Enlarge image | FAYETTE COUNTY PUBLIC SCHOOLS Form 220-221-S Employer’s Return of Occupational License Tax Withheld for Schools 201 8 1. Subject Payroll $ OFFICE USE ONLY 2. Employee license tax withheld @0.5% $ Transaction Number 3. Balance Due $ 4. Credits (attach explanation) Account Number Period Ending Due Date $ 5. Interest - 1% per month or portion thereof $ 6. Penalty @5% per month or portion thereof, not to exceed 25%. Minimum penalty $25.00. Mail to: TAX COLLECTION OFFICE $ FAYETTE COUNTY PUBLIC SCHOOLS 7. Net payment due (Lines 3,4,5 and 6) $ P.O. BOX 55570 LEXINGTON, KY 40555-5570 I certify that the information is correct. Signature Date Make check or money order payable to Fayette County Public Schools or (FCPS). |