Income-based Wage Tax refund petition

To qualify for an Income-based Wage Tax refund, you must pay Philadelphia Wage Tax and meet certain income eligibility requirements based on federal filing status and number of dependents. If you're eligible, you may receive a refund for some of the Wage Tax you paid during the year.

Use this application form to request (or "petition") a refund for Wage Taxes based on your income and household size.

Name Description Released Format
2017 Income-based Wage Tax refund petition (English) pdf Use this form to request ("petition") a refund for Wage Tax amounts you paid, if you're eligible for income-based reductions. January 17, 2018
2017 Income-based Wage Tax refund petition (español) pdf El propósito de este formulario es solicitar el reembolso de los Impuestos Basados en Ingresos Salariales. January 29, 2018
2017 Income-based Wage Tax refund petition (Chinese) pdf 本表的目的是仅申请基于收入的工资所得税退税。 January 29, 2018
EITC & Wage Tax refund notice requirements for employers pdf Information on requirements for businesses about informing employees about the Earned Income Tax Credit and the Income-based Wage Tax refund program. January 30, 2018
2016 Income-based Wage Tax refund petition (English) pdf Use this form to request ("petition") a refund for Wage Tax amounts you paid, if you're eligible for income-based reductions. December 30, 2016
2015 Income-based Wage Tax refund petition (English) pdf Use this form to request ("petition") a refund for Wage Tax amounts you paid, if you're eligible for income-based reductions. December 15, 2015
2015 Income-based Wage Tax refund petition (español) pdf El propósito de este formulario es solicitar el reembolso de los Impuestos Basados en Ingresos Salariales. December 15, 2015

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