City of Morehead
Annual Reconciliation of License Fee Withheld
DURING YEAR ENDED 2015
EMPLOYER'S NAME AND ADDRESS
I .
TOTAL NUMBER EMPLOYEES AS LISTED HEREON
-
-
OF PRINCIPAL PLACE OF BUSINESS
2.
TOTAL ROWAN COUNTY LICENSE FEE WITHELD
QUARTER ENDED MAR 31 ,2015
QUARTER ENDED JUNE 30, 2015
QUARTER ENDED SEPT
30,
2015
QUARTER ENDED DEC
31,
2015
TOTAL REMITTED FOR YEAR
SOCIAL SECURI TY
OCCUPATIONAL
NUM BER
TAX WITH H ELD
NAME OF EM PLOY EE
GROSS WAGES PAID
TOTAL
$
$