Annual Reconciliation - City Of Bowling Green
Download a blank fillable Annual Reconciliation - City Of Bowling Green in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Annual Reconciliation - City Of Bowling Green with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1ANNUAL RECONCILIATION
CITY OF BOWLING GREEN, KY
P.O. Box 1410
FOR
ENDED
DUE ON OR BEFORE
Bowling Green, KY 42102-1410
(270) 393-3000
CITY OCCUPATIONAL ACCOUNT NUMBER
MAILING ADDRESS
(A)
(B)
Wages Subject to
Wages Subject to
Total
1.5% Withholding
2.0% Withholding
(A + B)
Rate
Rate
Effective 7/01/03
1.) Total Gross Salaries, Wages and Other Compensation
Paid for the Year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.) Less Compensation Paid for Service Outside the City. . . . . . .
3.) Taxable Earnings (line 1 minus line 2). . . . . . . . . . . . . . . . . . .
4.) License Fee due the City (line 3 x rate shown). . . . . . . . . . . . .
5.) License Fees Paid per monthly or quarterly returns:
Jan
__________
April
__________
July
__________
Oct
__________
Feb
__________
May
__________
Aug
__________
Nov
__________
March or 1st Qtr __________
June or 2nd Qtr __________
Sept. or 3rd Qtr
__________
Dec or 4th Qtr __________
Total for Line 5
6.) Difference between totals on line 4 and line 5 (if any, check applicable box below)
Minor difference attributable to fractional variations only (no adjustment due)
Difference indicates an underpayment for the year.
A payment of $__________________ is enclosed.
Difference indicates overpayment not attributable to fractional variations. No refunds or
credit will result from entries made on this form. An amended return for the period overpaid
must be filed separately with a letter of explanation.
7.) Total local wage withholdings for Bowling Green as reported in Box 19 on W-2 Total Page
Total on line 7 should balance with amount paid to City after adjustments made in line 6.
If not, attach explanation.
8.) For each of the following benefits:
Did your employees participate in?
Was license fee withheld?
Yes
No
Yes
No
a) Deferred compensation
______
______
______
______
b) Cafeteria Plan
______
______
______
______
c) Group-term Life Insurance over $50,000
______
______
______
______
d) Other? _________________________
______
______
______
______
The original of this reconciliation form must be filed with the City of Bowling Green, KY on or before the last day of February.
The total page from your W-2 forms must be submitted with this reconciliation, along with a payroll register or listing that
contains ALL the gross wages, salaries or compensation (including pre-tax contributions to retirement, pre-tax deductions
for insurance and cafeteria plan items).
I declare under the penalties of perjury, that this return has been examined by me and to the best of my knowledge and belief is true, correct, and complete.
__________________________________________________________________________________________________________
Signature
Title
Telephone Number
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial