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The document is a reconciliation form for the Occupational License Fee withheld in Whitley County, Kentucky, for the year ending December 31, 2023. Employers who paid wages in Whitley County must file this form by February 28, 2024. It includes sections for reporting total gross payroll, payroll specific to Whitley County, and tax payments due each quarter. Additionally, it outlines how to reconcile payroll withholdings and requires an employee listing or copies of W-2s.

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Begin by entering your total gross payroll for the calendar year 2023 in Column A. This includes all wages, salaries, and commissions paid to employees.
In Column B, input the total payroll specifically for employees working in Whitley County during the same period.
Calculate the payment due each quarter based on the amount listed in Column B (1% of Column B) and enter this in Column C.
Total Columns A, B, and C. For Line 1, enter the total tax withheld as per W-2s. If any tax was paid but not withheld, add that amount on Line 2.
Add Lines 1 and 2 together for Line 3. Finally, subtract Line 3 from the total of Column C to determine any over or underpayment on Line 4.
Ensure you include an employee listing or copies of W-2s as required before submitting your form.

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