Summary And Transmittal Of Non-Employee Earnings Form

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SUMMARY AND TRANSMITTAL OF
_______
NON-EMPLOYEE EARNINGS
YEAR
MAIL TO: TREASURER
CITY OF OWENSBORO
Phone: (270) 687-8534 or
PO BOX 10003
(270) 687-8530
OWENSBORO, KY 42302-9003
INSTRUCTIONS:
Owensboro Municipal Code requires any entity engaged in a trade or business, including non-
profit organizations, to disclose for each calendar year non-employee payments of $600 or more
made for services performed within the city. The payer shall provide to the city, by February 28 of
the year following the payment, copies of federal 1099’s or a list of names, Social Security and/or
Federal I.D. Number, addresses and amounts paid non-employees. NOTE: Identify ONLY
amounts paid for services performed fully or partially within the city. Information on payments
made for services provided entirely outside the city should not be included. Do not include
payments made to individuals under Age 16.
RETURN THIS PAGE WITH NON-EMPLOYEE INFORMATION
Name and Address
Social Security No.
Total
Non-Employee Earnings
of Non-Employee
or Federal I.D. No.
Non-Employee Earnings
Within City Limits
Prepared By _________________________________
CONTINUED ON BACK

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