Form W-1 - Employers Quarterly Return Of Occupational License Fees Withheld
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1
2FORM
LOUISVILLE METRO REVENUE COMMISSION
1
W-
EMPLOYERS QUARTERLY RETURN OF OCCUPATIONAL LICENSE FEES WITHHELD
CHECK IF CHANGE IN ADDRESS IS BELOW
Name
_________________________________________________________________________________
Address
_________________________________________________________________________________
City
_________________________________
State ___________
Zip _____________
Federal ID _________________________________
Phone
Ext
______________________
_______________
If no employees this quarter but future employee activity possible, check here
ACCOUNT NUMBER:
and sign the return below.
(Lines 1 through 14 do not need to be completed.)
Permanently ceased having employees on ______________________________
FOR QUARTER ENDING:
Ceased all business activity on ________________________________________
DUE ON OR BEFORE:
NOTE: ENTRIES ON LINES 1-5 SHOULD ONLY INCLUDE AMOUNTS EARNED BY
QUARTERLY WAGES
TAX DUE
EMPLOYEES FOR WORK THAT WAS PERFORMED WITHIN LOUISVILLE METRO, KY.
ENTER TOTAL WAGES EARNED BY EMPLOYEES FOR WORK THAT WAS PERFORMED WITHIN
1.
(1)
(1a)
LOUISVILLE METRO, KY.
TOTAL WAGES EARNED x .0145 = LOUISVILLE METRO TAX DUE
(1a
)
(x) .0145 =
(EXCLUDE AMOUNTS EARNED BY ORDAINED MINISTERS)
AMOUNT OF WAGES EARNED BY NON-RESIDENT EMPLOYEES FOR WORK THAT WAS
(2)
2.
PERFORMED WITHIN LOUISVILLE METRO, KY.
(EXCLUDE AMOUNTS EARNED BY ORDAINED MINISTERS)
LINE 1 MINUS LINE 2 = TOTAL WAGES EARNED BY RESIDENT EMPLOYEES FOR WORK
(3)
3.
PERFORMED WITHIN LOUISVILLE METRO, KY.
AMOUNT OF WAGES EARNED BY RESIDENT MINISTERS.
4.
(4)
5.
LINE 3 PLUS LINE 4 = TOTAL WAGES SUBJECT TO SCHOOL BOARD TAX
(5)
(5a)
(x) .0075 =
5(a)
TOTAL WAGES SUBJECT TO SCHOOL BOARD TAX x .0075 = SCHOOL BOARD TAX DUE
IF LINE 6 IS OVER $3,000.00,
(6)
TOTAL TAX DUE
6.
YOU MUST BEGIN MAKING MONTHLY DEPOSITS BEGINNING NEXT QUARTER
(Line 1a + Line 5a)
MONTH
DUE
MONTH
DUE
MONTH
DUE
MONTH
DUE
ENDED
DATE
ENDED
DATE
ENDED
DATE
ENDED
DATE
(7)
January
Feb. 15
April
May 15
July
Aug. 15
October
Nov. 15
PENALTY & INTEREST
7.
February
May
August
November
Mar. 15
June 15
Sep. 15
Dec. 15
March
Apr. 15
June
July 15
September
Oct. 15
December
Jan. 15
TOTAL AMOUNT DUE
RECONCILIATION
This section should be completed by only those employers who are
8.
(8)
(Line 6 + Line 7)
required to make monthly deposits. This applies to employers who paid
license fees totaling more than $3,000.00 during any one of the
preceding four (4) calendar quarters. Figures on Lines 9A-9C must
10.
(10)
TOTAL DEPOSITS PAID
reflect the amount that should have been paid for each month and
FOR THE QUARTER
should be equal to the Total Tax Due (Line 6).
(9.)
A
B
C
11.
(11)
ADDITIONAL PAYMENT DUE
(If Line 8 > Line 10)
ST
ND
RD
AMOUNT DUE 1
MONTH
AMOUNT DUE 2
MONTH
AMOUNT DUE 3
MONTH
12.
(12)
OVERPAYMENT TO BE
CREDITED TO NEXT QUARTER
THIS IS TO CERTIFY THAT THE INFORMATION SHOWN ON THIS RETURN
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
13.
(13)
OVERPAYMENT TO BE
X
REFUNDED
AUTHORIZED SIGNATURE
TITLE
14.
ACH CREDIT TRACKING NUMBER
__________________
(IF APPLICABLE)
MAILING ADDRESS: P.O. BOX 35410 • LOUISVILLE, KENTUCKY 40232-5410
Telephone: (502) 574-4860 • • Fax: (502) 574-4818 • • TDD: (502) 574-4811
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