Application For Earned Income Taxpayer Account - City Of Wilmington
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1CITY OF WILMINGTON, DELAWARE
CITY OF WILMINGTON, DELAWARE
CITY OF WILMINGTON, DELAWARE
CITY OF WILMINGTON, DELAWARE
Account Number
Account Number
Account Number
Account Number
(Official Use Only)
(Official Use Only)
(Official Use Only)
(Official Use Only)
CITY/COUNTY BLDG., 800 N. FRENCH STREET 19801
APPLICATION FOR
APPLICATION FOR
APPLICATION FOR
APPLICATION FOR
EARNED INCOME TAXPAYER ACCOUNT
EARNED INCOME TAXPAYER ACCOUNT
EARNED INCOME TAXPAYER ACCOUNT
EARNED INCOME TAXPAYER ACCOUNT
INSTRUCTIONS:
INSTRUCTIONS: City of Wilmington Ordinance No. 78-015, Section 30-30 provides, in part, that subject to the Earned
INSTRUCTIONS:
INSTRUCTIONS:
Income Tax regulations are: “. . . net profits in businesses, professions, and other activities conducted by
residents of the City; and . . . conducted in the City by non-residents. ”
City of Wilmington Ordinance No. 78-015, Section 30-33 provides, in part, that subject to the Earned Income Tax
regulations are: “ . . . Each employer who employs one or more persons subject to this tax . . . shall deduct
monthly or more often than monthly . . . the full tax . . . on the salaries, wages, commissions, and other
compensation due from such employer . . . ”
Complete and submit this form to the EARNED INCOME TAX DIVISION to request
Complete and submit this form to the EARNED INCOME TAX DIVISION to request
Complete and submit this form to the EARNED INCOME TAX DIVISION to request
Complete and submit this form to the EARNED INCOME TAX DIVISION to request
establishment of an Earned Income Taxpayer Account.
establishment of an Earned Income Taxpayer Account.
establishment of an Earned Income Taxpayer Account.
establishment of an Earned Income Taxpayer Account.
Contact
Person:
_______________________________________
TYPE OF ACCOUNT
Employer
Net Profits
REQUESTED
Phone:
_______________________________________
Federal Employer Identification No.
If no FEI, enter Social Security No:
IDENTIFICATION
________________________________
________________________________
NUMBER
Name: _________________________________
Address: ___________________________________
_________________________________
___________________________________
/ / / /
BUSINESS
TRADE
NAME AND ADDRESS
_________________________________
___________________________________
Phone: _________________________________
(Physical Location in Delaware)
Name: _________________________________
Address: ___________________________________
/ / / /
_________________________________
___________________________________
OWNER
COMPANY
OFFICER NAME AND
_________________________________
___________________________________
ADDRESS
Phone: _________________________________
Corporation
Partnership
Sole
Estate/Trust
Religious/Church
Other
OTHER MAILING
Sub-S
Proprietor
(Specify)
ADDRESS
/ / / /
Business Start Date:
PROFESSION
/
/
TYPE OF BUSINESS
( ( ( (
): ): ): ):
____________________________________________________________________________
NAME
TYPED
____________________
: : : :
____________________________________________________________________________
TITLE
DATE
: : : :
____________________________________________________________________________
SIGNATURE
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Parent category: Financial