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Get KY DoR 42A803(D) K-3 2019-2024

42A803 D 4-08 AMENDED EMPLOYER S RETURN OF INCOME TAX WITHHELD Commonwealth of Kentucky DEPARTMENT OF REVENUE NAME AND ADDRESS K-3 FOR OFFICIAL USE ONLY AMENDED RETURN Period Beginning Period Ending Return Due Account No. A As Originally Reported or Adjusted B Correct Amount Total Number of Employees This Period B Correct Amount 1. Total wages paid this period. 2. Kentucky income tax withheld ANNUAL RECONCILIATION 3. Previous period adjustments or credits. paid for the year. 4. Net tax due. Period 10. Total Kentucky income tax withheld as shown on K-2s. Col* A Monthly Payments 5. Penalty see instructions. 6. Interest see Col* B Payments Monthly By Quarter Payments Jan* Feb. Mar* Apr* May 1st June 2nd July Aug. Sept. 3rd Oct. Nov* Dec* 11. Total line 11 must equal line 10. By Quarter 7. Total penalty and interest line 5 plus line 6. 8. Total amount due Refund requested 2nd Credit forward to EXPLANATION OF CHANGES I declare under the penalties of perjury that this return has been examined by me and to the best of my knowledge and belief is a true correct and complete return* SIGN HERE SIGNATURE TITLE DATE Remit total amount due. Make check payable to Kentucky State Treasurer. Mail to Department of Revenue Frankfort Kentucky 40619. Total wages paid this period. 2. Kentucky income tax withheld ANNUAL RECONCILIATION 3. Previous period adjustments or credits. paid for the year. 4. Net tax due. Period 10. Total Kentucky income tax withheld as shown on K-2s. Col* A Monthly Payments 5. paid for the year. 4. Net tax due. Period 10. Total Kentucky income tax withheld as shown on K-2s. Col* A Monthly Payments 5. Penalty see instructions. 6. Interest see Col* B Payments Monthly By Quarter Payments Jan* Feb. Mar* Apr* May 1st June 2nd July Aug. Penalty see instructions. 6. Interest see Col* B Payments Monthly By Quarter Payments Jan* Feb. Mar* Apr* May 1st June 2nd July Aug. Sept. 3rd Oct. Nov* Dec* 11. Total line 11 must equal line 10. By Quarter 7. Total penalty and interest line 5 plus line 6. Sept. 3rd Oct. Nov* Dec* 11. Total line 11 must equal line 10. By Quarter 7. Total penalty and interest line 5 plus line 6. 8. Total amount due Refund requested 2nd Credit forward to EXPLANATION OF CHANGES I declare under the penalties of perjury that this return has been examined by me and to the best of my knowledge and belief is a true correct and complete return* SIGN HERE SIGNATURE TITLE DATE Remit total amount due. 8. Total amount due Refund requested 2nd Credit forward to EXPLANATION OF CHANGES I declare under the penalties of perjury that this return has been examined by me and to the best of my knowledge and belief is a true correct and complete return* SIGN HERE SIGNATURE TITLE DATE Remit total amount due. Make check payable to Kentucky State Treasurer. Mail to Department of Revenue Frankfort Kentucky 40619. Total wages paid this period. 2. Kentucky income tax withheld ANNUAL RECONCILIATION 3. Previous period adjustments or credits. paid for the year. 4. Net tax due. Period 10. Total Kentucky income tax withheld as shown on K-2s. Col* A Monthly Payments 5. Penalty see instructions. 6. Interest see Col* B Payments Monthly By Quarter Payments Jan* Feb. Mar* Apr* May 1st June 2nd July Aug.

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