Revenue.ky.govForms62A300062A3000 (4 20 ORIGINAL TO: KY Department of Revenue ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. In column A, enter the FDIC certificate number for each branch as listed on the FDIC summary report.
  3. Under column B, input the name of each branch office that accepts deposits, including the main branch.
  4. For column C, provide the street address or rural route for each branch location.
  5. In column D, list the incorporated city name where each branch is located. If not within city limits, write 'N/A'.
  6. Enter net deposits for each city in column E (gross deposits minus non-taxable deposits).
  7. List the county name for each branch in column F.
  8. Finally, under column G, record net deposits for each county location. Ensure totals match line 17 of Revenue Form 62A863.

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