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Tax Year 2023 General                          Also filing Form 37?                         If you are a resident and only exempt for 
                                                                                            a portion of the year, it is important that 
                                               If filing a Form 37, attach the Form 10A     you include a Form 37 tax return for any 
Guidelines      for Form 10A                   to the completed return and mail them 
                                                                                            income earned after your birthday, or an 
Form  10A  cannot  be  emailed  or             together to:                                 exemption form if no additional income 
electronically filed. Complete forms with          Regional Income Tax Agency               was earned. 
the requested documentation should be              (RITA) 
mailed to the address on the Form 10A.             P.O. Box 95422                           2: Days Worked from Home. Days 
Do not fax your Form 10A.                          Cleveland, Ohio                          worked outside of municipality for 
Separate 10As are required for each                44101-0033                               which the employer withheld tax, 
refund claim, examples include:                Please note, your refund review will be      and  instead  you  worked  from 
  o multiple municipalities for the same       suspended  until  the return is received 
                                                                                            home (remote).  
   employer                                    and processed. This includes taxpayers 
                                                                                            Use this reason if you worked outside of 
  o same  municipality with different           on a filing extension.                      your normal workplace  municipality  for 
   employers 
  o Multiple tax years requested               RITA Residents:                              any  time in 2023 (from home, other 
                                               Tax returns will be amended to disallow      remote work location).   
  o Joint  accounts in which both              any tax credit  taken  as a result  of  the   
   taxpayers have a request  for a                                                          Tax credit cannot  be  taken on your 
                                               Form 10A calculations. 
   refund from a W-2                                                                        resident municipality tax return for any 
Missing or incomplete documentation            Tax returns will  be  amended  to report     anticipated refund amounts. Tax returns 
will impede the review  of your refund         work performed in any RITA municipality      will be amended for all RITA residents, if 
request.  Be sure  to submit  legible and      in which the tax was not withheld.           necessary.  
complete documentation based on your           Non-RITA Residents:                          Tax returns are required to be filed for 
‘reason  for claim’, along with your W-2.      Tax credit cannot  be  taken on your         any wages earned in alternative work 
The statute of limitations for requesting a    resident  municipality tax return  for any   locations when the tax due  exceeds 
refund from withholding on a W-2  is           anticipated refund amount from RITA.         $10.00.   
three years  from the filing deadline .Any     Tax  returns will be filed to  report work       •    RITA  may  request a  copy  of 
refund requests  made  after the statute       performed in any  RITA  municipality in               any non-RITA workplace tax 
                                                                                                     returns. 
o For example:  Tax year  2023  filing 
expires will be denied.                        which  the tax was not withheld.                 •    Wages      earned    in     RITA
  deadline  is  04/15/2024,  therefore  a      Claim    Reasons                                      municipalities must be reported 
  request for refund must be received by                                                             on  RITA  Form  37 by RITA 
                                               1: Age Exemption                                      residents.   
  04/15/2027.                                  While many municipalities  exempt             
                                                                                             
Refund amounts of $10.00 or less are           income earned under the age of 18, visit     Calculation of Days Worked Outside of 
 ineligible for refund or credit.              ritaohio.com  for specific rules  for  both  RITA  Municipality  (page 3), travel  log, 
Your account must be current in its tax        your workplace     and  RITA resident        Employer Certification (page 2) and W-2 
filings,   without    any    outstanding       municipality (if applicable).                are all requirements for this claim. 
balances.    You      can    expect   your     Residents, if your workplace municipality 
approved refund amount, in whole or in         has an age exemption but your resident       3: Other Days Worked Outside of 
part, to  be applied to any  past due          municipality  does  not,  a  tax  return  is municipality  
balances. Log  into MyAccount  at              required. Any unused portion of the          Use this reason if you worked outside of 
ritaohio.com to review the status of your      workplace  tax may be  available for         the municipality  for which the employer 
 account.                                       refund/credit.                              withheld tax (other than days worked at 
                                                                                            home/remotely).  
RITA can only process requests made            Proof of birthdate  (birth certificate,       
for RITA municipalities.           Go to       driver’s license, etc.) is required for the  Tax credit cannot  be  taken on your 
ritaohio.com  and  click on the  RITA          Age Exemption claim reason.                  resident  municipality tax return  for any 
Municipalities link  for a  full list of  RITA                                              anticipated refund amounts. Tax returns 
members.                                       If you qualify for an underage exemption 
                                                                                            will be amended for all RITA residents, if 
                                               for the entire tax year, check box No. 1 
                                                                                            necessary. 
Name,          Address,            Social      and  complete  the Claim Summary on           
Security          Number             and       page 1. Enter your wages on line 3, and      Tax returns are required to be filed for 
                                               the tax withheld on line 4. Calculation of   any wages earned in alternative work 
Contact Phone Number.                          Overpayment           and        Employer    locations when the tax due  exceeds 
Print your name, address, social security       Certification is not required.              $10.00.   
number  and  contact  phone  number                                                             •    RITA  may  request a  copy  of 
                                               If you qualify for an underage exemption 
within the boxes provided.                     for only a portion of the tax year    ,  you          any non-RITA workplace tax 
                                                                                                     returns. 
                                               must provide a paystub closest to your 
                                               birthday    or     the  Calculation      of      •    Wages      earned    in     RITA
                                               Overpayment  (page  2)  and  Employer                 municipalities must be reported 
                                               Certification (page  2)  to validate the              on  RITA  Form  37 by RITA 
                                                                                                     residents.   
                                               amount  of wages exempt from taxation.            
                                                                                             
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Tax returns will be filed for all non-RITA  7. Over-the-road truck driver  
residents to report income earned in any    Interstate: A log of your work locations, 
RITA  municipality  for  which  no  income  to support a refund of more than 90% of 
tax was withheld.                           the tax withheld from your principal place 
                                            of work as an  interstate truck  driver  is 
Calculation of Days Worked Outside of        required.  
RITA  Municipality (page  3),  travel log, 
Employer Certification (page 2), and W-     Intrastate: Refunds may be eligible up to 
                                            90%.  A  log  of your  work  locations is 
2 are all requirements for this claim.      required. 
4:  Employer  withheld at a  rate 
higher than the  employment                 Tax credit cannot  be  taken on your 
                                            resident  municipality tax return  for any 
 municipality’s tax rate.                   anticipated refund amounts.  Tax returns 
Visit ritaohio.com for a list of Tax Rates  will be amended for all RITA residents, if 
                                            necessary.  
for all RITA municipalities.                 
Calculation  of  Overpayment (page  2),     Calculation  of  Overpayment (page  2), 
Employer Certification (page 2), and W-     Employer Certification (page 2) and W-2 
                                            are all requirements for this claim.  
2 are all requirements for this claim.       
5: Employer withheld too much               8.  Military  Spouse  Residency 
(over-withheld) resident                    Relief Act  
municipality tax                            Attach copies of Form DD 2058, valid 
To calculate the tax credit extended by     military  spouse    ID      card, service
your resident  municipality,  visit  your   member’s most recent LES and  the W2 
municipality’s     landing    page      at  for which the refund is being requested.  
ritaohio.com/RITA      Municipalities,  to 
                                            You are  only required to complete  the 
review  the tax structure.                   Claim Summary (page 1).   
On page 2, Line A-4, enter your resident 
municipality.  Line A-5, enter the income   Calculation      of Overpayment       and
taxable to your resident  municipality.     Employer Certification  are not required 
Line A-6, enter the resident tax rate, less for this claim.  
any allowable credits. Line A-7 and Line 
A-8, enter the tax due to your resident     9. Other  
municipality.  Line A-9, enter the amount   Use this if no other reason matches your 
                                            request.  
of over-withholding.                         
Calculation  of  Overpayment (page  2),     Fill out specifics in the space provided. 
Employer Certification (page 2) and W-2     Calculation  of  Overpayment (page  2), 
are all requirements for this claim.        Employer Certification (page 2) and W-2 
                                            are all requirements for this claim.  
6. Withheld by mistake 
It is important to include the full address 10. Refund of overpayment on 
of the physical work location.              account 
                                            Do  not  choose  this  option  if  you  are 
Tax credit cannot  be  taken on your 
resident  municipality tax return  for any  requesting a refund from the tax withheld 
anticipated refund amounts.  Tax returns     on the W-2.  
will be amended for all RITA residents, if  This claim is reserved for:  
 necessary.                                     •    The     unused       portion of
Tax returns are required to be filed for             estimated      payments/1099-G 
any wages earned in alternative work                 after the tax liability was 
locations when the tax due  exceeds                  calculated on the Form 37 or;  
$10.00.                                         •    A          direct        payment
    •     RITA  may  request a  copy  of             (checking/savings  account  or 
          any non-RITA workplace tax                 credit card) made in error to a 
          returns.                                   RITA municipality, when no tax 
    •     Wages     earned      in    RITA           liability exists.  
          municipalities must be reported 
          on  RITA  Form  37 by RITA        Contact     RITA 
          residents.                        Tax forms, instructions, and the answers 
Calculation  of  Overpayment (page  2),     to  many  questions  can  be  found  at 
Employer Certification (page 2) and W-2      ritaohio.com. 
are all requirements for this claim.        Phone:    800.860.7482 
 
                                            TDD:      440.526.5332 
 
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