Amount
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10. Total No. employees subject to Marion Co. license fee this quarter 11. Summary of monthly payments Date Paid 12. TOTAL (to line 6)  

Return for quarter ended

Signature______________________Title____________________

 INSTRUCTIONS

 EMPLOYER'S QUARTERLY RETURN

MARION COUNTY OCCUPATIONAL LICENSE FEE WITHHELD
                                     
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mployer's Name and Address:
MARION COUNTY                                                   MCT FORM 6Q                                         1.    Total salaries, wages, commissions, and other compensation paid employees this quarter 2.    Amount included in line 1 which was paid for services outside of Marion County 3.    Compensation subject to Marion County license fee (line 1 less line 2) 4.    Marion County license fee payable (1% of line 3) 5.    Monthly payments made (from item 12) 6.    Balance due with this return (line 4 less line 5) 7.    Penalty (See instruction - line 7) 8.    Interest (12% per annum) 9.   Total amount due (sum of lines 6, 7, and 8) E ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Tax ID # I declare that to the best of my knowledge this is a true, correct, and complete return.                                                                                                          Date Signed_________________ Make checks payable and mail return to Marion County Treasurer, 223 N. Spalding Ave., Suite 201, Lebanon, KY  40033                                                                           The return is for a period of three calender months ended March 31, June 30, September 30, or December 31 and is due on or before the last day of the month following the end of the quarter. Line 1: Enter total compensation paid during the quarter, regardless of when or where earned. Line 2: Enter the amount included in line 1 which represents payment for services performed or work done outside Marion County.  The            employer must maintain adequate records to substantiate this amount. Line 5: Summarize monthly payments (if required) made this quarter in item 11: transfer total to line 5. Line 7: A penalty of 5% is imposed for each month or fraction thereof after the due date of the return during which the license fee            remains unpaid (not to exceed 25%, minimum $25). Line 8: Interest accrues on unpaid license fees at a rate of 12% per annum from the due date of the return until paid. More detailed information may be obtained from the Marion County Treasurer, 223 North Spalding Ave., Suite 201, Lebanon, KY 40033