Tax Refund Request For Individuals Under Age 18 - City Of Gahanna printable pdf download

Tax Refund Request For Individuals Under Age 18 - City Of Gahanna

Division of Taxation

CITY OF GAHANNA, OHIO

200 S. Hamilton Rd

Gahanna, OH 43230

Tel 614-342-4030

Fax 614-342-4100

TAX REFUND REQUEST FOR INDIVIDUALS

UNDER AGE 18

Please Print

NAME: ________________________________________SOCIAL SECURITY NUMBER: ___________________________

PRESENT ADDRESS: __________________________________________________________________________________

CITY, STATE AND ZIP CODE: ___________________________________________________________________________

TELEPHONE NO.: _____________________________________

TOTAL GAHANNA TAX WITHHELD: $__________________________

REFUND AMOUNT REQUESTED: $_____________________________

COMPANY NAME: ___________________________________________

ADDRESS WHERE WORKED: __________________________________________________

PROOF OF BIRTH MUST ACCOMPANY THIS REQUEST FOR A REFUND. PROOF SHOULD BE A LEGIBLE COPY

OF A BIRTH CERTIFICATE OR A DRIVER’S LICENSE.

W-2 FORM MUST BE ATTACHED .

SIGNATURE:___________________________________________ DATE: _______________________

PLEASE ALLOW 90 DAYS FOR PROCESSING OF YOUR REFUND REQUEST.

Tax Refund Request For Individuals Under Age 18 - City Of Gahanna