Fillable University Of Kentucky Local/city Tax printable pdf download

University Of Kentucky Local/city Tax

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UNIVERSITY OF KENTUCKY

LOCAL/CITY TAX

Employee Name _____________________________ Person ID# _______________________

(Print)

Employee is subject to following taxes:

This employee is subject to the local/city taxes as indicated below.

Effective this date ____________; this employee’s local/city taxes should be

changed. (Below indicate the correct local taxes to be withheld.)

I am exempt from local tax for the following reason:

My work station is not in the local tax district.

Do not live in the local school board district.

I meet the guidelines as defined in the Dean of the Graduate School Wimberly C.

Royster Memo of October 31, 1985, to Dean, Dept. Chairperson, & Directors of the

Graduate School.

I am partially exempt from the local tax. My job requires that I spend _____% of my

time outside the local tax district.

I am exempt from the local tax. Other Reason:

_____________________________________________________________________________________

For Multiple Local Tax Withholding

City/County Taxable

PERNR

City/County

Percent

Tax Code

Taxable

___________________________

__________________

___________________________

__________________

___________________________

__________________

___________________________

__________________

___________________________

__________________

_______________________________________________

Employee Signature

Dean/Director/Administrator Office

PAYROLL/DEPARTMENT

SAP005 Local/City Tax Form

University Of Kentucky Local/city Tax

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