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Cityofdayton.org Non-Resident Employee Refund Application Form AS-22 For Days Worked Out of Dayton In str uction s 1. FORM AS-22 Refund Request City of Dayton GENERAL INFORMATION Request For Calendar Year I This form is to be used by individuals claiming a refund of the city income tax withheld in excess of their liability. I If you are claiming a refund for days out of town please attach a LIST OF CITIES DATES...
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fillable form as 22
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