Annual Reconciliation Form - City Of Bowling Green printable pdf download

CITY OF BOWLING GREEN, KY

A A N N N N U U A A L L R R E E C C O O N N C C I I L L I I A A T T I I O O N N

1017 College Street

FOR

12/31/2009

YEAR

ENDED

02/28/2010

DUE ON OR BEFORE

P.O. Box 1410

Bowling Green, KY 42102-1410

(270) 393-3000

CITY OCCUPATIONAL ACCOUNT NUMBER

** MAIL TO ABOVE ADDRESS**

MAILING ADDRESS

Memo to Taxpayers

City Occupational Tax is based on

TOTAL GROSS before any pre-tax

items are deducted.

1. Total Gross Salaries, Wages and Other Compensation paid for the year ....................................................... 1).

2. Less Compensation Paid for Service Outside the City .................................................................................. 2).

3. Taxable Earnings (line 1 minus line 2) .......................................................................................................... 3).

4. City Tax due the City (line 3 x 1.85%) .......................................................................................................... 4).

5. City Tax Paid per monthly or quarterly returns:

Jan

__________ April

__________ July

__________

Oct

__________

Feb

__________ May

__________ Aug

__________

Nov

__________

March or 1 1 s s t t Q Q t t r r

__________ June or 2 2 n n d d Q Q t t r r

__________ Sept. or 3 3 r r d d Q Q t t r r

__________

Dec or 4 4 t t h h Q Q t t r r

__________

Total for Line 5

6. Difference between totals on line 4 and line 5 (if any, check applicable box below)

Minor difference attributable to fractional variations only (no adjustment due)

Difference indicates an underpayment for the year.

A A p p a a y y m m e e n n t t o o f f $ $ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i i s s e e n n c c l l o o s s e e d d . . C C h h e e c c k k m m a a d d e e p p a a y y a a b b l l e e t t o o C C i i t t y y o o f f B B o o w w l l i i n n g g G G r r e e e e n n . .

Difference indicates overpayment not attributable to fractional variations. No refunds or

credit will result from entries made on this form. An amended return for the period overpaid

must be filed separately with a letter of explanation.

7. Total local wage withholdings for Bowling Green as reported in Box 19 on W-2 Total Page.

Total on line 7 should balance with amount paid to City after adjustments made in line 6.

If not, attach explanation.

For each of the following benefits:

Did your employees participate in?

Was city tax withheld on this benefit?

Yes

a) Deferred compensation

______

b) Cafeteria Plan

______

c) Group-term Life Insurance over $50,000

______

d) Other? _________________________

______

T T h h e e o o r r i i g g i i n n a a l l o o f f t t h h i i s s r r e e c c o o n n c c i i l l i i a a t t i i o o n n f f o o r r m m m m u u s s t t b b e e f f i i l l e e d d w w i i t t h h t t h h e e C C i i t t y y o o f f B B o o w w l l i i n n g g G G r r e e e e n n , , K K Y Y o o n n o o r r b b e e f f o o r r e e F F e e b b r r u u a a r r y y 2 2 8 8 , , 2 2 0 0 1 1 0 0 . .

T T h h e e W W - - 2 2 f f o o r r m m s s m m u u s s t t b b e e s s u u b b m m i i t t t t e e d d w w i i t t h h t t h h i i s s r r e e c c o o n n c c i i l l i i a a t t i i o o n n , , a a l l o o n n g g w w i i t t h h a a p p a a y y r r o o l l l l r r e e g g i i s s t t e e r r o o r r l l i i s s t t i i n n g g t t h h a a t t c c o o n n t t a a i i n n s s A A L L L L t t h h e e g g r r o o s s s s

w w a a g g e e s s , , s s a a l l a a r r i i e e s s o o r r c c o o m m p p e e n n s s a a t t i i o o n n f f o o r r e e m m p p l l o o y y e e e e s s w w o o r r k k i i n n g g i i n n s s i i d d e e t t h h e e C C i i t t y y o o f f B B o o w w l l i i n n g g G G r r e e e e n n ( ( i i n n c c l l u u d d i i n n g g p p r r e e - - t t a a x x c c o o n n t t r r i i b b u u t t i i o o n n s s t t o o

r r e e t t i i r r e e m m e e n n t t , , p p r r e e - - t t a a x x d d e e d d u u c c t t i i o o n n s s f f o o r r i i n n s s u u r r a a n n c c e e a a n n d d c c a a f f e e t t e e r r i i a a p p l l a a n n i i t t e e m m s s ) ) . .

I declare under the penalties of perjury, that this return has been examined by me and to the best of my knowledge and belief is true, correct, and complete.

__________________________________________________________________________________________________________

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