Local Services Tax Refund Application?

Anyone requesting a Local Services Tax refund for a reason listed on the form can use it. Applicants provide personal and employment information and supporting documents.

What supporting documents may be required?

Attachments depend on your refund reason and may include pay statements, a tax schedule, active-duty orders, or discharge orders and a disability statement.

Do I need a notary for the Local Services Tax Refund Application?

No. The applicant must sign and date the form and declare the information on it and its attachments true and correct under penalty of law.

How do I submit the Local Services Tax refund application?

Present a copy of the signed and dated application, along with all necessary supporting documents, to the tax office charged with collecting the Local Services Tax.

Roaring Spring, PA · Blair County

No notary required

Local Services Tax Refund Application

Residents seeking a Local Services Tax refund use this application to explain their refund reason, provide employment information, and submit supporting documents.

What this form is

Use this application to request a refund of Local Services Tax for the applicable tax year. Check all reasons that apply, provide personal and employment information, and attach the supporting documents listed for your reason, such as pay statements or military documents. The application must be signed and dated, and the tax office will not approve a refund until it receives proper documents.

Who needs it

A person who paid or had Local Services Tax withheld and is requesting a refund for one or more of the reasons listed on the application needs this form.

How to submit it

Present a copy of the completed application and all necessary supporting documents to the tax office charged with collecting the Local Services Tax.

About notarization

This document does not require a notary; the applicant must sign and date it and declare the information on the form and attachments true and correct under penalty of law.

How to submit this form

1
Download the Application
Download the Local Services Tax Refund Application.
2
Complete the Application
Enter your personal information, check all refund reasons that apply, and list your employers for the applicable tax year.
3
Gather Supporting Documents
Attach the documents listed for your refund reason; the application says a refund will not be approved until proper documents are received.
4
Sign and Submit
Sign and date the application, then present it and the supporting documents to the tax office charged with collecting the Local Services Tax.

Frequently asked questions

Who can use the Local Services Tax Refund Application?: Anyone requesting a Local Services Tax refund for a reason listed on the form can use it. Applicants provide personal and employment information and supporting documents.
What supporting documents may be required?: Attachments depend on your refund reason and may include pay statements, a tax schedule, active-duty orders, or discharge orders and a disability statement.
Do I need a notary for the Local Services Tax Refund Application?: No. The applicant must sign and date the form and declare the information on it and its attachments true and correct under penalty of law.
How do I submit the Local Services Tax refund application?: Present a copy of the signed and dated application, along with all necessary supporting documents, to the tax office charged with collecting the Local Services Tax.

Need something notarized?

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