Form Fol-7 - Claim For Refund Of Overpayment Of Occupational License Tax Withheld For Schools - Fayette County

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FORM FOL-7
REVISED 11/06
FAYETTE COUNTY PUBLIC SCHOOLS
CLAIM FOR REFUND OF OVERPAYMENT OF
OCCUPATIONAL LICENSE TAX WITHHELD FOR SCHOOLS
Mail completed refund request
Name
form along with W-2 form to:
Tax Collection Office
Address
Fayette County Public Schools
City
State
Zip code
701 East Main Street
Lexington, KY 40502-1699
County
Daytime Phone
Processing will begin after March 15.
Social Security Number
Please allow 6-8 weeks for processing.
Employer's name
Account #
(For Office Use Only)
Employer's address: Street
City
State
Zip code
See Page 2 for Instructions
TAX YEAR
(One year per refund form per employer)
For Office Use Only
1. Total employee compensation
$
$
(Total gross wages prior to deductions)
2. Compensation not subject to tax*
$
$
3. Compensation subject to tax
$
$
(Line 1 less line 2)
4. Occupational license tax withheld
$
$
5. Total occupational license tax due
$
$
(Multiply line 3 by .005 or .5%)
6. Amount of overpayment to be refunded
$
$
(Line 4 less line 5)
*An explanation including specific dates and places worked outside Fayette County is required, along with a copy
of Form W-2 for the year. Claims omitting this information will be returned and not processed.
Explanation:
I hereby certify that the statement made herein and in any supporting schedules are true, correct, and complete to
the best of my knowledge.
DATE
EMPLOYEE SIGNATURE
1
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