|Purpose: To claim full or partial exemption from Richmond, KY withholding tax on wages paid by EKU.
Qualifications for exemption: If your WORK assignment is not geographically located in Richmond, you will be eligible for exemption from Richmond Occupational Tax. You cannot claim exemption from Richmond city tax based on where you live - exemption is derived from work address.
Duration: This form is effective only for current calendar year. No refunds will be processed for forms received in payroll after January 15th for the applicable calendar year!
Employee Section: Under a penalty of law, I declare that to the best of my knowledge this is true, correct, and complete document. Additionally, I realize it is my responsibility to notify the payroll office of any change in my status during the calendar year.