Form Cc-Ar Rev 1112 - Annual Reconciliation Of Payroll License Fees Withheld - 2012 Page 2
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2CC-AR REV 1112
INSTRUCTIONS FOR ANNUAL RECONCILIATION OF EMPLOYER
QUARTERLY WITHHOLDING
MAIL W-2 COPIES TOGETHER WITH ANNUAL RECONCILIATION FORM SEPARATELY FROM
4TH QUARTER RETURN. SEE MAILING ADDRESS BELOW.
GENERAL INFORMATION:
Each employer shall on or before February 28 of each year complete and file an Annual Reconciliation of Employer
Quarterly Withholding. Either copies of federal Forms W-2 or a detailed employee listing with equivalent information
must be submitted. Each employer shall furnish each employee a statement on or before January 31 of each year
showing the amount of compensation and the license fees deducted and paid by said employer during the preceding
calendar year.
All employers must file this Annual Reconciliation regardless of when their payroll ceased during the year.
IN THE BOX PROVIDED, PRINT THE EMPLOYER NAME, ADDRESS, CAMPBELL COUNTY TAX ACCOUNT
NUMBER, AND FEDERAL EMPLOYER IDENTIFICTION NUMBER.
PREPARER SHALL SIGN AND DATE THE RECONCILIATION AND PROVIDE HIS/HER TITLE AND PHONE
NUMBER.
MAKE A PHOTOCOPY OF THE BLANK RECONCILIATION FORM IF YOU ARE REPORTING FEES PAID TO
MORE THAN ONE CITY IN CAMPBELL COUNTY.
HOW TO RECONCILE YOUR PAYROLL AND WITHHOLDINGS:
SECTION A.
Enter the total Payroll Withholding Fees paid for each quarter of the tax year for each jurisdiction.
Use additional sheets as necessary to report compensation paid for more than one city in Campbell County.
ENTER THE TOTAL AMOUNT REMITTED ALSO ON LINE 6 IN SECTION B.
SECTION B.
LINE 1: “TOTAL GROSS COMPENSATION TO EMPLOYEES.”
Enter the total gross compensation for all employees for
Campbell County and each City. Deduct any compensation for services performed outside of Campbell County. Use additional
sheets as necessary to report compensation paid for more than one city in Campbell County.
LINE 2: “TOTAL EXCLUDED COMPENSATION PAID IN EXCESS OF MAXIMUM TAXABLE.”
Enter the
– SEE
compensation to employees in excess of the Maximum Wage Limit per Individual for each employee for the calendar year
TAX TABLE.
LINE 3: “TAXABLE COMPENSATION.”
The amount of compensation subject to tax. Subtract Line 2 from Line 1.
LINE 4: “TOTAL WITHHOLDING FEES DUE.”
Multiply the result in Line 3 by the payroll withholding rate for Campbell
– SEE TABLE BELOW.
County and each City
LINE 5: “TOTAL FEES WITHHELD PER W-2s.”
Enter the total amount of fees withheld shown in the W-2 listing for
Campbell County and each City.
LINE 6: “TOTAL FEES REMITTED FOR TAX YEAR.”
Enter result from Section A for Campbell County and each City.
LINE 7: “DIFFERENCE BETWEEN LINES 6 AND 4.”
Enter the difference for Campbell County and each City. Check the
ATTACH ANY REMITTANCE BALANCE DUE (Not necessary if balance
appropriate box explaining any differences.
due is less than $1.00). No refunds or credit will result from entries made on this form. Submit a copy of the original
quarterly return, marked “Amended Return” and showing the corrected withholding amounts, for any quarter that has
been overpaid. Call the occupational license office with questions.
Mail completed reconciliation with attachments and any remittance to:
CAMPBELL COUNTY FISCAL COURT
Occupational License Office
P.O. Box 72958
Newport, Kentucky 41072-0958
If you have questions about the forms and instructions, contact:
Campbell County Fiscal Court Occupational License Office, 1098 Monmouth St., Newport, KY 41071
Phone: (859) 292-3884 Fax: (859) 292-3827 Website:
(All tax forms and tax tables are available from the website)
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