INCOME TAX WORKSHEET
VILLAGE OF GERMANTOWN
For Line 6C of Tax Return
Taxpayer’s Name ____________________ Social Security # ________________________
Instructions:
Taxes that are paid directly to Germantown are not to be included in figuring this credit. These
taxes would be listed directly on Line 6A of the Tax Form. The Village of Germantown taxes on
the qualifying wages found in Box 5 on the W-2. Tax withheld for other city or cities is not to
exceed 1.25% of the gross wages for EACH city.
Lines 2A & 2B are to list cities where the tax rate is less than 1.25%. You will only be allowed
to claim what was actually paid to that city. All other cities where the tax rate is 1.25% or
greater should be listed on Lines 3A – 3G.
Note: Please do not list taxes paid to a School District. Credit is not allowed for taxes
paid to any school district.
1. Amount from line 5 of tax return
$______________
2.
List City(ies) from
Qualifying Wages
W-2 (s) Box 20
Box 5 of W-2
____________
____________
X .____ = 2A
$ ____________
____________
____________
X .____ = 2B
$ ____________
3.
____________
____________
X .0125 = 3A
$ ____________
____________
____________
X .0125 = 3B
$ ____________
____________
____________
X .0125 = 3C
$ ____________
____________
____________
X .0125 = 3D
$ ____________
____________
____________
X .0125 = 3E
$ ____________
____________
____________
X .0125 = 3F
$ ____________
3G. TOTAL(Line 2A through 3F)
3G
$ ____________
Line 3G cannot exceed line 1.
4. Multiply line 3G by .75 and enter here
$ ____________
and on line 6C of tax return.
**PLEASE RETURN ONE COPY OF THE WORKSHEET WITH YOUR RETURN**