Office Use Only
OCCUPATIONAL LICENSE SCHEDULE “A”
Account #:
License Yr.:
Charge #
__________________
Record Type:
Refer to instructions to determine base and rate (fee) to be used In Lines 21 thru 32.
Del. Date:
Class of License being applied for
License Year
Open Date for This License
COMPLETE ONLY ONE OF 21 THRU 25
.................................................................................
21. BUSINESS OPENED DURING THE PREVIOUS CALENDAR YEAR
$
Gross sales for remainder of calendar year .................................................................................
_____________________________________________________________
Less: Deductions (describe)
$
equals
$
____________________________ $ which divided by number of days in
Operation
________
___________________ which multiplied by 365 amounts to a taxable sales
days equal $
Of
$
____________
22.
BUSINESS OPENED LESS THAN 30 DAYS ............................................................................................................................................................
Tax due will be the minimum of applicable rate table.
23. BUSINESS OPENED MORE THAN 30 DAYS ........................................................................................................................................
Gross sales for first 30 days
$
_______________
Less: Deductions (describe)
_____________________________________________________________________________
$
________________ equals
$
________________ which multiplied by a number of months, or major
fraction thereof, remaining in year, _______________ months amounts to a taxable sales of
$
______________
24. BUSINESS OPENED BETWEEN DECEMBER 2 AND DECEMBER 31 ..............................................................................................
Gross receipts for remainder of calendar year ............................................................................
$
_______________
25. BUSINESS OPENED ON OR PRIOR TO JANUARY 1 OF THE PREVIOUS YEAR
Gross sales .......................................................................................................................................
$
_______________
Less: Deductions (describe)
_______________________________________________________________________
$
________________ equals taxable gross of
$
___________
26. LICENSE FEE/RATE DUE BASED ON TABLE
________________________
$
_______________
27. To be used by those occupations paying fee based on units, indicate numbers of seats, spaces, pool tables, etc.
Fee
Total For
Item
Number
Per Hem
This Item
TOTAL FEES BASED ON UNITS ..................................................... $
________________
28. CHAIN STORE TAX DUE (AS CALCULATED FROM CHAIN STORE TAX SCHEDULE ON PG. 8) ...............$
________________
29.
AMOUNT OF TAX DUE (LINES 26, 27 & 28).....................................................................................................$
________________
30.
PENALTY ...........................................................................................................................................................$
________________
31.
INTEREST............................................................................................................................................................$
________________
32.
TOTAL AMOUNT DUE ................................................................................. REMIT THIS AMOUNT
$
________________