Form 1099 St - Summary And Transmittal Of Non-Employee Earnings - City Of Owensboro/daviess County Fiscal Court

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CITY OF OWENSBORO/DAVIESS COUNTY FISCAL COURT
FORM 1099 ST
SUMMARY AND TRANSMITTAL OF
NON-EMPLOYEE EARNINGS
YEAR
ACCOUNT NUMBER
100% City of Owensboro
100% Daviess County
MAIL TO: OCCUPATIONAL TAX ADMINISTRATOR
PO BOX 10008
Phone: (270) 687-5600
OWENSBORO, KY 42302-9008
Fax: (270) 687-8526
INSTRUCTIONS:
Licensees making payments of $600 or more to recipients other than employees, (i.e., non-employee compensation payments) for
services performed or rents paid on property located within the City of Owensboro and/or Daviess County are responsible to maintain
records of those payments. The licensee making payment will be responsible for completing Form 1099-ST and submitting it to the
Occupational Tax Administrator by February 28 of the year following the close of the calendar year in which the non-employee
compensation was paid. Businesses that make subject payments, where all monies reported over $600 were paid to recipients for work
performed 100% within the City Limits of Owensboro or 100% within Daviess County, outside the City of Owensboro, may comply
with the reporting requirement by checking the appropriate “100%” box on Form 1099-ST (see above), and submitting copies of
Federal Form 1099 MISC. (Completion of Columns 1 through 5 of Form 1099-ST not required if the licensee is eligible to submit
1099MISC, unless payment is made to an entity not requiring the completion of a Federal Form 1099 MISC, such as payments to
corporations.)
RETURN THIS PAGE WITH NON-EMPLOYEE INFORMATION
Column 1
Column 2
Column 3
Column 4
Column 5
Name and Address of each
Social Security No.
Total
Non-Employee
Non-Employee
Non-Employee receiving
or Federal I.D. No.
Compensation Paid to
Compensation from
Compensation from
compensation
for each Non-
each Non-Employee
Column 3,
Column 3, for Work
Employee
for Work Performed
Performed within Daviess
within the
County (Outside the City
City of Owensboro
of Owensboro)
Preparer’s Signature _____________________________________
Preparer’s Phone___________________________________
CONTINUED ON BACK

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