IT-6W
Approved
FOR OFFICE USE:
Date Received:
Date_________
By:__________
11 __________
01 __________
06 __________
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EMPLOYERS CLAIM FOR REFUND OF
09 __________
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WITHHOLDING TAX
10 __________
15 __________
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REFUND
AMT REFUND (99)___________________
Docd By: __________________
Date: _____________________
THE UNDERSIGNED HEREBY MAKES CLAIM FOR REFUND OF CITY INCOME TAX
INSTRUCTIONS
Rev. 09/02