Form Molt-7 - Marshall County Occupational License Tax For Schools Claim For Refund Of Overpayment
ADVERTISEMENT
1Form MOLT-7
Marshall County Occupational License Tax For Schools
Claim for Refund of Overpayment
Return Form to: MCBOE, Tax Office, 86 High School Road, Benton, KY 42025
“Occupational License Tax” Link
(270) 527-6759 phone
(270) 527-0804 fax
Name ___________________________________ Address ________________________________________
City _________________________ State _________
Zip __________ County ____________________
Social Security Number _________________________
Phone Number _____________________________
Employed By ___________________________________ Employer’s Federal ID #______________________
Period In Which Applying For Refund From ___________________ To ______________________________
Reason Applying For Refund __________________________________________________________________
__________________________________________________________________________________________
COMPLETE SECTION I IF APPLYING FOR A TOTAL REFUND AS A NON-RESIDENT
,
SECTION I. (W-2 AND PROOF OF RESIDENCY
ARE REQUIRED FOR ALL REFUNDS)
i.e. property tax bill, electric bill, etc.,
Tax Year ______________
Gross Wages $________________
Refund Amount $______________
Tax Year ______________
Gross Wages $ ________________
Refund Amount $______________
TOTAL REFUND $_________________
COMPLETE SECTION II IF APPLYING FOR A PARTIAL REFUND
SECTION II. (W-2 AND EVIDENCE OF NON-TAXABLE INCOME ARE REQUIRED)
1. Total Gross Wages per W-2 Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Marshall County Occupational License Tax for Schools Withheld. . . . . . . . . . . . . . . . .
3. Total Number of Days Worked During the Year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Total Number of Days Worked Outside Marshall County, Kentucky. . . . . . . . . . . . . .
5. Percentage Worked Outside Marshall County, Kentucky
. . . . . . . . . .
(line 4 divided by line 3)
6. Wages Not Subject to Marshall County Occupational Tax for Schools
. . . .
(line 1 x line 5)
7. Amount of overpayment to be refunded
. . . . . . . . . . . . . . . . . . . . .
(Subtract Line 5 from Line 4)
I hereby certify that the statements made herein and in any supporting schedules are true, correct,
and complete to the best of my knowledge.
________________________________________________
__________________
APPLICANT SIGNATURE
DATE
________________________________________________
Print Name
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business