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Get PA DoR 83-A272A 2012

Nd legible.) DATE 83-A272A Rev. 12-14-2012 INSTRUCTIONS FOR FILING WAGE TAX REFUND PETITION (Salary and Hourly Employees Only) You must attach the applicable W-2 indicating Federal, Medicare, State and Local wages to the petition. A separate petition must be filed for each W-2 issued by employers that may have overwithheld Wage Tax. 2012 TAX RATES Resident Rate: Non-Resident Rate: January 1, 2012 to December 31, 2012 3.928% (.03928) January 1, 2012 to December 31, 2012 3.4985% (.034985).

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