Reconciliation Of License Fee Withheld Form - Mccracken County Tax Administrator - Kentucky
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1Reconciliation of License Fee Withheld
Prepare In Duplicate
Mail OriginalTo:
During Year Ended
____/____/______
MCCRACKEN COUNTY
TO BE FILED WITH THE 4th QUARTER'S RETURN BY ___/___/_____
TAX ADMINISTRATOR
OR WITH THE FINAL QUARTERLY RETURN OF THE CLOSING
P O BOX 2658
OF ANY BUSINESS EITHER BY SALE OR DISSOLUTION.
PADUCAH KY 42002-2658
EMPLOYER'S NAME AND ADDRESS
Account Number
Federal I.D. Number
Phone Number
TOTAL NUMBER OF EMPLOYEES FOR THE YEAR
ANNUAL RECONCILIATION
(1) Total Wages Paid For The Year
$
(2) Total License Fee Withheld For The Year
$
COLUMN A
COLUMN B
COLUMN C
Monthly Payments
Quarterly Payments
Total For Year
January
Febuary
March
$
1st
April
May
June
$
2nd
July
August
September
$
3rd
October
November
December
$
4th
(3)
(Line 3 Must Equal Line 2)
$
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Parent category: Financial