

BOYLE COUNTY AND CITY OF DANVILLE, KENTUCKY
EMPLOYERS QUARTERLY WITHHOLDING RETURN



 

D Check if new addss
and make corrections

D



D 

D 
 
 

 



   

  













 














SUB-TOTAL AMOUNT DUE
 










 



9


DECLARE UNDER PENAL TY PURJURY THAT HAVE EXAMINED 

RETURN AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS A
TRUE, CORRECT AND COMPLETE RETURN. RETURN MUST BE SIGNED.

 

 


 
SUB-TOTAL AMOUNT DUE

TOTAL AMOUNT DUE

 


 



 
Visit our websites for INFORMATION: www.boyleky.com or www.danvilleky.org

22

P

P

Name: _______________________________________________________
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