Non-Resident Employee Refund Application Form Page 2

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REFUND CALENDAR - WARREN CITY INCOME TAX / TAXPAYER ____________________________________ SS# ____________________ Year _________
January
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Log the City and State on the appropriate lines for the time you spent out of Warren. Do not include Vacation, Sick, Holiday, Weekends or Other Paid Non-Working Days.
REFUND CALENDAR - WARREN CITY INCOME TAX / TAXPAYER ____________________________________ SS# ____________________ Year _________

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