Form Wcwt-5 - Application For Refund Of Wilmington City Wage Tax - 2014 Page 3

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Page 3
DATES WORKED OUT OF THE CITY MUST BE LISTED IN CHRONOLOGICAL ORDER
AND THE RESPECTIVE LOCATIONS IDENTIFIED.
NON-WORKING DAYS 2014
Saturdays and Sundays Not Worked
Holidays
Vacation
Illness
Other
Holidays, vacations, illness and other dates must be listed in chronological order.
TOTAL
(Use additional sheet if more space is required.)
Allocation Percentage Calculation
7a. Total number of days worked during the year.
7a.
(365 days less the total non-working days above)
7b. Number of paid days actually worked outside Wilmington.
7b.
7c. Percentage of paid days actually worked outside Wilmington.
(Item 7b divided by Item 7a rounded to the nearest tenth of a percent).
Enter here and on Page 2 Line 7.
7c.

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