Form W-1 - Employers Quarterly Return Of Occupational License Fees Withheld printable pdf download

FORM W-1

/ RECON

EMPLOYERS QUARTERLY RETURN OF OCCUPATIONAL LICENSE FEES WITHHELD

CITY OF LOUISVILLE, JEFFERSON COUNTY, MASS TRANSIT AND SCHOOL BOARDS

COLLECTION AGENT LOUISVILLE/JEFFERSON COUNTY REVENUE COMMISSION

101 S 8TH St. Louisville, KY 40202-2601 (502) 574-4860

REMIT TO: P.O. BOX 35410 • LOUISVILLE, KENTUCKY 40232-5410

FEDERAL ID #

PHONE #

NEW PHONE #

NEW FEDERAL ID #

DATE

PLEASE CHANGE ANY INFORMATION ABOVE WHICH IS INCORRECT

ACCOUNT #

OFFICE USE ONLY

I had no employees this quarter -----------------------------------------------

… … … … … … … … … … … … … … … … … … … … … … … … … … … … quarter…

FOR QUARTER

ENDED

I will have no employees in future… … … … … … … … … … … … … … … .

SEE INSTRUCTIONS ON BOTTOM PORTION OF THIS PAGE

DUE ON OR

EFFECTIVE DATE

INITIALS

BEFORE

PRB CODE

THE ENTRIES ON LINES 1-5 SHOULD

QUARTERLY WAGES

TAX DUE

INCLUDE ONLY AMOUNTS EARNED

Ø 1.

BY EMPLOYEES FOR WORK THAT

ENTER TOTAL PAYROLL OF CITY OF LOUISVILLE, KY

WAS PERFORMED WITHIN

(x)1.45%=

(1)

LOUISVILLE AND JEFFERSON

COUNTY, KY. THE ENTRIES ON

ENTER TOTAL PAYROLL OF JEFFERSON COUNTY, KY

LINES 1, 2, & 3 SHOULD NOT

(x)1.45%=

(2)

INCLUDE AMOUNTS EARNED

BY ORDAINED MINISTERS OR

ENTER COMBINED LOUISVILLE AND JEFFERSON CO.

DOMESTIC SERVANTS.

PAYROLL (LINE 1 + 2)

LESS AMOUNT OF CITY & COUNTY PAYROLL EARNED

BY NON-RESIDENT EMPLOYEES.

TOTAL EARNED BY RESIDENT EMPLOYEES FOR WORK

PERFORMED WITHIN LOUISVILLE AND JEFFERSON

(x).75%=

(5)

CO., KY. (LINE 3 - 4) . INCLUDE AMOUNTS EARNED BY

MINISTERS AND DOMESTIC SERVANTS.

(6) TOTAL TAX DUE

(1+2+5)

D.N.K.

(7)

INTEREST AND

PENALTY

This section should be completed BY ONLY THOSE EMPLOYEES WHO ARE REQUIRED TO MAKE

(8)

TOTAL TAX DUE

RECONCILIATION

(6 + 7)

MONTHLY DEPOSITS (APPLIES TO EMPLOYERS WHO PAID LICENSE FEES TOTALING more than

$3000.00 during any one of the preceding 4 calendar quarters).

(9)

(10)

TOTAL AMOUNT DUE

(TOTAL LINE 9)

(A+B+C)

AMOUNT DUE 1

MONTH

AMOUNT DUE 2

MONTH

AMOUNT DUE 3

MONTH

(11)

TOTAL DEPOSIT FOR

FOR OFFICE USE ONLY

THIS IS TO CERTIFY THAT THE INFORMATION SHOWN ON THIS RETURN IS TRUE AND CORRECT

AMOUNT PAID_______________

(12) ADDITIONAL PAYMENT DUE

TO THE BEST OF MY KNOWLEDGE

(13) OVERPAYMENT-CREDIT

REQUESTED

(ATTACH EXPLANATION)

AUTHORIZED SIGNATURE

TITLE

«Merge Record #»

Rev:03/13/98

Form W-1 - Employers Quarterly Return Of Occupational License Fees Withheld

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