Reconciliation Of License Fee Withheld - 2012

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ACCT #: ________
CITY OF GLASGOW, KENTUCKY
P.O. BOX 278, GLASGOW, KY 42142-0278
2012 RECONCILIATION OF LICENSE FEE WITHHELD
During year ended December 31, 2011
To Be Filed by February 28
****LICENSE FEE ACCT. #
HOW TO RECONCILE YOUR PAYROLL AND WITHHOLDINGS
Under TOTAL PAYROLL the quarterly totals of all compensation paid to all
employees. Deduct any payments for services performed outside Glasgow
Employer’s Name and Address
and enter balances in SUBJECT PAYROLL column. SUBJECT PAYROLL
includes all compensation, i.e. vacation and holiday pay, tips and gratuities.
Enter on reverse side for each subject employee the Social Security No.,
name, address and zip code, total compensation paid and amount of Glasgow
License Fee withheld. Attach additional sheets of this size if space
available is inadequate. Employers desiring to submit copies of W2
forms or other type listings which provide the required information may do
so in lieu of the listing form below. When submitting W2 Forms, complete
this reconciliation and attach it to the top of the stack.
TOTAL PAYROLL
SUBJECT PAYROLL
LICENSE FEE DUE
st
1.
1
Quarter
1. ______________________
1. _____________________ x 1.5% = 1. ____________________
nd
2.
2
Quarter
2. ______________________
2. _____________________ x 1.5% = 2. ____________________
rd
3.
3
Quarter
3. ______________________
3. _____________________ x 1.5% = 3. ____________________
th
4.
4
Quarter
4. ______________________
4. _____________________ x 1.5% = 4. ____________________
5.
Total Year
5. ______________________
5. _____________________ x 1.5% = 5. ____________________
6.
Actual License Fee Withheld per W-2s
6. ____________________
7.
Enter the Larger of line 5 or line 6
7. ____________________
8.
Actual License Fee remitted for the Year on Quarterly Returns
8. ____________________
9.
Difference between lines 7 and 8 (if any, check applicable below)
9. ____________________
_ Minor difference attributable to fractional variations only (no adjustment due)
_ Difference indicates insufficient total remittance for year. Check in payment attached.
_ Difference indicates overpayment not attributable to fractional variations. Full explanation
and claim for refund attached.
Number of employees: ________
__________________________________
_______________________ _________
Signature
Title
Date
USE REVERSE SIDE FOR EMPLOYEE LISTING

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