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Form Wcwt-5 - Application For Tax Payment / Tax Refund Of Wilmington Earned Income Tax - 2008 Page 2

Page 2

ATTACH W-2 FORM HERE

SECTION 2 - TAX PAYMENT / TAX REFUND COMPUTATION

Gross Earnings For 2008 (If Transferee

All Computations From Date of Transfer) ________________________

Date

Location:

Transferred From

_________________________

Transferred To

_________________________

Retire/Termination date___________________________________

FOR REFUND CLAIMED FOR OVERPAYMENT

SKIP TO LINE 11

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.

Earnings to Allocated (Item 4 less Item 5a.)

Allocation Percentage (From Line 7c. page 3)

Portion of Earnings Non-Taxable (Item 6 multiplied by 7)

Total Non-Taxable Earnings (Item 5a. plus Item 8)

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.___________________

(attach W-2 Form)

11c.

12. Refund Due for the applicable period. (Item 11c. minus

Item 11b.) or (Tax Due if Amount on Line 11b. is Greater

than Line 11c.)

13. Net Refund or Amount Due (if amount due, Payable April 30, 2009

13.

Form Wcwt-5 - Application For Tax Payment / Tax Refund Of Wilmington Earned Income Tax - 2008 Page 2