This form is intended to assist the attorney in case preparation by providing the client with a form to be used in documenting all expenses and lost wages associated with the client's claim.
Kentucky Wage and Income Loss Statement
State:
Multi-State
Control #:
US-PI-0009
Format:
Word;
Rich Text
Instant download
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How to fill out Wage And Income Loss Statement?
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FAQ
To obtain your valid Kentucky Corporation/LLET account number, please contact the Department of Revenue at (502) 564-3306. To submit payment online, visit .
This form enables an employee to estimate the percentage of services performed in Kansas. This form must be filed with the employee's employer. Any substantial changes in the percentage of services performed in Kansas must be made within 10 days with the employer by completing a new form K-4C.
You may be exempt from withholding for 2021 if both the following apply: ? For 2020, you had a right to a refund of all Kentucky income tax withheld because you had no Kentucky income tax. liability, and. ? For 2021, you expect a refund of all your Kentucky income tax withheld.
Every employee who can claim an exemption from Kentucky withholding tax must furnish their employer a signed withholding exemption certificate on Form K-4 by the start of employment.
Form K-4 is only required to document that an employee has requested an exemption from withholding OR to document that an employee has requested additional withholding in excess of the amounts calculated using the formula or tables. If neither situation applies, then an employer is not required to maintain Form K-4.
The LLET may be calculated using the lesser of $0.095/$100 of Kentucky gross receipts or $0.75/$100 of Kentucky gross profits. A minimum tax of $175 applies regardless of the method used. Sole proprietorships and pass-through entities are exempt from state corporate income taxes.
Compute tax on wages using the 5% Kentucky flat tax rate to determine gross annual Kentucky tax. Divide the gross annual Kentucky tax by the number of annual pay periods to determine the Kentucky withholding tax for the pay period.
Purpose of the K-4 form: A completed withholding allowance certificate will let your employer know how much Kansas income tax should be withheld from your pay on income you earn from Kansas sources. Because your tax situation may change, you may want to re-figure your withholding each year.