Form Olf-2 - Employer'S Quarterly Return Of License Fee Withheld - City Of Paris
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1CITY OF PARIS — LICENSE DEPARTMENT
525 HIGH STREET
Form OLF-2
PARIS, KENTUCKY 40361
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD
Under City of Paris Ordinance #2007.27, Dated 01/01/08, as amended.
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 A TRUE, CORRECT, AND ACOMPLETE RETURN.
1
Total Earning Paid
All Employees
2
Earnings For Services
Outside Paris
3
Earnings Subject to
License Fee
DATE
SIGNATURE
TITLE
Name and Address of Business
Account Number
4
Actual Fee Withheld
At 1 1/2%
5
Penalty 10%
6
Interest
(1%
of line 4 per month
or fraction thereof)
7
TOTAL
$
Quarter Ending
MARCH 31
CITY OF PARIS — LICENSE DEPARTMENT
525 HIGH STREET
Form OLF-2
PARIS, KENTUCKY 40361
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD
Under City of Paris Ordinance #2007.27, Dated 01101108, as amended.
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 A TRUE, CORRECT, AND ACOMPLETE RETURN
.
1
Total Earning Paid
All Employees
2
Earnings For Services
Outside Paris
3
Earnings Subject to
License Fee
DATE
SIGNATURE
TITLE
Name and Address of Business
Account Number
4
Actual Fee Withheld
At 1 1/2%
5
Penalty 10%
6
Interest (1% of line 4 per month
or fraction thereof)
7
TOTAL
$
Quarter Ending
JUNE 30
CITY OF PARIS — LICENSE DEPARTMENT
525 HIGH STREET
Form OLF-2
PARIS, KENTUCKY 40361
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD
Under City of Paris Ordinance #2007.27, Dated 01/01/08, as amended.
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 A TRUE, CORRECT, AND ACOMPLETE RETURN.
1
Total Earning Paid
All Employees
2
Earnings For Services
Outside Paris
3
Earnings Subject to
License Fee
DATE
SIGNATURE
TITLE
Name and Address of Business
Account Number
4
Actual Fee Withheld
At 1 1/2%
5
Penalty 10%
6
Interest (1% of line 4 per month
or fraction thereof)
7
TOTAL
$
Quarter Ending
SEPTEMBER 30
CITY OF PARIS — LICENSE DEPARTMENT
525 HIGH STREET
Form OLF-2
PARIS, KENTUCKY 40361
1
2
3
EMPLOYER'S QUARTERLY RETURN OF LICENSE FEE WITHHELD
Under City of Paris Ordinance #2007.27, Dated 01/01/08, as amended.
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 A TRUE, CORRECT, AND ACOMPLETE RETURN.
DATE
SIGNATURE
TITLE
Total Earning Paid
All Employees
Earnings For Services
Outside Paris
Earnings Subject to
License Fee
4
Name and Address of Business
Account Number
Actual Fee Withheld
At 1 1/2%
5
Penalty 10%
6
Interest (1% of line 4 per month
or fraction thereof)
TOTAL $
7
Quarter Ending DECEMBER 31
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