Form MOLT-7 
                        Marshall County Occupational License Tax For Schools    
                                   Claim for Refund of Overpayment  
                            Return Form to:  MCBOE, Tax Office, 86 High School Road, Benton, KY 42025 
                                      www.marshall.kyschools.us  “Occupational License Tax” Link 
(270) 527-6759 phone                                                                                        (270) 527-0804 fax 
 
Name  ___________________________________  Address  ________________________________________ 
 
City    _________________________   State _________     Zip __________    County ____________________ 
 
Social Security Number _________________________       Phone Number _____________________________  
 
Employed By ___________________________________   Employer’s Federal ID #______________________   
   
Period In Which Applying For Refund  From ___________________ To ______________________________ 
 
Reason Applying For Refund __________________________________________________________________ 
 
__________________________________________________________________________________________ 
 
            COMPLETE SECTION I IF APPLYING FOR A TOTAL REFUND AS A NON-RESIDENT 
SECTION I. (W-2 AND PROOF OF RESIDENCY , i.e.  property tax bill, electric bill, etc., ARE REQUIRED FOR ALLREFUNDS)      
 
Tax Year ______________     Gross Wages $________________                  Refund Amount $______________ 
 
Tax Year ______________     Gross Wages $ ________________                 Refund Amount $______________ 
                                                                                           
                                                                           TOTAL REFUND $_________________ 
                     COMPLETE SECTION II IF APPLYING FOR A PARTIAL REFUND 
SECTION II.  (W-2 AND EVIDENCE OF NON-TAXABLE INCOME ARE REQUIRED) 
1. Total Gross Wages per W-2 Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
 
2. Marshall County Occupational License Tax for Schools Withheld. . . . . . . . . . . . . . . . . 
 
3. Total Number of Days Worked During the Year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
 
4. Total Number of Days Worked Outside Marshall County, Kentucky. . . . . . . . . . . . . .  
 
5. Percentage Worked Outside Marshall County, Kentucky (line 4 divided by line 3). . . . . . . . . .  
 
6. Wages Not Subject to Marshall County Occupational Tax for Schools (line 1 x  line 5). . . .  
 
7. Amount of overpayment to be refunded (Subtract Line 5 from Line 4) . . . . . . . . . . . . . . . . . . . . . 
 
             I hereby certify that the statements made herein and in any supporting schedules are true, correct, 
                                        and complete to the best of my knowledge. 
 
________________________________________________               __________________  
APPLICANT SIGNATURE                                            DATE 
 
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