Form Jcot 1 - Jessamine County Occupational Tax
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1JESSAMINE COUNTY OCCUPATIONAL TAX
FORM JCOT 1
EMPLOYERS’ RETURN OF LICENSE FEE WITHHELD
IF NO WAGES WERE PAID THIS PERIOD, MARK “NONE”, SIGN AND RETURN THIS FORM
1. Total salaries, wages, commissions and other
6. Balance Due
6______________
compensation paid to all employees for services
within Jessamine County
1 _____________
7. Overpayment credited to next quarter
7______________
2. Tax due this period at 1%
2 _____________
(Line 1 x 1%)
I hereby certify that the information, schedules, statements and
3. Adjustment for preceding quarters
exhibits filed herewith are true and correct.
Credit/Balance Due
3 _____________
4. Penalty for late filing/payment
Signed __________________________ Date ___________
5% per month not to exceed 25%
$25.00 minimum
4 _____________
Title ______________________ Ph. No. ______________
5. Interest 12 % per annum
5 _____________
For Office Use Only
Make Checks Payable to:
Received
Jessamine County Fiscal Court
Licensee :
________________
Indicate any changes/corrections below
Account No.
Mail To:
Federal I.d.
Check No.
Occupational Tax Office
_______________
105 Court Row, Nicholasville, KY 40356
Ph. (859) 885-3206
Amount
Fax (859) 887-0900
_______________
For Period End Date:
Filing quarterly: Due dates are April 30, July 31,
October 31 and January 31
Filing Annually: Due Date is February 28
JESSAMINE COUNTY OCCUPATIONAL TAX
FORM JCOT 1
EMPLOYERS’ RETURN OF LICENSE FEE WITHHELD
IF NO WAGES WERE PAID THIS PERIOD, MARK “NONE”, SIGN AND RETURN THIS FORM
1. Total salaries, wages, commissions and other
6. Balance Due
6______________
compensation paid to all employees for services
within Jessamine County
1 _____________
7. Overpayment credited to next quarter
7______________
2. Tax due this period at 1%
2 _____________
(Line 1 x 1%)
I hereby certify that the information, schedules, statements and
3. Adjustment for preceding quarters
exhibits filed herewith are true and correct.
Credit/Balance Due
3 _____________
4. Penalty for late filing/payment
Signed __________________________ Date ___________
5% per month not to exceed 25%
$25.00 minimum
4 _____________
Title ______________________ Ph. No. ______________
5. Interest 12 % per annum
5 _____________
For Office Use Only
Make Checks Payable to:
Received
Jessamine County Fiscal Court
Licensee :
________________
Indicate any changes/corrections below
Mail To:
Account No.
Federal I.d.
Check No.
Occupational Tax Office
_______________
105 Court Row, Nicholasville, KY 40356
Ph. (859) 885-3206
Amount
Fax (859) 887-0900
_______________
For Period End Date:
Filing quarterly: Due dates are April 30, July 31,
October 31 and January 31
Filing Annually: Due Date is February 28
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