PDF document
- 1 -

Enlarge image
     Phone No. (270) 842-7168      WARREN COUNTY SCHOOLS OCCUPATIONAL TAX                                                                                            Fax No. (270) 842-3411 
                                   303 LOVERS LANE, BOWLING GREEN, KY 42103 
                                                                            www.warrencountyschools.org 
                                   QUARTERLY OCCUPATIONAL TAX RETURN 
           ACCOUNT NUMBER                                            QUARTERENDING                                DUE DATE 

CHECKS SHOULD BE MADE PAYABLE TO:                                     WARREN COUNTY PUBLIC SCHOOLS 
MAIL ALL PAYMENTS AND RETURNS TO:                                     WARREN COUNTY SCHOOLS OCCUPATIONAL TAX 
(including ZERO returns)                                               QUARTERLY TAX RETURNS 
                                                                      PO BOX 9001252 
                                                                      LOUISVILLE, KY40290-1252                    
                                                                                                                  FEDERAL ID 
 1.) Total Number of Paid Employees……………………………………………….. 
 2.) Total GROSS Wages, Tips, Other Compensation (see instructions below) ………….                                   OR SSN 

 3.) Less GROSS Non-Resident Wages and/or Services Outside Warren County,KY 
                                                                                                                  ***W-2’s on ALL Employees 
 4.) Taxable Compensation (Subtract Line 3 from Line 2) ……………………………………                                     $ 0.00                                                                         th
                                                                                                                  are due by February 28 *** 
 5.) Total Tax Due (Line 4 X .005) ……………………………………………………………..                                             
                                                                                                                  (The “Annual Reconciliation of License 
 6.) Credit/Adjustment (see instructions below) …………………………………….………                                                Fee/Tax Withheld” Form, to be returned 
                                                                                                                  with W-2’s, can be found on our website at 
 7.) Penalty @ 5% per month (not to exceed 25%, MINIMUM $25.00) ……………………                                          http://www.warrencountyschools.org/
                                                                                                                       Content/tax-office-main 
 8.) Interest @ 1% per month on Unpaid Balance after the Original Due Date…….                                     th
                                                                                                                  4  QUARTER RETURNS ARE DUE BY
 9.) TOTAL AMOUNT DUE ………………………………………………………                                                                $ 0.00        JANUARY 31 .st
                                                                                                                                                                              
                                   RETURN MUST BE SIGNED AND RETURNED WITH PAYMENT 
                    I hereby certify, under penalty of perjury, that the statements made herein are true, correct and complete to the best of my knowledge. 

Signature __________________________________ Date______________________  Title___________________________________ 
Printed Name_____________________________________                              Phone #__________________________________ 
                                   If mailing address has changed, please indicate by making corrections above 
Final Return____ NO ____ YES      If Final: Date Closed __________ Date Sold_________                                    NOTICE: 
                                                                                                                  The Warren County Schools Occupational Tax 
If business was sold, please provide the name/address of new ownership:                                           should be filed separately from the City of 
                                                                                                                  Bowling Green and the Warren County 
                                                                                                                         Government.
              WARREN COUNTY SCHOOLS QUARTERLY OCCUPATIONAL TAX RETURN INSTRUCTIONS 
Line 1- Enter the total number of persons employed in Warren County. 
Line 2- Enter total GROSS salaries and wages for all employees in Warren County. Total should include deferred compensation contributed by employee, welfare benefit,  
           fringe benefit, or benefit plan payments contributed by employee. 
Line 3- Enter GROSS salaries and/or wages for Non-Resident employees (residents that do not reside in the Warren County School District or Wages Earned Outside  
           Warren County), per Warren County School District Ordinance Section 3 Subsection 1. 
Line 4- Total GROSS Wages less employee wages of non-residents and wages earned outside Warren County.  Per Warren County School District Ordinance Section 3  
           Subsection 1. 
Line 5- Multiply total wages subject to tax by .005. 
Line 6- Enter credit or adjustments (from an amended return if applies).  Amended returns must be filed in order to receive credit/adjustment.  All supporting documents of  
           credit should be included.  Your tax credit may be refunded or applied to your next quarter. 
Line 7- Add penalty- If business entity fails to file the quarterly return, or fails to pay the tax due on the quarterly return, on or before the due date, then multiply the balance due 
           by 5% per month or fraction thereof.  The total penalty does not exceed 25% of total tax due; however, it shall not be less than $25.00.  (No Exceptions) 
Line 8- Add interest at the rate of 1% per month on the unpaid balance due. 
Line 9- Enter your Total Tax Due. 
                              Form MUST be filed even if you had no employees or paid no wages during this period. 
     ALL INFORMATION MUST BE COMPLETE AND PAYMENT MUST BE ENCLOSED OR THE QUARTERLY WILL BE 
                                                     RETURNED AND CONSIDERED DELINQUENT. 






PDF file checksum: 848270643

(Plugin #1/8.13/12.0)