Wage tax refund form (salaried employees)

Salaried employees can use this form to apply for a refund on Wage Tax. Any claim for refund must be filed within three years from the date the tax was paid or due, whichever date is later. Only non-resident employees are eligible for a refund based on work performed outside of Philadelphia.

Name Description Released Format
2017 Wage Tax refund petition (salaried employees) pdf Salaried or hourly employees can use this form to apply for a refund on 2017 Wage Tax. December 19, 2017
2016 Wage Tax refund petition (salaried employees) pdf Salaried or hourly employees can use this form to apply for a refund on 2016 Wage Tax. January 03, 2017
2015 Wage Tax refund petition (salaried employees) pdf Salaried or hourly employees can use this form to apply for a refund on 2015 Wage Tax. January 04, 2016
2014 Wage Tax refund form (salaried employees) pdf Salaried or hourly employees can use this form to apply for a refund on 2014 Wage Tax. November 14, 2014

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