Fillable Form 220-221-S: Employers Return of Occupational License Tax

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Form 220-221-S: Employers Return of Occupational License Tax

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FAYETTE COUNTY PUBLIC SCHOOLS
Employer’s Return of Occupational License Tax Withheld for Schools
Form 220-221-S
2021
Account Number Period Ending Due Date
TAX COLLECTION OFFICE
FAYETTE COUNTY PUBLIC SCHOOLS
P.O. BOX
55570
LEXINGTON, KY 40555-5570
Mail to:
1. Subject Payroll
2. Employee license tax withheld @0.5%
3. Balance Due
4. Credits (attach explanation)
5. Interest - 1% per month or portion thereof
6. Penalty @5% per month or portion thereof, not to
exceed 25%. Minimum penalty $25.00.
7. Net payment due (Lines 3,4,5 and 6)
I certify that the information is correct.
$
Signature Date
OFFICE USE ONLY
Transaction Number
Make check or money order payable to Fayette County Public Schools or (FCPS).
$
$
$
$
$
$
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Form 220-221-S: Employers Return of Occupational License Tax

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Completed 30 June 2021

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