2020 REFUND INSTRUCTIONS
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The Employee and Employer must provide a signature for the refund application to be processed. The person signing
this form for the Employer must be in a position of authority and must certify that the information provided on this statement
is true and correct. The applicant may not certify their own information.
Form 211-22, Application for Refund must be submitted with original signatures and dates. No photocopied or emailed
signatures will be accepted. Also, W-2 forms submitted must show federal taxable, social security and medicare wages
(not just local wages) and the 2.25% license fee withheld. Also, attach a copy of any year end earnings summary
statements.
Failure to complete any or all parts of Form 211-T will delay the processing of your refund and may result in your refund
application being returned to you.
“Total Gross Compensation” includes income from salaries, wages, bonuses, severance and/or
termination pay, deferred compensations and/or pension plans, cafeteria plans, etc. and amounts received for
approved leave including, but not limited to, vacation, sick or holiday pay. This is generally found inbox 18 of the
W-2 form.
NOTE: If a refund is claimed for wages earned outside of Fayette County and the wages are from more than one
employer, a separate application must be completed for each employer.
For individuals 65 years of age and older, the first $3,000.00 of compensation earned in a given year is exempt. The
exemption is not for the $3,000.00 of compensation received from each employer during a given year. To qualify for
this exemption you must enter your date of birth in the space provided. Also, you must attach a copy of all Federal
Form W-2s received for the year.
If Line 8 is negative, this indicates any amount due. Contact this office for instructions on remitting the underpayment.
Mail return: Lexington-Fayette Urban
County Government
Division of Revenue
P.O. Box 14058
Lexington KY 40512
Phone: (859)258-3340
Email: Revenue@lexingtonky.gov