Fillable Return MUST be Completed Regardless of Remittance CITY (City of JEffersontown)

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Return MUST be Completed Regardless of Remittance CITY (City of JEffersontown)

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BROWSE CITY OF JEFFERSONTOWN (KY) FORMS

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CITY WITHHOLDING TAX
TAX PERIOD ENDING DUE ON OR BEFORE
CITY OCCUPATIONAL ACCOUNT NUMBER
BUSINESS NAME
AMENDED RETURN PAID BY CREDIT CARD/ACH
STANDARD TAX PAYMENT
L-1 PERIOD: MAR 31 · JUN 30 · SEP 30 · DEC 31 ► ► ► ► ►
Circle quarter and enter year.
L-2 TOTAL NUMBER OF LOCAL EMPLOYEES ► ► ► ► ► ►
L-3 TOTAL WAGES PAID DURING PERIOD ► ► ► ► ► ►►
Total salaries, wages, commissions & all other compensation paid.
L-4 TAX DUE FOR PERIOD* ► ► ► ► ►► ► ► ► ► ► ► ►
Line 3 x 1% Tax Rate = TAX DUE
*City tax must be withheld from 100% of wages.
PAST DUE PENALTY & INTEREST (If Applicable)
L-5 INTEREST ► ► ► ► ► ► ► ► ► ► ► ► ► ► ► ► ►
Line 4 x 1% per month due after due date = INTEREST
L-
6 PENALTY: ► ► ► ►► ► ► ►► ► ► ►► ► ► ►► ►
Line 4 x 5% per month, or fraction of month, not to exceed 25% of
tax liability = PENALTY.
L-7 TOTAL TAX DUE ► ► ► ► ► ► ► ► ► ► ► ► ► ► ►
Line 4 + Line 5 + Line 6 = TOTAL TAX DUE
Signature Date
Print Name Title
City of Jeffersontown, Kentucky
P.O. Box 991458
Jeffersontown, KY 40269-1458
Attn: Revenue Department
INFORMATION UPDATES & CORRECTIONS
Business Name or D/B/A
►
Business Description
►
Industry Type
(See 2007 NAICS
Table for Codes)
Federal I.D. Number
►
Phone Fax
► ►
Website
►
Primary Contact (CEO or Ocer)
►
E-mail
►
Secondary Contact / Payroll Provider
►
Business Ownership Change (If Applicable)
Date of Change Previous Owner
► ►
Former Trade Name
►
CITY OF JEFFERSONTOWN, KENTUCKY ▪ P.O. BOX 991458 ▪ JEFFERSONTOWN, KY 40269-1458
Phone (502) 267-8333 ▪ Fax (502) 267-0547 ▪ www.jeersontownky.gov
Return MUST be Completed Regardless of Remittance
Rev. January 7, 2021
1st Qtr - March 31st
2021
1st Qtr - April 30th
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Return MUST be Completed Regardless of Remittance CITY (City of JEffersontown)

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Completed 30 June 2021

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