Form Wcwt-5 - Application For Refund Of Wilmington City Wage Tax - 2004
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42004 WCWT-5
APPLICATION FOR
REFUND OF WILMINGTON
CITY WAGE TAX
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 CODE
HOME TEL
NO
3. Employment:
.
.
PRESENT EMPLOYER NAME
ADDRESS
WORK TEL
NO
OTHER EMPLOYER NAME
ADDRESS
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 submitted only with the express consent
of an authorized employee of the Earned Income Tax Division.
3.
You must sign this form.
4.
You must file for refund between January 1, 2005 and December 31, 2007.
5.
Your refund should be issued within 90 days from the date of receipt only if your return is completed in its entirety and all employer
informaton has been filed with the city prior to your filing this return.
6.
Any tax due must be paid by April 30, 2005.
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 this work outside this city, shall file Form WCWT-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 format. Convert all hours into days (eight (8) hours equals one day)
and round to the nearest half (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, vacations, 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.
5.
The allocation percentage MUST be rounded to the nearest tenth of a percent (.001).
6.
Explain any differences between your Wilmington wages and your Federal wages, state wages, and social security wages.
7.
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. If allocation percentage from page 2, #7 is 90% or higher, a letter from
your employer is required. Dates listed for "work at home" require a letter from your employer on company stationery 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 Expenses. 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 W-2 form has a P.O. Box address, then you must provide a copy of a deed or lease
for your residential address.
MAIL TO: CITY OF WILMINGTON, CITY/COUNTY BLDG.
EARNED INCOME TAX DIVISION, ROOM 535
800 FRENCH STREET, WILMINGTON, DELAWARE 19801-3537
REFUND HOTLINE: 302-576-2416
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