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
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 para solicitar Reintegro de Impuestos Basados en Ingresos Salariales. December 15, 2015
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. October 17, 2016

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