Form Fol-7 - Claim For Refund Of Overpayment Of Occupational License Tax Withheld For Schools

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FAYETTE COUNTY PUBLIC SCHOOLS
Form FOL-7
Revised 1/1/08
CLAIM FOR REFUND OF OVERPAYMENT OF
OCCUPATIONAL LICENSE TAX WITHHELD FOR SCHOOLS
2008
NEW FOR
.
The Employee and Employer must provide a signature for the refund application to be processed
Name
Social Security #
Address
Daytime Phone
City
State
Zip
County
Employer's Name
Address
City
State
Zip
See Instructions
TAX YEAR
_____________________
Account #
(One year per refund form per employer)
(FOR OFFICE USE ONLY)
1. Total employee compensation
(
Total gross wages prior to deductions
).......................
2.
Compensation not subject to tax*...............................
3.
Compensation subject to tax
(Line 1 less Line 2)...............................................................
4.
Occupational License Tax withheld.............................
5.
Total Occupational License Tax due
(Multiply Line 3 by .005)..................................................
6.
Amount of overpayment to be refunded
(Line 4 less Line 5)...............................................................
Processing will begin after March 15. Please allow 6-8 weeks for processing.
* An explanation including specific dates and places worked outside Fayette County is required, along with a copy of Form W-2
for that year. Claims omitting this information will be returned and not processed.
EXPLANATION:
I hereby certify that the statement made herein and in any supporting schedules are true, correct, and complete to the best of my knowledge.
EMPLOYER NAME-PRINTED
EMPLOYER TITLE
EMPLOYER PHONE NUMBER
EMPLOYER SIGNATURE CERTIFYING INFORMATION
DATE
APPLICANT SIGNATURE
DATE

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