Form Wcwt-5 Application For Refund Of Wilmington City Wage Tax 2006
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42006 WCWT-5
APPLICATION
FOR
REFUND OF WILMINGTON
CITY
WAGE TAX
I
SECTION 1
-
BACKGROUND INFORMATION
1. Name:
FIRST NAME
INITIAL
lAST
NAME
2. Home
Address:
APT. NAME & NUMBER
STREET NO. (RFD NO.)
STREET NAME
CITY OR TOWN
STATE
ZIP COOE
HOME TEL. NO.
3. Employment:
PRESENT EMPLOYER
NAME
ADDRESS
WORK TEL. NO.
OTHER EMPLOYER
NAME
ADORESS
Please read and follow
all instructions
explicitly
before filing the application
General Instructions:
1.
You must attach a copy of your W-2 that shows both federal and local wages.
2.
An authorized signature must be obtained from your employer. Other substantiation may be substituted only with the express consent of an
authorized employee of the Earned Income Tax Division.
You must sign this form.
You must file for refund between January 1,2007 and December 31,2009.
Your refund
should
be issued with in 90 days from the date of receipt
only
if your return is completed in its entirety and all employer
Information has been filed with the city prior to your filing this return.
6.
Any tax due must be paid by April
30, 2007.
7.
If you are claiming a refund related to more than one employer, separate returns must be filed for each employer.
Specific instructions
when claiming all allocation
of earnings:
1.
A bona fide non-resident of Wilmington, actually performing part or all of his work outside this city, shall file Form WCWf-5 where an
allocation of wages, salaries, commissions, etc., is claimed. An individual DOMICILED outside Wilmington is a bona fide non-resident.
2.
Where non-resident actually works ENTIRELY WITHIN Wilmington, he may not exclude any portion of his earnings including compensation
for holidays, vacation, annual leave, sick or disability leave, Saturdays and Sundays.
3.
Dates worked out of the city must be listed in chronological order and the respective locations identified (Ex: Jan 5, Cleveland,
Oh). Do not
submit schedules that do not follow the required fonnal
Convert all hours into days (eight (8) hours equals one day) and round to the
nearest
1/2 day. .
4.
You must complete the schedule of non-working days. Saturdays and Sundays that you worked cannot be included in non-
working days. Only
holidays,
vacation,
illness, and other dates must be listed in chronological
order. For dates listed as "other", please
indicate what they are. If you are employed
on a full-time basis, include any other type of PAID leave. Do not include any unpaid leave.
The allocation percentage
MUST be rounded to the nearest tenth of a percent (.001).
Explain any differences
between your Wilmington
wages and your Federal wages, state wages, and social security wages.
Where erroneous
withholding
is claimed,
a letter from employer on Company's
stationery
must be filed with application.
All letters must be
originals and dated, no copies will be accepted.
Dates listed for ''work at home" require a letter from your employer on company stationary
stating that you worked from home.
8.
Where business travel and other business
expenses
are included on W-2, please attach a copy of Federal Form 2106, Employee
Business
~xpenses.
Where moving expenses
are included on W-2, please attach Federal #3903 or 3903F (whichever
is applicable).
9.
Additional information
may be required.
10.
P.O. Box addresses
are not acceptable,
if your W2 form has a P.O. Box address, then you must provide a copy of a deed or lease for your
residential address.
3.
4.
5.
5.
6.
7.
MAil TO: CITY OF WilMINGTON,
CITY/COUNTY BLDG.
EARNED INCOME TAX DIVISION, ROOM 535
800 FRENCH STREET, WilMINGTON,
DELAWARE 19801-3537
REFUND HOTLINE: 576-2416
WCWT-5
REV. 10106
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