CITY EMPLOYEE ANNUAL RECONCILIATION by mjg19956

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									            CITY OF JEFFERSONTOWN, KENTUCKY ▪ P.O. BOX 991458 ▪ JEFFERSONTOWN, KY 40269-1458
                        Phone (502) 267-8333 ▪ Fax (502) 267-0547 ▪ www.jeffersontownky.com

                                   CITY EMPLOYEE ANNUAL RECONCILIATION
      FOR CALENDAR YEAR                DUE ON OR BEFORE                         MEMO TO TAXPAYER


               CITY OCCUPATIONAL ACCOUNT NUMBER



In accordance with the City of Jeffersontown Ordinance Number 1227, Series 2007, any person employed within City
limits is subject to a 1% Occupational Tax on gross earnings. Please complete and remit the attached form as directed.
                            Reconciliation MUST be completed Regardless of Remittance

1. QUARTER ENDED MARCH 31, 2008 ►►►►►►►►►►►►►►►►►►► $

2. QUARTER ENDED JUNE 30, 2008 ►►►►►►►►►►►►►►►►►►►► $

3. QUARTER ENDED SEPTEMBER 30. 2008 ►►►►►►►►►►►►►►►►► $

4. QUARTER ENDED DECEMBER 31, 2008 ►►►►►►►►►►►►►►►►►                      $


5. TOTAL TAX REMITTED ON QUARTERLY RETURNS IN 2008 ►►►►►►►► $

6. TOTAL TAXES WITHHELD IN 2008 PER ATTACHED EMPLOYEE
                                                                          $
   STATEMENT ►►►►► ►►►►►►►►►►►►►►►►►►►►►►►►►

ANY DISCREPANCY BETWEEN THE AMOUNTS SHOWN ON LINES 5 AND 6 MUST BE FULLY EXPLAINED IN AN ATTACHED STATEMENT.
   W-2’S MUST BE PROVIDED FOR ALL EMPLOYEES (CURRENT AND FORMER) EMPLOYED DURING THE 2008 CALENDAR YEAR.
I hereby certify that this information is true and correct.



Signature                                                     Date


Print Name                                                    Title




                City of Jeffersontown, Kentucky
                P.O. Box 991458
                Jeffersontown, KY 40269-1458
                Attn: Revenue Department

								
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