Annual Reconciliation Of Withholding Taxes Form - Spencer County

Download a blank fillable Annual Reconciliation Of Withholding Taxes Form - Spencer County in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Annual Reconciliation Of Withholding Taxes Form - Spencer County with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Occupational License Administrator
P.O. Box 397, Taylorsville, Kentucky 40071
Phone: 502-477-2997
Fax: 502-477-2998/3206
ANNUAL RECONCILIATION OF EMPLOYERS QUARTERLY RETURN OF OCCUPATIONAL LICENSE
FEES WITHHELD AND INDIVIDUAL EMPLOYEE STATEMENT
CHECK IF CHANGE IN ADDRESS IS BELOW
Name ______________________________________________________________________________________________________
Address ____________________________________________________________________________________________________
City _______________________________________ State _______________ Zip __________________
Federal ID ____________________________________ Phone
Ext
_________________________________
_________________
ACCOUNT NUMBER
YEAR
DUE DATE
NOTE: NO REFUNDS OR CREDIT WILL
RESULT FROM ENTRIES MADE ON
THIS FORM. W-1 RETURN MUST BE
AMENDED FOR REFUNDS OR CREDITS.
AMOUNT THAT SHOULD
QUARTER ENDING
HAVE BEEN PAID
ST
1. MARCH 31
QUARTER ENDING
TH
2. JUNE 30
TH
3. SEPTEMBER 30
ST
4. DECEMBER 31
$0.00
5. TOTAL QUARTERLY TAXES THAT SHOULD HAVE BEEN PAID (Sum of Lines 1 - 4)
6. TOTAL TAXES WITHHELD PER SCHEDULE OF EMPLOYEES' WAGES ATTACHED
7. DIFFERENCE BETWEEN LINE 5 & LINE 6
_________________________________________________________
______________________________
AUTHORIZED SIGNATURE
DATE
INSTRUCTIONS FOR ANNUAL RECONCILIATION OF WITHHOLDING TAXES
Wage and Tax Statements should be submitted for only those employees that earned wages while working in Spencer County,
Kentucky. If any quarter(s) has been over or underpaid, amended quarterly payroll tax forms must be attached to this Form W-3,
If any additional tax is owed (Line 7 of this form), please submit your check to the Spencer Co. Treasurer along with these forms.
This reconciliation form and employee W2 forms must be filed with the Spencer County Occupational License Administrator’s
Office at the address above, on or before February 28th. W-2 information and the Annual Reconciliation (Form W-3) should be
mailed separately from the 4th quarter withholdings tax return. If no W-2 will be filed, complete the Schedule of Employees’
Wages on the reverse side of this return. Forms also availabe at (Choose County Government link,
then choose Occupational Tax Forms link)
Revised 11/2011
Page 1 of 1

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2