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INSTRUCTIONS
General Information
Any Employer paying compensation to employees working, or otherwise providing services, in
the City of Owensboro and/or Daviess County during any calendar year is required, by February
th
28 of the following year, to file the Employers’ Annual Reconciliation of License Fee Withheld,
(Form REC).
The employer must attach copies of all federal form W-2’s, including federal form W-3, or an
equivalent listing for all employees that had, or should have had, the license fee withheld from
their compensation. The W-2’s or equivalent listing must identify, by employee, the tax withheld
for each jurisdiction. The employer choosing to submit W-2’s must provide a separate employee
listing identifying employee elections made under a Section 125 “Cafeteria Plan”, plus elections
made to any other subject welfare, fringe and benefit plan, if such elections are not included in
Box 1 compensation on the W-2 or otherwise separately identified on the W-2. In addition, the
W-3 or equivalent listing must include group totals for employee’s wages and withholdings for
each jurisdiction.
If an employee listing is submitted in lieu of W-2’s, the listing must include the employee’s
name, address, social security number, total gross wages, social security wages, medicare wages,
federal taxable wages, local wages for each jurisdiction and the amount of license fee withheld
for each jurisdiction. The employee listing must also separately identify employee elections made
under a Section 125 “Cafeteria Plan”, plus elections made to any other subject welfare, fringe and
benefit plans, including deferred compensation plans.
Form REC, Employers’ Annual Reconciliation of License Fee Withheld, must be signed by the
person preparing the return.
Please note that the Employers’ Annual Reconciliation of License Fee Withheld titled
Daviess County Fiscal Court should include only information on employee’s compensation
earned in Daviess County, occurring outside the corporate city limits of Owensboro.
Likewise, the Employers’ Annual Reconciliation of License Fee Withheld titled City of
Owensboro should include only information on employee’s compensation earned inside the
city limits of Owensboro.
Part I – Withholding Payment Schedule
Indicate the payments made for each month or quarter based on the filing frequency required in
reporting license fee payments during the calendar year. Next, add together the amounts entered
for each applicable period and insert sum as Total Payments. Also, include the total number of
employees having information reported on this reconciliation.
Part II – License Fee Computation
Line 1 Enter Total Wages, Tips and other Compensation from Box 1 of Federal Form
W-2 or W-3.
Line 2 Enter any employee compensations contributed to a deferred compensation plan,
including any amounts contributed by an employee to any retirement, profit sharing, or
deferred compensation plan, which are deferred for federal income tax purposes,
including but not limited to salary reduction arrangements under Section 401(a),
401(k), 402(e), 403(a), 403(b), 408, 414(h), or 457 of the Internal Revenue Code.
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