Form W-1 Kjda - Employers Quarterly Return Of Occupational License Fees Withheld Claiming The Kentucky Jobs Development Authority Credit

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FORM W-1
KJDA
EMPLOYERS QUARTERLY RETURN OF OCCUPATIONAL LICENSE FEES WITHHELD
CLAIMING THE KENTUCKY JOBS DEVELOPMENT AUTHORITY CREDIT
CITY OF LOUISVILLE, JEFFERSON COUNTY, MASS TRANSIT AND SCHOOL BOARDS
COLLECTION AGENT: LOUISVILLE/JEFFERSON COUNTY METRO REVENUE COMMISSION
TH
101 S 8
STREET LOUISVILLE, KY 40202-2601
PHONE: (502) 574-4860
FAX: (502) 574-4818
ACCOUNT#
QUARTER ENDED
DUE DATE
REMIT TO: PO BOX 35410 LOUISVILLE, KY 40232-5410
QUARTERLY WAGES
TAX DUE
1.GROSS WAGES-CITY OF LOUISVILLE
1
X 1.25%
2.LESS KY. JOBS DEVELOPMENT WAGES EARNED IN
LOUISVILLE
2
X .5%
3.NET LOUISVILLE WAGES (LINE 1 - 2)
3
4.GROSS WAGES-JEFFERSON COUNTY
4
X 1.25%
5.LESS KY. JOBS DEVELOPMENT WAGES EARNED IN
JEFFERSON COUNTY
5
(1)
6.NET JEFFERSON COUNTY WAGES (LINE 4 - 5)
6
7.COMBINED LOUISVILLE & JEFFERSON COUNTY WAGES
(LINE 1 + 4)
7
X .2%
8.LOUISVILLE & JEFFERSON COUNTY WAGES EARNED BY
NON-RESIDENT EMPLOYEES
8
9.LOUISVILLE & JEFFERSON COUNTY WAGES EARNED BY
RESIDENT EMPLOYEES (LINE 7 - 8)
9
X .75%
(1)
RATE CALCULATION
10. TOTAL TAX DUE (LINE 3 + 6 + 7 + 9)
JEFFERSON COUNTY
.5%
JEFFERSONTOWN
.2775%
SHIVELY
.2775%
11. INTEREST & PENALTY
ST. MATTHEWS
.3125%
WEST BUECHEL
.3125%
12. TOTAL DUE (LINE 10 + 11)
RECONCILIATION
A.
B.
C.
13. TOTAL DEPOSIT FOR THE QUARTER
ST
ND
RD
AMOUNT DUE 1
MONTH
AMOUNT DUE 2
MONTH
AMOUNT DUE 3
MONTH
14. ADDITIONAL PAYMENT DUE
THIS IS TO CERTIFY THAT THE INFORMATION SHOWN ON THIS RETURN IS
TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
15. OVERPAYMENT-CREDIT REQUESTED
AUTHORIZED SIGNATURE
TITLE
«Merge Record #»
THE BACK OF THIS FORM MUST BE COMPLETED AND SIGNED BY THE CHIEF FINANCIAL OFFICER

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