Region 4
- County Seat / Major City
- Anderson-Lawrenceburg
- Bath-Owingsville
- Bell-Pineville
- Bourbon-Paris
- Boyle-Danville
- Casey-Liberty
- Clark-Winchester
- Clay-Manchester
- Estill-Irvine
- Fayette-Lexington
- Franklin-Frankfort
- Garrard-Lancaster
- Harrison-Cynthiana
- Jackson-McKee
- Jessamine-Nicholasville
- Knox-Barboursville
- Laurel-London
- Lincoln-Stanford
- Madison-Richmond
- McCreary-Whitley-City
- Mercer-Harrodsburg
- Montgomery-Mt.-Sterling
- Nicholas-Carlisle
- Powell-Stanton
- Pulaski-Somerset
- Rockcastle-Mt.-Vernon
- Scott-Georgetown
- Wayne-Monticello
- Whitley-Williamsburg
- Woodford-Versailles
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