Form Wcwt-5 - Application For Refund Of Wilmington City Wage Tax - 2004 Page 3
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DATES WORKED OUT OF THE CITY MUST BE LISTED IN CHRONOLOGICAL ORDER AND
THE RESPECTIVE LOCATIONS IDENTIFIED.
NON-WORKING DAYS 2004
Saturdays and Sundays Not Worked
Holidays
!
Vacation
!
Illness
!
Other
!
Holidays, Vacations, Illness and other dates must be listed in
!
chronological order.
TOTAL
(If more space is required, use additional sheet)
Allocation Percentage Calculation
7a. Total Number of Days Worked during the year:
(365 days less the total non-working days above).
7b. Number of Paid Days actually worked outside Wilmington.
7c. Percentage of Paid Days actually worked outside Wilmington.
(Item 7b. divided by 7a. Round to the nearest tenth of a
percent). Enter here and on Page 2, Line 7.
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