Monthly Withholding (W-1) Deposit Form - Louisville/jefferson County Metro Revenue Commission
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1LOUISVILLE/JEFFERSON COUNTY METRO REVENUE COMMISSION
th
101 South 8
Street, Louisville, KY 40202-2601
COLLECTION AGENT FOR THE CITY OF LOUISVILLE, JEFFERSON COUNTY, TARC, & SCHOOL BOARD
MONTHLY WITHHOLDING (W-1) DEPOSIT FORM
____________________________________________________________
_____________________________
ACCOUNT NO:
PREPARER’S NAME
PHONE #
QUARTER ENDING:
FEDERAL ID #
NEW FEDERAL ID #
________________________
DEPOSIT AMOUNT:
$
NAME & ADDRESS:
REMIT TO:
LOUISVILLE/JEFFERSON COUNTY METRO REVENUE
COMMISSION
P.O. BOX 37740
LOUISVILLE, KY 40233-7740
W-1 DEP
INSTRUCTION SHEET FOR MONTHLY WITHHOLDING FORM - (W-1 DEPOSIT)
REQUIREMENT FOR PAYMENT OF TAX:
EVERY EMPLOYER WHO IS RESPONSIBLE FOR WITHHOLDING OCCUPATIONAL
LICENSE FEES OF MORE THAN $3,000.00 DURING ANY ONE OF THE FOUR
PRECEDING QUARTERS MUST SUBMIT MONTHLY DEPOSITS OF THE OCCUPATIONAL
LICENSE FEES WITHHELD TO THE LOUISVILLE/JEFFERSON COUNTY METRO
REVENUE COMMISSION. ALL MONTHLY WITHHOLDING TAX DEPOSITS ARE DUE
SPECIFIC INSTRUCTIONS
15 DAYS AFTER THE MONTH END.
FOR MONTHLY DEPOSIT FORMS
License Fee
Paid by:
License Fee
Paid by:
Print name and phone number of person to be contacted if
Required to be
(Postmarked or
Required to be
(Postmarked or
information is required.
Withheld:
Hand Delivered)
Withheld:
Hand Delivered)
January
February 15
July
August 15
Print employer’s federal identification number.
February
March 15
August
September 15
March
April 15
September
October 15
Enter Legal Name and mailing address of the Licensee if the
b
April
May 15
October
November 15
information is incorrect.
May
June 15
November
December 15
June
July 15
December
January 15
Enter the Occupational License Tax (ACCOUNT NO) of the
d
it
Enter the quarter for which the deposit is being made.
Enter the amount of tax which was required to be withheld
during the month covered by this deposit.
All employers will be required to file a quarterly withholding tax return (FORM W-1)
by the last day of the month following the close of the calendar quarter.
This return will be sent under separate cover prior to the end of the quarter.
Filed by:
License Fee Return For:
(Postmarked or Hand Delivered)
st
1
quarter
April 30
nd
2
quarter
July 31
rd
3
quarter
October 31
th
4
quarter
January 31
PHONE: 502/574-4860
FAX: 502/574-4818
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