Reconciliation of Returns of Employer's Occupation License Fee Withheld

Taxpayer #*
Taxpayer Name*
First Last
Taxpayer Address*
Street Address Address Line 2 City State ZIP Code
Filed for Year
Due Date: January 1st
Delinquent Date: January 31st

TOTAL IRONDALE OCCUPATION LICENSE FEE WITHHELD AS SHOWN BY LINE 3 ON THE MONTHLY EMPLOYER’S OCCUPATION LICENSE FEE WITHHELD RETURN
1st Month*
2nd Month*
3rd Month*
4th Month*
5th Month*
6th Month*
7th Month*
8th Month*
9th Month*
10th Month*
11th Month*
12th Month*
Total Wages Paid in Year*
Total License Fees Remitted*
Total Number Employees in Irondale*
A SPREADSHEET DETAILING THE EMPLOYEE(S) NAME, SOCIAL SECURITY NUMBER, GROSS WAGE AMOUNT, AND ASSOCIATING OCCUPATIONAL LICENSE FEE WITHHELD MUST BE SUBMITTED.

PLEASE EMAIL THE SPREADSHEET ALONG WITH THE TAXPAYER ID TO REVENUE@CITYOFIRONDALEAL.GOV