City of Murray
OCCUPATIONAL LICENSE
TAX
FORM
Attn: Occupational Tax
P.O. Box 1056
OCC 2
TAX YEAR DUE ON OR BEFORE Business Name or D/B/A
CITY OCCUPATIONAL TAX NUMBER Business Description
LEGAL BUSINESS NAME
Return Type ----- Quarterly ------ Monthly
L1 Quarter 1st - 2nd - 3rd - 4th
L2 Month Jan-Feb-Mar-Apr- May- Jun
Jul-Aug-Sept-Oct-Nov-Dec
L7 Tax due for pe
riod
Line 6 x 1% (0.01)tax rate = TAX DUE
PAST DUE INTEREST PENALTY (If Applicable )
L8 INTEREST
Line 7 x 1% per month due after due date = INTEREST
L9 TOTAL TAX DUE
The City of Murray imposes a withholding fee of 1% of all gross earnings paid for work done or services performed in
the City. This applies to every resident and non-resident who works in Murray. It is the responsibility of each
employer to withhold these fees and submit them on the required periodic basis. Employers who fail to withhold or
pay the withholding to the City shall be personally liable to the City for any sums withheld or required to be withheld.
Preparer Signature
Date
Print Name Title
Page 1 of 1
PRINT
Mailing Address: City of Murray
Primary Contact (CEO or Officer)
CHOOSE FILING PERIOD FOR THIS RETURN
MURRAY, KY 42071
Telephone (270) 762-0300 - www.murrayky.gov
Previous Owner
L3 Total number of local employees
L4 Total wages paid during period
L5 Le
ss wages services performed outside
E-mail
Secondary
Contact / Payroll Provider
Business Ownership Change
(If Applicable)
EMPLOYEE WITHHOLDING TAX
MONTHLY OR QUARTERLY FILING AND REMITTANCE
AMENDED RETURN
Line 7 + line 8 = TOTAL TAX DUE
Phone
FAX
Website
Former Trade Name
Date of Change
INFORMATION UPDATES & CORRECTIONS
Complete this section only if there are changes
2021
NAICS Number
Federal I.D Number
DBA
the city
L6 Taxable earnings (Line 4 minus line 5)
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signature
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