Enlarge image | 512 MCLEAN COUNTY TAX ADMINISTRATOR EMPLOYER'S QUARTERLY RETURN OF LICENSE TAX WITHHELD If no wages were paid this period, mark "NONE", sign and return this form 1. Salaries, wages, commission & any compensation DID YOUR BUSINESS ACTIVITY CEASE IN MCLEAN COUNTY? paid all employees for services in McLean County YES _____ NO _____ 2. TAX DUE AT - 1.00% I hereby certify that the information, schedules, statements and exhibits filed herewith are true and correct. 3. LATE CHARGE PENALTY - 5% OR $25.00 MINIMUM 4. LATE CHARGE INTEREST - 1% PER MONTH Signed ________________________________________________ 5. BALANCE DUE Official Title ___________________________ Date ___________ FOR PERIOD ENDING Make checks payable and JOSH CONSULTING SERVICES INC Account No. Month Day Year mail to: MCLEAN COUNTY TAX YOGI 11 INC DBA MARATHON 05007 09 30 2021 ADMINISTRATOR 1051 PERIMETER DR STE 260 RETURN DUE ON OR BEFORE P.O. BOX 128 SCHAUMBURG IL 60173 Month Day Year CALHOUN KY 42327 10 31 2021 Phone: (270) 273-9170 WWW.MCLEANCOUNTY.KY.GOV Indicate any name or address change above Email: jedmonds@mcleanky.com *PLEASE MAKE A COPY OF THIS FORM FOR YOUR RECORDS.* |