FORM EQ-2 AMENDED EMPLOYER’S QUARTERLY RETURN OF LICENSE FEE WITHHELD 
 
                     CITY OF RICHMOND                           CITY OCCUPATIONAL ACCOUNT NUMBER 
                     FINANCE DEPARTMENT                         
                     P.O. BOX 1268 
                     RICHMOND, KY 40476-1268 
                     (859) 623-1000 
                     www.richmond.ky.us 
                     
 RETURN SERVICE REQUESTED 
 
Re:________________________________________ 
 
We are amending the quarter ending______________ 
For the above referenced company as indicated below: 
 
                                                                         NET CHANGE  
                                                  AS 
                                                                CORRECT  IF A DECREASE 
                                        ORIGINALLY 
                                                                AMOUNT   ENCLOSE IN 
                                        REPORTED 
RATE 2.00000 %                                                           BRACKETS 
Gross wages paid in                                                      
       quarter 
Taxes withheld                                                           
       quarterly 
                                                                         
Total tax due for quarter 

Tax paid with original return 

Refund 

Interest-12% per anum after due date                                     

Penalty-5% of tax due per month or                                       
fraction of the month not to exceed 
25% of total tax due however, not less 
than $25.00  
                                                                         
Additional tax due 
 
Reason for Adjustment:______________________________________________________________________ 
___________________________________________________________________ 
 
NAME________________________________TITLE____________________ PHONE______________ DATE______________ 

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