Form Cc1 - Federal Employee Occupational Tax Return - 2015 Page 2
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1
2CC1REV1015
FEDERAL EMPLOYEE OCCUPATIONAL TAX RETURN
INSTRUCTIONS
SPECIFIC INSTRUCTIONS:
THIS FORM IS TO BE USED ONLY BY FEDERAL EMPLOYEES WHOSE EMPLOYERS DO NOT FULLY/CORRECTLY
WITHHOLD PAYROLL TAXES.
I
’
C
C
O
L
A
T IS THE FEDERAL EMPLOYEE
S RESPONSIBILITY TO OBTAIN A
AMPBELL
OUNTY
CCUPATIONAL
ICENSE
CCOUNT NUMBER AND REMIT
. F
OCCUPATIONAL TAXES IF THE EMPLOYER DOES NOT WITHHOLD
ILERS MAY PAY OCCUPATIONAL TAX FEES ON A QUARTERLY BASIS OR
F
29
. F
ANNUALLY SO LONG AS THEY ARE PAID BY THE
EBRUARY
DUE DATE
ILERS WHO CHOOSE TO REMIT QUARTERLY MUST ALSO REMIT A
W-2
F
29
.
COPY OF THE
RECEIVED FROM THEIR EMPLOYER BY THE
EBRUARY
DUE DATE
A
W-2
.
COPY OF THE
MUST BE INCLUDED WITH THE ANNUAL FILING
P
C
C
T
A
N
.
RINT YOUR
AMPBELL
OUNTY
AX
CCOUNT
UMBER IN THE BOX PROVIDED
P
.
RINT YOUR SOCIAL SECURITY NUMBER IN THE BOX PROVIDED
P
.
AYMENTS RECEIVED THAT DO NOT INDICATE HOW TO ALLOCATE MAY BE RETURNED TO THE TAXPAYER AND MAY BE CONSIDERED LATE
T
L
-
,
,
O INDICATE THAT YOU WILL NO LONGER WORK IN THE
OCALITIES FOR THE UP
COMING YEAR
YOU MUST CHECK THE BOX PROVIDED
FILL IN
C
C
. Y
YOUR LAST DATE OF EMPLOYMENT IN
AMPBELL
OUNTY AND THE NAME AND LOCATION OF YOUR NEW EMPLOYER
OU MUST COMPLETE
.
THE FORM FOR THE YEAR ENDING INDICATED AND REMIT REQUIRED FEES
A
F
G
,
.
S THE
EDERAL
OVERNMENT IS NOT WITHHOLDING ON YOUR BEHALF
YOU ARE RESPONSIBLE FOR ALL INFORMATION AND PAYMENTS
G
BOTH C
C
. F
,
C
ROSS EARNINGS ARE SUBJECT TO
OUNTY AND
ITY WITHHOLDING
OR EXAMPLE
A PERSON WHO WORKS IN A
ITY WITH A
1.25%
C
C
1.05%. T
WITHHOLDING RATE OF
IS ALSO SUBJECT TO THE
AMPBELL
OUNTY WITHHOLDING RATE OF
HE TOTAL CORRECT
2.30%. T
ALLOCATE C
C
WITHHOLDING RATE FOR THAT PERSON IS
AXPAYER MUST INDICATE HOW TO
AMPBELL
OUNTY AND APPLICABLE
C
C
. O
,
TAXABLE EARNINGS AND FEE CALCULATIONS TO
ITY OR
ITIES
NCE ALLOCATED
PAYMENTS CANNOT BE CREDITED TO ANOTHER
.
LOCALITY
COLUMN 1: “COUNTY AND CITY” R
C
AND C
.
EFERS TO THE
OUNTY
ITY IN WHICH THE PERSON WORKED
COLUMN 2: “TOTAL EARNINGS” T
(W-2 B
5
B
18,
). E
OTAL GROSS EARNINGS FOR THE YEAR
OX
OR
OX
WHICHEVER IS GREATER
NTER
C
C
C
.
THE TOTAL GROSS EARNINGS FOR THE YEAR FOR
AMPBELL
OUNTY AND EACH
ITY IN WHICH THE PERSON WORKED
COLUMN 3: “TAXABLE EARNINGS” T
. I
C
2
W
HE AMOUNT OF GROSS WAGES SUBJECT TO WITHHOLDING
F
OLUMN
IS LESS THAN THE
AGE
L
C
5,
C
3. I
C
2
W
L
C
5,
IMIT IN
OLUMN
ENTER THE TOTAL EARNINGS IN
OLUMN
F
OLUMN
IS GREATER THAN THE
AGE
IMIT IN
OLUMN
ENTER THE
C
3.
WAGE LIMIT FOR COUNTY AND CITY IN
OLUMN
COLUMN 4: “TAX RATE” T
C
C
C
.
HE PAYROLL WITHHOLDING RATE FOR
AMPBELL
OUNTY AND
ITIES
COLUMN 7: “FEE DUE” T
C
C
C
. I
HE FEES DUE FOR
AMPBELL
OUNTY AND EACH
ITY
F YOUR TAXABLE EARNINGS WERE LESS THAN THE
, COL 3 X COL. 4 = COL. 7. I
,
WAGE LIMIT
F YOUR TAXABLE EARNINGS ARE GREATER THAN OR EQUAL TO THE WAGE LIMIT
ENTER THE
M
F
C
6
7.
AXIMUM
EE DUE FROM
OLUMN
IN COLUMN
COLUMN 8: “TAX W/HELD (PER W-2)” E
C
C
NTER THE TOTAL OF TAX WITHHELD FOR
AMPBELL
OUNTY AND EACH CITY PER YOUR
F
W-2. A
W-2
.
EDERAL
TTACH
COPY
COLUMN 9: “FEE DUE/OVERPAID” T
F
D
C
7
F
W-2
C
8.
HE
EE
UE FROM
OLUMN
LESS ANY TAX WITHHELD PER
EDERAL
IN
OLUMN
S
C
8
C
7.
UBTRACT
OLUMN
FROM
OLUMN
BOX 10(
): “TOTAL FEE DUE” T
C
C
C
. A
C
9.
A
HE TOTAL OF ALL FEES DUE FOR
AMPBELL
OUNTY AND
ITIES
DD THE NUMBERS IN
OLUMN
W
B
10(
).
RITE THIS NUMBER IN
OX
A
BOX 10(
): “PENALTY” T
5%
DUE DATE –
B
HE PENALTY FOR FAILURE TO FILE TIMELY IS
PER MONTH OR PORTION OF MONTH AFTER THE
25%. FEE DUE X # MONTHS LATE X 5% = PENALTY. MINIMUM PENALTY IS $25.
NOT TO EXCEED
BOX 10(
): “INTEREST” F
“FEE DUE”
COLUMN 9
“DUE DATE,”
1%
C
OR EACH DAY THAT THE
IN
IS PAID AFTER THE
INTEREST RATE IS
. M
“FEE DUE”
COLUMN 9 X
X
PER MONTH OR PORTION THEREOF
ULTIPLY THE
IN
THE INTEREST RATE
THE NUMBER OF MONTHS PAST THE
“DUE DATE.”
BOX 10(
): “TOTAL DUE” T
,
C
C
C
.
D
HE TOTAL AMOUNT OF FEE
PENALTY AND INTEREST DUE FOR
AMPBELL
OUNTY AND
ITIES
A
B
10 (
) + B
10 (
) + B
10 (
) = 10 (
) T
D
.
DD TOTAL OF
OX
A
OX
B
OX
C
D
OTAL
UE
MAIL COMPLETE RETURN WITH ATTACHMENTS AND REMITTANCE TO:
CAMPBELL COUNTY FISCAL COURT
P.O. B
72958
OX
N
, K
41072-0958
EWPORT
ENTUCKY
IF YOU HAVE QUESTIONS ABOUT THE FORMS AND INSTRUCTIONS, CONTACT
C
C
F
C
O
L
O
LOCATION; 1098 M
S
.; N
, KY 41071
AMPBELL
OUNTY
ISCAL
OURT
CCUPATIONAL
ICENSE
FFICE
ONMOUTH
T
EWPORT
P
: (859) 292-3884
F
: (859) 292-3827
:
.
.
/
.
HONE
AX
WEBSITE
WWW
CAMPBELLCOUNTYKY
ORG
OCCLIC
HTM
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