Bccd Form 1 - Employers Quarterly Withholding Return - Boyle County And City Of Danville

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BCCDFORM 1
BOYLE COUNTY AND CITY OF DANVILLE, KENTUCKY
EMPLOYERS QUARTERLY WITHHOLDING RETURN
PRINT EMPLOYER’S FEDERAL TAX IDENTIFICATION NUMBER:
MM
DD
YY
QUARTER ENDING:
MM
DD
YY
DUE DATE:
ACCOUNT ID#
Check if new address
and make corrections
I had no employee earnings this quarter. Check box, sign form
and return to address below.
FINAL RETURN (CHECK ONLY TO CLOSE ACCOUNT)
LAST DATE EMPLOYEES PAID: ________________________
I will have no employees in the future. Check box, sign form and
return with any attachments to address below.
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5
COLUMN 6
COUNTY AND
TOTAL EARNINGS
EXCLUDED
SUBJECT
WITHHOLDING
FEE DUE
CITY
EARNINGS
EARNINGS
RATE
BOYLE
.0075
COUNTY
TOTAL FEE DUE
PENALTY
(Taxpayer MUST file
5% per month or portion thereof not to exceed 25%.
BOTH County AND
$25.00 minimum penalty.
applicable City)
INTEREST
FEE DUE X 12% Per Annum Simple Interest
SUB-TOTAL AMOUNT DUE
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5
COLUMN 6
CITY
TOTAL EARNINGS
EXCLUDED
SUBJECT
WITHHOLDING
FEE DUE
EARNINGS
EARNINGS
RATE
CITY OF
.0120
DANVILLE
I DECLARE UNDER PENALTY OF PURJURY THAT I HAVE EXAMINED THIS
TOTAL FEE DUE
RETURN AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS A
TRUE, CORRECT AND COMPLETE RETURN. RETURN MUST BE SIGNED.
PENALTY
5% per month or portion thereof not to exceed 25%.
$25.00 minimum penalty.
SIGNATURE
DATE
INTEREST
FEE DUE X 12% Per Annum Simple Interest
PRINTED NAME/TITLE
PHONE NO.
SUB-TOTAL AMOUNT DUE
ENCLOSE CHECK OR MONEY ORDER PAYABLE TO
TOTAL AMOUNT DUE
"BOYLE COUNTY TAX ADMINISTRATOR"
Add Boyle County and City of Danville Subtotals.
TAX ADMINISTRATORS OFFICE
321 WEST MAIN ST., ROOM 117
Make payment and mail to:
BOYLE COUNTY COURT HOUSE
DANVILLE, KENTUCKY 40422-1848
PHONE (859) 238-1115
TAXPAYER: PLEASE MAKE A COPY FOR YOUR RECORDS AND RETURN ORIGINAL

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