Form Olf-1 - Employer'S Return Of License Fee Withheld - City Of Ashland

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CITY OF ASHLAND
Department of Finance
Occupational License / Net Profit Division
OLF-1
P.O. Box 1839, Ashland, KY 41105-1839
Phone No. 606/327-2013, 2014, or 2023 Fax No. 606/324-0978
CITY OF ASHLAND
EMPLOYER’S RETURN OF LICENSE FEE WITHHELD
BUSINESS:
BUSINESS LOCATION (street address):
MAILING ADDRESS (if different from above):
TELEPHONE NUMBERS (include area code):
Business
Fax
PERIOD BEGINNING:
PERIOD ENDING:
RETURN DUE:
ACCOUNT NUMBER:
MAKE CHECKS PAYABLE TO: City of Ashland, Occupational License / Net Profit Division
P. O. Box 1839, Ashland, KY 41105-1839
1.
Number of subject employees
2.
Gross Salary, Wages and Other Compensation paid to employees
$
3.
Less Salary, Wages and Other Compensation not subject to License Fee
- $
4.
Net Salary, Wages and Other Compensation subject to License Fee
= $
(Line 2 minus Line 3)
5.
Multiply Line 4 by the Occupational License Fee (2.0%)
= $
IF FILED AFTER DUE DATE: Add 5% penalty per month ($25 minimum) and 12%
6.
+ $
interest per annum
7.
TOTAL PAYMENT DUE
Check No. (
)
= $
I certify that the information contained herein and any schedules or exhibits attached are correct.
Signature:
Title:
Date:
(Over)
FOR INTERNAL USE ONLY
Reconciled By:
Date:

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