Form Wcwt-5 - Application For Refund Of Wilmington City Wage Tax - 2014 Page 2

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ATTACH W-2 FORM HERE
Page 2
SECTION 2 - REFUND COMPUTATION
4.
Gross Earnings for 2014 (If Transferee
All Computations from Date of Transfer)
4.
Date
Location:
Tranferred From
Transferred To
Retire/Termination Date
FOR REFUND CLAIMED FOR OVERPAYMENT
SKIP TO LINE 11
5.
Overtime
IF NO OVERTIME, SKIP TO LINE 7
5a. Overtime Earned Outside Wilmington (proof may be required)
5a.
5b. Overtime Earned Inside Wilmington (proof may be required)
5b.
5c. Total of Items 5a and 5b
5c.
6.
6.
Earnings to Allocated (Item 4 less Item 5a)
7.
Allocation Percentage (from Page 3 Line 7c)
7.
8.
Portion of Earnings Non-Taxable (Item 6 multiplied by 7)
8.
9.
Total Non-Taxable Earnings (Item 5a plus Item 8)
9.
10.
Earnings Subject to Tax (Item 4 less Item 9)
10.
11.
Tax Calculation
. 0125
11a. Tax Rate
11a.
11b. Tax Due (Item 10 multiplied by Item 11a)
11b.
11c. Tax Withheld or Paid with Acct. No. ___________________
11c.
(Attach W-2 Form)
12.
Refund Due for the application period
(Item 11c minus Item 11b) or
12.
(Tax Due if Amount on Line 11b is greater than Line 11c)
13.
Net Refund or Amount Due (if amount due, payable April 30, 2015)
13.

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