Form Np - Net Profit License Tax Return - City Of Henderson
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1
2City of Henderson/Henderson County Fiscal Court
FORM NP
Net Profit License Tax Return
Business Type
City/County Acct #
RESET Form
___ Individual
___ Corpora on
___ Partnership
___ LLC/Individual
Period Ending
___ LLC/Partnership
___ Other
If mailing address to the le has changed,
make any correc ons below:
Name and Address
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
____ Final Return. (Check only to inac vate the account in both jurisdic ons. Ques on C. must be completed.)
____ No ac vity in jurisdic ons during tax year. Account will remain ac ve. (Check only if no ac vity in both jurisdic ons.)
A.
Social Security # or Federal ID #: ________________________________ B. Business telephone: __________________________________________
C.
If business ac vity was discon nued within both jurisdic ons during the year, give the date business was discon nued: _______________. If business was
sold, enter name and address of successor: __________________________________________________________________________________________
D.
Did you have employees working in either jurisdic on during the year? ____ YES
____ NO
APPLICABLE FEDERAL FORM OR SCHEDULE(S) MUST BE ATTACHED
Make check payable and mail to:
Henderson Tax Administrator
Form 1099 Schedule E Schedule F Schedule K Schedule C or CZ
PO Box 671
Form 6252 Form 1065 Form 8825 Form 4797 Form 1120 or 1120S
Henderson, KY 42419-0671
TAX COMPUTATION
(See pages 3-6 of Instruc ons)
City of Henderson
Henderson County
COLUMN A
COLUMN B
1)
1. Enter the Adjusted Net Profit from Part 1, Line 17.
2. Enter the average alloca on percentage from Part II, Line 4.
2)
3. Taxable Net Profit. Mul ply Line 1 by Line 2.
3)
- $10,000
4)
4. Henderson County Exemp on.
5)
5. Adjusted Net Profit for Henderson County.
1%
1%
6)
6. Occupa onal License Tax Rate. (Henderson County Fiscal Filers, see Table A.)
7. Total License Tax Due. City of Henderson: Mul ply Line 3 by Line 6.
Henderson County: Mul ply Line 5 by Line 6.
7)
$25
$25
8)
8. Minimum License Tax.
9. Enter the larger amount from Line 7 or Line 8.
9)
For Henderson County only, if Line 7 exceeds $2,000, enter $2,000.
10. Es mated payments or credits.
10)
11. If Line 10 is larger than Line 9, difference is ____ Refund or ____ Credit.
11)
12. If Line 9 is larger than Line 10, difference is License Tax Due.
12)
13. Penalty: The greater of $25 or 5% per calendar month or frac on thereof, 25% maximum.
13)
14. Interest: 1% per calendar month or frac on thereof.
14)
15. Total Amount Due. (Add Lines 12, 13, and 14.)
15)
16. Total Payment Amount. (Add Line 15 Column A to Line 15 Column B.)
16)
RETURN MUST BE SIGNED—I hereby cer fy, under penalty of perjury, that the statements made herein and any suppor ng schedules are true, correct, and com-
plete to the best of my knowledge.
____________________________________________________________
______________________________________________________________________
Preparer’s Signature
Date
Taxpayer’s Signature
Date
(Form NP — Page 1 of 6)
(Revised 12/09/2016)
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