Annual Reconciliation Of Payroll License Fees Withheld - Campbell County & Cities - 2011
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2CC-AR REV 1111
CAMPBELL COUNTY & CITIES, KENTUCKY
ANNUAL RECONCILIATION OF PAYROLL LICENSE FEES WITHHELD
For Year Ending December 31, 2011
W-2 forms MUST accompany this reconciliation. See instructions on reverse.
TYPE OR PRINT EMPLOYER NAME &
SECTION A. TAX AMOUNTS PAID
ADDRESS:
QUARTER
ENDING
CAMPBELL COUNTY
CITY: _____________
(CITY NAME)
MAR 31
$
$
JUN 30
$
$
CAMPBELL CO. ACCT ID#:
SEP 30
$
$
FEDERAL EMPLYOYER ID#:
DEC 31
$
$
PREPARER SIGNATURE & TITLE:
TOTAL FEES
REMITTED:
$
$
X_________________________________________
(To Line 6 BELOW)
(To Line 6 BELOW)
DATE:_____________PHONE__________________
CAMPBELL COUNTY
CITY: ____________
(CITY NAME)
SECTION B. RECONCILIATION
1. Total Gross Compensation Paid to
Employees
2. Total Excluded Compensation Paid in
Excess of Maximum Taxable per Employee
)
(Tax Table:
3. Taxable Compensation (Subtract total in
Line 2 from Total in Line 1
4. Total Withholding Fees Due (multiply
Line 3 by Tax Rate for Jurisdiction
)
(Tax Table:
5. Total Fees Withheld per W-2s
6. Enter TOTAL FEES REMITTED FOR
TAX YEAR FROM SECTION A ABOVE
7.
DIFFERENCE between Lines 6 and 4
(if any, check applicable box below
Minor difference due to fractional variations only (no adjustment due)
Difference shows insufficient remittance for year. PAYMENT ATTACHED.
Difference indicates overpayment not due to fractional variations. EXPLANATION
AND CLAIM FOR REFUND IS ATTACHED.
Reconciliation and W-2s must be received by February 28, 2012. MAIL W-2 COPIES TOGETHER WITH THIS
FORM TO: Campbell Co. Fiscal Court, Occupational Tax Office, P.O. Box 72958, Newport, KY 41072-0958.
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