Form I-2 - Annual Federal Employee Occupational License Tax Return
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LOUISVILLE METRO REVENUE COMMISSION
2
I-
ANNUAL FEDERAL EMPLOYEE OCCUPATIONAL LICENSE TAX RETURN
CHECK IF CHANGE IN ADDRESS IS BELOW
Name
___________________________________________________________________________________
Address
___________________________________________________________________________________
City
_________________________________
State __________
Zip _______________
Phone
_________________________________
Ext
_____________________
ACCOUNT NO
TAX YEAR ENDING
SSN
IF YOU RECEIVED SERVICE PAY FROM MILITARY DUTY AND YOU ARE NOT A KENTUCKY
RESIDENT, YOU ARE ONLY REQUIRED TO COMPLETE THE CLAIM FOR EXEMPTION
PORTION AND SIGN THE CERTIFICATION STATEMENT ON THE BACK OF THIS FORM.
1)
ENTER GROSS SALARY, WAGES, AND OTHER COMPENSATION FROM FEDERAL FORM W-2
$
2)
LESS SALARY, WAGES, AND OTHER COMPENSATION EARNED OUTSIDE OF LOUISVILLE METRO, KY
$
[Line E from Computation Sheet]
3)
SALARY, WAGES, AND OTHER COMPENSATION SUBJECT TO OCCUPATIONAL TAX
$
(Line 1 minus Line 2)
OCCUPATIONAL TAX CALCULATIONS
Amount of Line 3 subject to each tax. (See Instructions)
LOUISVILLE METRO
MASS TRANSIT
SCHOOL BOARD
LINE 3 X .0125
LINE 3 X .0020
(Louisville Metro Residents Only)
LINE 3 X .0075
A
B
C
5a)
A.
(Residents of Louisville Metro, KY) (Line 4A + Line 4B + Line 4C)
$
TOTAL TAX DUE
5b)
B.
(Non-residents of Louisville Metro, KY) (Line 4A + Line 4B)
$
6)
AMOUNT WITHHELD BY EMPLOYER OR PREPAID
$
7)
BALANCE DUE
$
8)
PENALTY & INTEREST (See Instructions)
$
9)
TOTAL AMOUNT DUE
$
10)
OVERPAYMENT TO BE REFUNDED
$
TH
A COPY OF FORM W-2 MUST BE SUBMITTED WITH THIS FORM BY APRIL 15
OF EACH YEAR.
MAILING ADDRESS: P.O. BOX 35410 • LOUISVILLE, KENTUCKY 40232-5410
Telephone: (502) 574-4860 • • Fax: (502) 574-4818 • • TDD: (502) 574-4811
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