Marshall County Occupational License Tax Form

Marshall County Occupational License Tax Form - 2010

MARSHALL COUNTY OCCUPATIONAL LICENSE TAX

Withholding Tax Reconciliation for 2010

2010

P.O. Box 114, Benton, Kentucky 42025

DUE ON OR BEFORE JANUARY 31, 2011

W/H Acct. ID No. _____________________

Instructions to Employers: List below, the name (alphabetically), address, and Social Security Number of all persons employed

by you in Marshall County during the 2010 calendar year. Show the total amount of wages, salaries, commissions and other

compensations paid each employee during this period, and the amount of MARSHALL COUNTY OCCUPATIONAL LICENSE TAX

withheld from all taxable employees. If additional space is needed for listings, use reverse side of this form or a plain sheet of

paper. Enter column totals and furnish summary of quarterly forms requested. Copies of W-2 forms or other type of alphabetical

listing are acceptable in lieu of the listing form below; however, totals should be entered on Line 3.

Col. 1

Col. 2

Social

Total

Occupational

Security

Name and Address of Employee

Earnings

Tax

Number

2010

Withheld

1. Total columns at right

2. Enter total from Page 2 and any additional pages

3. TOTAL OF LINES 1 AND 2

Summary of tax withheld and paid as reported for quarters ended:

March 31 $ _____________; June 30 $ _______________; Sept. 30 $ ______________; Dec. 31 $ _______________ =

TOTAL $ _______________

Please attach explanation if difference from total of Column 2 is more than minimal due to fractional variations.

Business Name ________________________________________________________________________________________________________

Business Address______________________________________________________________________________________________________

Signature _______________________________________________Title ______________________________Date_______________________

Marshall County Occupational License Tax Form - 2010