Warren County Schools Quarterly Occupational Tax Return Form

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WARREN COUNTY SCHOOLS QUARTERLY
ACCOUNT #
QUARTER ENDING
DUE DATE
OCCUPATIONAL TAX RETURN
1.Total Number of Paid Employees…...……_______________________
Social Security # or Federal ID # ___________________________
2. Total Wages, Tips, Other Compensation
Final Return:
____ NO ____ YES
Date Closed ___________
per Box 1 of W-2……….…….……….….______________________
If business sold, provide the name of new ownership
3. Less Non- Resident Wages and/or Non Taxable
Compensation……………………….…….______________________
____________________________________Date Sold______________
4. Taxable Earnings (Line 2 less Line 3)…….______________________
Print Name and Address of Employer/ Please note change of address
5. Total Tax Due (Line 4 x .005)…………….______________________
6. Credit/Adjustment (see instructions)…......______________________
7. Penalty: $10 after due date………………._______________________
Make check payable to: Finance Officer, Warren County Schools,
.
Please use envelope provided for mailing payment
8. Interest: 1% per month on upaid balance
after the due date………………_____________________
RETURN MUST BE SIGNED AND RETURNED WITH PAYMENT
I hereby certify, under penalty of perjury, that the statements made herein are true, correct and complete to the best of
my knowledge
9. TOTAL AMOUNT DUE ……………..…_____________________
Sign________________________________________________________________Date_________________________
INSTRUCTIONS
Line 1 – Enter total number of persons employed in Bowling Green,Warren County.
Line 2 – Enter total salaries and wages for all employees employed in Bowling Green, Warren County. Postal and Federal
Employees use adjusted gross income (Box 1 of W2 if filing annually).
Line 3 – Enter salaries and/or wages for Non-Resident employees (residents that do not reside in the Warren County School District or Wages Earned
Outside Bowling Green, Warren County.
Line 4 – Total Wages less employee wages of non residents and wages earned outside Bowling Green, Warren County.
Line 5 – Total Wages subject to Warren County Schools Occupational Tax.
Line 6 – Enter credit or adjustments ( from an amended return if applies). Amended returns must be filed in order to receive credit/adjustment and your credit
will be applied to your next quarter.
Line 7 – Add penalty of $10.00 if return will be received after the due date. (No Exceptions)
Line 8 - Add interest at the rate of 1% per month on the unpaid balance due. (No Exceptions)
Line 9 – Enter your Total Tax Due.
PAYMENTS SHOULD BE MADE PAYABLE TO:
FINANCE OFFICER, WARREN COUNTY SCHOOLS
MAIL PAYMENTS AND ZERO RETURNS TO:
WARREN COUNTY SCHOOLS OCCUPATIONAL TAX OFFICE
QUARTERLY TAX RETURN
P. O. BOX 890947
CHARLOTTE, NC 28289-0947
RETURN MUST BE FILED WITH PAYMENT
IF MAILING ADDRESS HAS CHANGED PLEASE INDICATE ON THE FRONT OF THIS FORM
FORM MUST BE FILED EVEN IF YOU HAD NO EMPLOYEES OR NO WAGES PAID DURING THIS PERIOD
TH
W2’S ARE REQUIRED WHEN FILING THE 4
QUARTER
THE WARREN COUNTY SCHOOLS OCCUPATIONAL TAX SHOULD BE FILED SEPARATELY FROM THE CITY OF BOWLING GREEN

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