Fillable 2020 CITY EMPLOYEE ANNUAL RECONCILIATION CITY OF JEFFERSONTOWN, (City of JEffersontown)

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2020 CITY EMPLOYEE ANNUAL RECONCILIATION CITY OF JEFFERSONTOWN, (City of JEffersontown)

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City of Jeersontown, Kentucky
P.O. Box 991458
Jeersontown, KY 40269-1458
Attn: Revenue Department
CITY OF JEFFERSONTOWN, KENTUCKY ▪ P.O. BOX 991458 ▪ JEFFERSONTOWN, KY 40269-1458
Phone (502) 267-8333 ▪ Fax (502) 267-0547 ▪ www.jeffersontownky.gov
2020 CITY EMPLOYEE ANNUAL RECONCILIATION
TAX YEAR DUE ON OR BEFORE BUSINESS / COMPANY
February 28, 2021
JEFFERSONTOWN OCCUPATIONAL ACCOUNT NUMBER
In accordance with the City of Jeersontown Ordinance Number 1233, Series 2008, any person employed within City
limits is subject to a 1% Occupational Tax on gross earnings. Please complete and remit the attached form as directed.
Reconciliation MUST be completed Regardless of Remittance
$
$
$
$
$
1. TAX PAID QUARTER ENDED MARCH 31, 2019 ► ►►►►►►►►►►►►
2. TAX PAID QUARTER ENDED JUNE 30, 2019 ► ►►►►►►►►►►►►►
3. TAX PAID QUARTER ENDED SEPTEMBER 30, 2019 ► ►►►►►►►►►
4. TAX PAID QUARTER ENDED DECEMBER 31, 2019 ► ►►►►►►►►►►
5. TOTAL TAX REMITTED FOR ALL 2019 QUARTERLY RETURNS ►►►►
6. TOTAL TAXES WITHHELD IN 2019 P PER ATTACHED EMPLOEE WAGE
STATEMENTS ►► ►►►►►►►►►►►►►►►►►►►►►►►►
$
ANY DISCREPANCY BETWEEN THE AMOUNTS
SHOWN ON LINES 5 AND 6 MUST BE FULLY EXPLAINED IN AN ATTACHED STATEMENT.
W-2 WAGE STATEMENTS MUST BE PROVIDED FOR ALL CURRENT AND FORMER EMPLOYEES PAID DURING THE 2019 TAX YEAR.
I hereby certify that this information is true and correct.
Signature Date
Print Name Title
Rev
. January 7, 2021
2020
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2020 CITY EMPLOYEE ANNUAL RECONCILIATION CITY OF JEFFERSONTOWN, (City of JEffersontown)

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Completed 30 June 2021

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