Form Eq-2 - Amended Employer'S Quarterly Return Of License Fee Withheld - City Of Pikeville Division Of Tax Collection

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hu054891-City of Pikeville_Layout 1 2/28/12 9:01 AM Page 1
FORM EQ-2 AMENDED EMPLOYER’S QUARTERLY RETURN OF LICENSE FEE WITHHELD
CITY OF PIKEVILLE
Division of Tax Collection
CITY OCCUPATIONAL ACCOUNT NUMBER
118 College Street
Pikeville, Kentucky 41501
(606) 437-5105
RETURN SERVICE REQUESTED
Re:____________________________________________
We are amending the quarter ending _________________
For the above referenced company as indicated below:
NET CHANGE
AS
CORRECT
IF A DECREASE
ORIGINALLY
AMOUNT
ENCLOSE IN
REPORTED
RATE 2.0000%
BRACKETS
Gross wages paid in
quarter
Taxes withheld
quarterly
Total tax due for quarter
Tax paid with original return
Refund
Penalty-5% of tax due per month or
fraction of the month not to exceed
25% of total tax due however, not less
than $25.00
Interest-12% per annum after due date
Additional tax due
____________________________________________________________
Reason for Adjustment
____________________________________________________________________________
SIGNATURE _____________________________________________ TITLE ______________________ PHONE __________________ DATE _______________
**ALL RETURNS RECEIVED WITHOUT W-2 FORMS, W-3 FORM AND SIGNATURE WILL BE ASSESSED A $20.00 SERVICE CHARGE**

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