Form 42a806 - Transmitter Report For Filing Kentucky Wage Statements - 1998

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42A806 (11-98)
TRANSMITTER REPORT FOR
Commonwealth of Kentucky
FILING KENTUCKY WAGE STATEMENTS
REVENUE CABINET
1. Name and Address of Transmitter
2. KY Withholding Account Number
3. Tax Year
4. Phone Number (Include Area Code)
5. Name and Address of Persons to Contact About
6. Number of Kentucky Statements
Magnetic Tape/3.5” Diskette/Cartridge
7. Kentucky Taxable Wages
8. Kentucky Income Tax Withheld
INSTRUCTIONS FOR PAPER FILERS
Please complete boxes (1) through (4) and mail with the wage statements to:
Kentucky Revenue Cabinet
Frankfort, KY 40620-0004
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
INSTRUCTIONS FOR MAGNETIC MEDIA FILERS
Please complete boxes (1) through (8) and mail with the magnetic media to:
Kentucky Revenue Cabinet
1266 Louisville Road
P .O. Box 181, Station 23
Frankfort, KY 40602-0181
If more than one Kentucky withholding account is reported on the magnetic media, omit
lines 2, 6, 7 and 8, and attach a summary sheet showing name and address, Kentucky
withholding tax account number, number of Kentucky statements, Kentucky taxable wages
and Kentucky income tax withheld for each account.
This Transmitter Report Must be Filled Out and Submitted With
Your Wage and Tax Statement Media
Photocopies of this Transmitter Report are Acceptable

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