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Wage Tax refund form (commissioned employees)

Commissioned (not hourly or 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
2020 Wage Tax refund petition (commissioned employees) PDF Commissioned (not hourly or salaried) employees can use this form to apply for a refund on 2020 Wage Tax. February 4, 2021
2020 Wage Tax refund Dates and Locations Template (non-residents only) xlsx Use this template with your paper non-resident Wage Tax refund request. It allows you to list the dates and locations your employer ordered you to work outside Philadelphia. February 5, 2021
2020 Wage Tax refund Cover Page (non-residents only) PDF Include this cover page with your paper non-resident Wage Tax refund request. It allows your employer to verify –with a signature– the dates and locations you entered in the Date and Locations Template. February 5, 2021
2019 Wage Tax refund petition (commissioned employees) PDF Commissioned (not hourly or salaried) employees can use this form to apply for a refund on 2019 Wage Tax. December 18, 2019
2018 Wage Tax refund petition (commissioned employees) PDF Commissioned (not hourly or salaried) employees can use this form to apply for a refund on 2018 Wage Tax. February 19, 2019
2017 Wage Tax refund petition (commissioned employees) PDF Commissioned (not hourly or salaried) employees can use this form to apply for a refund on 2017 Wage Tax. December 13, 2017
2016 Wage Tax refund petition (commissioned employees) PDF Commissioned (not hourly or salaried) employees can use this form to apply for a refund on 2016 Wage Tax. January 03, 2017

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