Form 220-221-S - Employer'S Return Of Occupational License Tax Withheld For Schools 2005

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FAYETTE COUNTY PUBLIC SCHOOLS
FORM 220-221-S
2005
Employer’s Return of Occupational License Tax Withheld for Schools
$
OFFICE USE ONLY
1. Subject payroll
Transaction Number
$
2. Employee license tax withheld @ 0.5%
$
3. Balance due
$
4. Credits (Attach explanation)
Period ending
Due date
Account number
5. Add penalty late payment — 1% per
03/31/2005
04/30/2005
$
month or portion of month
$
6. Add penalty late filing — $10.00
Mail to:
TAX COLLECTION OFFICE
$
7. Net payment due (Lines 3,4,5, and 6)
FAYETTE COUNTY PUBLIC SCHOOLS
I certify that the above information is correct.
PO BOX 14529
Ö
LEXINGTON, KY 40512-4529
Signature
Date
Make check or money order payable to
Fayette County Public Schools
(or
FCPS DO NOT SEND CASH IN THE MAIL.
).
FAYETTE COUNTY PUBLIC SCHOOLS
FORM 220-221-S
2005
Employer’s Return of Occupational License Tax Withheld for Schools
$
OFFICE USE ONLY
1. Subject payroll
Transaction Number
$
2. Employee license tax withheld @ 0.5%
$
3. Balance due
$
4. Credits (Attach explanation)
Period ending
Due date
Account number
5. Add penalty late payment — 1% per
06/30/2005
07/31/2005
$
month or portion of month
$
6. Add penalty late filing — $10.00
Mail to:
TAX COLLECTION OFFICE
$
7. Net payment due (Lines 3,4,5, and 6)
FAYETTE COUNTY PUBLIC SCHOOLS
I certify that the above information is correct.
PO BOX 14529
Ö
LEXINGTON, KY 40512-4529
Signature
Date
Make check or money order payable to
Fayette County Public Schools
(or
FCPS DO NOT SEND CASH IN THE MAIL.
).
FAYETTE COUNTY PUBLIC SCHOOLS
FORM 220-221-S
2005
Employer’s Return of Occupational License Tax Withheld for Schools
OFFICE USE ONLY
$
1. Subject payroll
Transaction Number
$
2. Employee license tax withheld @ 0.5%
$
3. Balance due
$
4. Credits (Attach explanation)
Account number
Period ending
Due date
5. Add penalty late payment — 1% per
09/30/2005
10/31/2005
$
month or portion of month
$
6. Add penalty late filing — $10.00
Mail to:
TAX COLLECTION OFFICE
$
7. Net payment due (Lines 3,4,5, and 6)
FAYETTE COUNTY PUBLIC SCHOOLS
I certify that the above information is correct.
PO BOX 14529
Ö
LEXINGTON, KY 40512-4529
Signature
Date
Make check or money order payable to
Fayette County Public Schools
(or
FCPS DO NOT SEND CASH IN THE MAIL.
).
FAYETTE COUNTY PUBLIC SCHOOLS
FORM 220-221-S
2005
Employer’s Return of Occupational License Tax Withheld for Schools
$
OFFICE USE ONLY
1. Subject payroll
Transaction Number
$
2. Employee license tax withheld @ 0.5%
$
3. Balance due
$
4. Credits (Attach explanation)
Period ending
Due date
Account number
5. Add penalty late payment — 1% per
12/31/2005
01/31/2006
$
month or portion of month
$
6. Add penalty late filing — $10.00
Mail to:
TAX COLLECTION OFFICE
$
7. Net payment due (Lines 3,4,5, and 6)
FAYETTE COUNTY PUBLIC SCHOOLS
I certify that the above information is correct.
PO BOX 14529
Ö
LEXINGTON, KY 40512-4529
Signature
Date
Make check or money order payable to
Fayette County Public Schools
(or
FCPS DO NOT SEND CASH IN THE MAIL.
).

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