Form W1-Deposit - Monthly Withholding Deposit - 2003

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MONTHLY WITHHOLDING DEPOSIT
LOUISVILLE/JEFFERSON COUNTY METRO REVENUE COMMISSION
FORM W1-DEPOSIT
CITY OF LOUISVILLE, JEFFERSON COUNTY, TARC, SCHOOL BOARD
S
th
101 South 8
St. Louisville, KY 40202-2601 Phone # 502-574-4860
PHONE: (502) 574-4860
FAX: (502) 574-4818
___________________________
ACCOUNT #
_____________________________________________________
PREPARER’S NAME
PHONE #
QUARTER ENDING
FEDERAL ID #
NEW FEDERAL ID #______________________
DEPOSIT AMOUNT
$
________________________
W-1 DEP
REMIT TO:
LOUISVILLE/JEFFERSON COUNTY METRO REVENUE COMMISSION
P.O. BOX 37740, LOUISVILLE, KY 40233-7740
INSTRUCTION SHEET FOR MONTHLY WITHHOLDING
FORM W-1 DEPOSIT
SPECIFIC INSTRUCTIONS
REQUIREMENT FOR PAYMENT OF TAX
INSTRUCTIONS FOR MONTHLY
EFFECTIVE JANUARY 1, 1987 EVERY EMPLOYER WHO IS RESPONSIBLE TO
DEPOSIT FORMS
WITHHOLD OCCUPATIONAL LICENSE FEES OF MORE THAN $3,000.00 DURING ANY
ONE OF THE FOUR PRECEDING QUARTERS MUST SUBMIT MONTHLY DEPOSITS OF
THE OCCUPATIONAL LICENSE FEES WITHHELD TO THE LOUISVILLE/JEFFERSON
COUNTY METRO REVENUE COMMISSION. ALL MONTHLY WITHHOLDING TAX
DEPOSITS ARE DUE 15 DAYS AFTER THE MONTH END.
Print name and phone number of person to be contacted if
License Fee
Paid by
License Fee
Paid by
additional information is required.
Required to be
(Postmarked or
Required to be
(Postmarked or
Withheld:
Hand Delivered)
Withheld:
Hand Delivered)
Print employers federal identification number.
January
February 15
July
August 15
February
March 15
August
September 15
Enter Legal Name and mailing address of the Licensee.
March
April 15
September
October 15
April
May 15
October
November 15
Enter the Occupational License Tax (ACCOUNT #) of the depositor.
May
June 15
November
December 15
June
July 15
December
January 15
Enter the quarter for which the deposit is being made.
Enter the amount of tax which was required to be withheld during
the month covered by this deposit.
All employers will be required to file quarterly withholding tax return (FORM W-1) by the last
THE QUARTERLY WITHHOLDING TAX RETURN (FORM W-1)
day of the month following the close of the calendar quarter.
WILL BE SENT PRIOR TO THE END OF THE QUARTER UNDER
SEPARATE COVER.
License Fee Return For:
Filed by (Postmarked or Hand Delivered):
st
1
quarter
April 30
nd
2
quarter
July 31
rd
3
quarter
October 31
th
4
quarter
January 31
Rev: 01/21/03

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