Form Fol-7 - Fayette County Public Schools Claim For Refund Of Overpayment Occupational License Tax Withheld For Schools - 2000

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FAYETTE COUNTY PUBLIC SCHOOLS
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FORM FOL-7
CLAIM FOR REFUND OF OVERPAYMENT
REVISED 140
OCCUPATIONAL LICENSE TAX WITHHELD FOR SCHOOLS
(Please print or tvpe name. address and Social Securiiy Number in block below.)
Street
State
Zip code
Social Security Number
Account #
Employer’ s name
Employer’ s address: Street
Zip code
State
TAX YEAR
1 .
Total employee compensation
(Total wages prior to taxsheltered deductions)
2
Compensation not subject to tax*
3
Compensation subject to tax
(Line 1 less line 2)
4
Occupational license tax withheld
Total occupational license tax due.
5
(Multiply line 3 by .005)
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 that tax year. Claims omitting this information will be returned and not processed.
Use this form to request a refund of overpayment of the occupational license taxwithheld for the Fayette County Public
Schools only.
MAIL TO: Tax Collection Office
Fayette County Public Schools
701 East Main St.
Lexington, KY 40502-l 699.
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

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