Form 1206 - Annual Reconciliation Form - 2016
Download a blank fillable Form 1206 - Annual Reconciliation Form - 2016 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 1206 - Annual Reconciliation Form - 2016 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Boone County Fiscal Court
2950 Washington Street
PO Box 960
Burlington, KY 41005
Annual Reconciliation Form for 2016
Name:
Acct #:_____________________
dba:
FEIN/SSN:__________________
Address:
Due Date: February 28, 2017
You must attach copies of W-2
City, State, Zip:
Forms and supporting wage detail
TOTAL GROSS BOONE COUNTY WAGES
_______________
Boone County Board of Education Tax Withheld
Wages
Tax Withheld/Paid
# employees _________
st
1
Quarter
$______________
$______________
nd
2
Quarter
$______________
$______________
rd
3
Quarter
$______________
$______________
th
4
Quarter
$______________
$______________
TOTALS
$_______________
$______________
Total W-2 Wages Subject To This Tax per W-2’s $______________________ X .005 = $___________________
A. Difference between Quarterlies Remitted and W-2 Totals $__________________
Boone County Ordinance # 07-27 Tax Withheld
Wages
Tax Withheld/Paid
# employees _________
st
1
Quarter
$______________
$______________
nd
2
Quarter
$______________
$______________
rd
3
Quarter
$______________
$______________
th
4
Quarter
$______________
$______________
TOTALS
$______________
$______________
Total W-2 Wages Subject To This Tax per W-2’s $___________________ X .008 = $______________________
Total W-2 Wages Subject To KJDA/KBI Credit
$___________________ Credit $___________________
B.
Difference between Quarterlies Remitted and W-2 Totals $ ________________
Boone County Mental Health Tax # 07-26 Withheld
Wages
Tax Withheld/Paid
# employees:_________
st
1
Quarter
$______________
$______________
nd
2
Quarter
$______________
$______________
rd
3
Quarter
$______________
$______________
th
4
Quarter
$______________
$______________
TOTALS
$______________
$______________
Total W-2 Wages Subject To This Tax per W-2’s$___________________ X .0015 = $_____________________
C. Difference between Quarterlies Remitted and W-2 Totals $ ________________
# W-2’s attached
Summary: (A) + (B) + (C) _________________________
If difference is less than $5.00, nothing is to be paid or will be refunded. If greater than $5.00, please issue payment as appropriate
to avoid applicable penalties. If a refund is due you must amend the appropriate quarterly return to obtain a refund.
Signature:
Date:
Telephone # :
FEIN:
Form 1206
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal