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You must also complete the employer representative section on page 2 $ attach explanation of any difference between total wages remitted and total wages shown on schedule y above. Employer withheld at a rate higher than the employment municipality’s tax rate.

Wages earned in rita municipalities must be reported on rita form 37 by rita residents. Reconciliation of schedule y wages to withholding returns total workplace rita wages shown on your withholding tax returns filed for the year covered by this return To the tax administrator of the resident or workplace municipality and the internal revenue service

I further understand that if this refund changes my rita residence tax, an amended return must be filed before the refund will be issued

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