Form Cc1 - Federal Employee Occupational Tax Return

CC1REV1111

FEDERAL EMPLOYEE OCCUPATIONAL TAX RETURN

INSTRUCTIONS

SPECIFIC INSTRUCTIONS:

THIS FORM IS TO BE USED ONLY BY FEDERAL EMPLOYEES WHOSE EMPLOYERS DO NOT WITHHOLD

PAYROLL TAXES.

’

T IS THE FEDERAL EMPLOYEE

S RESPONSIBILITY TO OBTAIN A

AMPBELL

OUNTY

CCUPATIONAL

ICENSE

CCOUNT NUMBER

. F

AND REMIT OCCUPATIONAL TAXES IF THE EMPLOYER DOES NOT WITHHOLD

ILERS MAY PAY OCCUPATIONAL TAX FEES ON A

. F

QUARTERLY BASIS OR ANNUALLY SO LONG AS THEY ARE PAID BY THE

EBRUARY

DUE DATE

ILERS WHO CHOOSE TO REMIT

W-2

QUARTERLY MUST ALSO REMIT A COPY OF THE

RECEIVED FROM THEIR EMPLOYER BY THE

EBRUARY

DUE DATE

W-2

COPY OF THE

MUST BE INCLUDED WITH THE ANNUAL FILING

RINT YOUR

AMPBELL

OUNTY

CCOUNT

UMBER IN THE BOX PROVIDED

RINT YOUR SOCIAL SECURITY NUMBER IN THE BOX PROVIDED

AYMENTS RECEIVED THAT DO NOT INDICATE HOW TO ALLOCATE MAY BE RETURNED TO THE TAXPAYER AND MAY BE CONSIDERED

LATE

O INDICATE THAT YOU WILL NO LONGER WORK IN THE

OCALITIES FOR THE UP

COMING YEAR

YOU MUST CHECK THE BOX

PROVIDED

FILL IN YOUR LAST DATE OF EMPLOYMENT IN

AMPBELL

OUNTY AND THE NAME AND LOCATION OF YOUR NEW

. Y

EMPLOYER

OU MUST COMPLETE THE FORM FOR THE YEAR ENDING INDICATED AND REMIT REQUIRED FEES

S THE

EDERAL

OVERNMENT IS NOT WITHHOLDING ON YOUR BEHALF

YOU ARE RESPONSIBLE FOR ALL INFORMATION AND

PAYMENTS

BOTH C

. F

ROSS EARNINGS ARE SUBJECT TO

OUNTY AND

ITY WITHHOLDING

OR EXAMPLE

A PERSON WHO WORKS IN A

ITY

1.25%

1.05%. T

WITH A WITHHOLDING RATE OF

IS ALSO SUBJECT TO THE

AMPBELL

OUNTY WITHHOLDING RATE OF

HE TOTAL

2.30%. T

ALLOCATE C

CORRECT WITHHOLDING RATE FOR THAT PERSON IS

AXPAYER MUST INDICATE HOW TO

AMPBELL

OUNTY

. O

AND APPLICABLE TAXABLE EARNINGS AND FEE CALCULATIONS TO

ITY OR

ITIES

NCE ALLOCATED

PAYMENTS CANNOT BE

CREDITED TO ANOTHER LOCALITY

COLUMN 1: “CITY AND COUNTY” R

AND C

EFERS TO THE

ITY

OUNTY IN WHICH THE PERSON WORKED

COLUMN 2: “TOTAL EARNINGS” T

. E

OTAL GROSS EARNINGS FOR THE YEAR

NTER THE TOTAL GROSS EARNINGS FOR THE YEAR

FOR

AMPBELL

OUNTY AND EACH

ITY IN WHICH THE PERSON WORKED

COLUMN 3: “TAXABLE EARNINGS” T

. I

HE AMOUNT OF GROSS WAGES SUBJECT TO WITHHOLDING

OLUMN

IS LESS THAN

3. I

THE

AGE

IMIT IN

OLUMN

ENTER THE TOTAL EARNINGS IN

OLUMN

IS GREATER THAN THE

AGE

IMIT IN

OLUMN

ENTER THE WAGE LIMIT FOR COUNTY AND CITY IN

OLUMN

COLUMN 4: “TAX RATE” T

HE PAYROLL WITHHOLDING RATE FOR

AMPBELL

OUNTY AND

ITIES

COLUMN 7: “FEE DUE” T

. I

HE FEES DUE FOR

AMPBELL

OUNTY AND EACH

ITY

F YOUR TAXABLE EARNINGS WERE LESS THAN

, COL 3 X COL. 4 = COL. 7. I

THE WAGE LIMIT

F YOUR TAXABLE EARNINGS ARE GREATER THAN OR EQUAL TO THE WAGE LIMIT

ENTER THE

AXIMUM

EE DUE FROM

OLUMN

IN COLUMN

): “TOTAL FEE DUE” T

BOX 8 (

. A

HE TOTAL OF ALL FEES DUE FOR

AMPBELL

OUNTY AND

ITIES

DD THE NUMBERS IN

OLUMN

7. W

RITE THIS NUMBER IN

): “PENALTY” T

BOX 8(

DUE

HE PENALTY FOR FAILURE TO FILE TIMELY IS

PER MONTH OR PORTION OF MONTH AFTER THE

DATE –

25%.

FEE DUE X # MONTHS LATE X 5% = PENALTY. MINIMUM PENALTY IS $25.

NOT TO EXCEED

): “INTEREST” F

“FEE DUE”

“DUE DATE,”

BOX 8(

COLUMN 7

OR EACH DAY THAT THE

IS PAID AFTER THE

INTEREST RATE

“FEE DUE”

. M

COLUMN 7 X

PER MONTH OR PORTION THEREOF

ULTIPLY THE

THE INTEREST RATE

THE NUMBER OF

“DUE DATE.”

MONTHS PAST THE

): “TOTAL AMOUNT DUE” T

BOX 8(

HE TOTAL AMOUNT OF FEE

PENALTY AND INTEREST DUE FOR

AMPBELL

OUNTY AND

ITIES

MAIL COMPLETE RETURN WITH ATTACHMENTS AND REMITTANCE TO:

CAMPBELL COUNTY FISCAL COURT

P.O. B

72958

, K

41072-0958

EWPORT

ENTUCKY

IF YOU HAVE QUESTIONS ABOUT THE FORMS AND INSTRUCTIONS, CONTACT

LOCATION; 1098 M

..; N

; KY 41071

AMPBELL

OUNTY

ISCAL

OURT

CCUPATIONAL

ICENSE

FFICE

ONMOUTH

EWPORT

: (859) 292-3884

: (859) 292-3827

HONE

WEBSITE

WWW

CAMPBELLCOUNTYKY

ORG

OCCLIC

HTM

Form Cc1 - Federal Employee Occupational Tax Return - 2011 Page 2

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