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Click ‘Get Form’ to open the Individual Earnings Tax Refund Request form in the editor.
Begin by entering your name and address in the designated fields. Ensure accuracy as this information is crucial for processing your refund.
Input your Social Security Number, telephone number, and email address in the respective fields. This information helps in identifying your application.
Attach a copy of each W-2 form that corresponds to your earnings. This is mandatory for processing your refund request.
For lines A, B, C, and D, report salaries and wages from box 1 of each W-2. Sum these amounts and enter the total on line 2.
Complete the non-residency deduction formula as instructed on the reverse side of the form and enter the result on line 3.
Calculate your net taxable earnings by subtracting line 3 from line 2 and enter this amount on line 4.
Determine your earnings tax by calculating 1% of line 4 and inputting it on line 5.
Enter the total earnings tax withheld from each W-2 on line 6. Finally, calculate any refund due by subtracting line 5 from line 6 and enter it on line 7.
Sign and date the form at the bottom before submitting it to ensure its validity.
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