Form 42d003 - Kentucky Wage And Tax Statements - Kentucky Revenue Cabinet - 2003

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42D003
COMMONWEALTH OF KENTUCKY
REVENUE CABINET
8-03
FRANKFORT
40620
TO:
Employers
DATE:
September 5, 2003
SUBJECT:
2003 Kentucky Wage and Tax Statements
Employers are required to furnish each employee with a wage and tax statement on or before January 31, 2004. This
applies to all employees from whose wages tax has been withheld or would have been withheld if no more than one
exemption had been claimed.
The Kentucky Revenue Cabinet maintains a record of the receipt of the wage and tax statements by utilizing the
Kentucky Withholding Account Number. It is extremely important that the correct number be entered in the appli-
cable block on the wage statements. Failure to enter the correct account number contributes to delays in processing
and possible mishandling of the statements.
The Revenue Cabinet is providing combination federal and Kentucky wage and tax statements based on the rate
schedule below. Orders for up to 250 forms will be filled at no charge. The forms consist of all required copies of
federal Form W-2 and Revenue Form K-2. Employers must use the Cabinet's official forms or approved commercially
printed forms. Federal W-2 forms may be used if the Kentucky tax withheld is clearly identified. Any questions regard-
ing commercially printed forms or magnetic media should be addressed to the Division of Compliance and Taxpayer
Assistance, Withholding Tax Section, Station 57 , P .O. Box 1274, Frankfort, KY 40602-1274, (502) 564-7287 .
Enclosed is a combination order blank and label. Please type or clearly print your name, address, including ZIP code,
and number of forms requested and return with payment.
Form Rates
Make check payable to: Kentucky State Treasurer
1–250
No Charge
Return bottom portion with payment to: Kentucky Revenue Cabinet,
251 or more
$17.50
Support Services Branch, P .O. Box 518, Frankfort, KY 40602-0518
Plus $ .07 for each additional form over 251
AN EQUAL OPPORTUNITY EMPLOYER M/F/D
DETACH HERE
W-2/K-2 Quantity:__________________
Name _______________________________________________________
Withholding Account No. _____________________________________
(
)
Telephone ___________________________________________________
FROM: Revenue Cabinet
Unit
Total
Wage and Tax Statements
Quantity
Price
Cost
Frankfort, KY
40620
Up to 250 Form W-2/K-2
NC
NC
TO:
251 (flat rate)
Name __________________________________________
Form W-2/K-2
251
$ 17.50
$
__________________________________________
Over 251
(per Form W-2/K-2)
x $.07
$
Street __________________________________________
City, State
Sales Tax (6%) ...................................................................
$
and ZIP Code ___________________________________
Total ............................................................................
$

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