Application For Extension Of Time To File Net Profit License Fee Return - City Of Owensboro And Daviess County Fiscal Court
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1CITY OF OWENSBORO AND DAVIESS COUNTY FISCAL COURT
APPLICATION FOR EXTENSION OF TIME
TO FILE NET PROFIT LICENSE FEE RETURN
_________________________________________________________________________________________________________
Name
Occupational License Account Number/Federal ID Number
Has your organization
___________________________________________________________________________
currently requested an
Number and Street or P. O. Box
extension of time to file
with the Internal
___________________________________________________________________________
Revenue Service?
City, State and Zip Code
Yes
No
___________________________________________________________________________
An automatic 6 month extension of time is hereby requested to file the Net Profit License Fee Return of the organization named
above for the taxable year beginning ___________________ and ending ___________________. (Extension cannot be granted for
more than 6 months.)
State in detail the reason the extension of time to file is needed…......................................................................................................
…......................................................................................................................................................................................................
.........................................................................................................................................................................................................
$
$
CITY OF OWENSBORO
DAVIESS COUNTY
(IMPORTANT: READ INSTRUCTIONS REGARDING PAYMENTS BELOW.)
SIGNATURE
Under penalties of perjury, I declare that I am authorized to make this application for the above named organization, and that to the
best of my knowledge and belief the statements made herein are true, correct and complete.
_____________________________________________
________________________
________________
Signature and phone number
Title
Date
INSTRUCTIONS:
PAYMENTS: Any payment made with the extension request must specifically identify the amount being paid on behalf of each
jurisdiction. If the payment breakdown is not specified the Occupational Tax Administrator will determine allocation to the account.
Overpayment of license fee to the City of Owensboro will not be allowed to offset any underpayment of license fee to Daviess County.
Overpayment of license fee to Daviess County will not be allowed to offset any underpayment of license fee to the City of Owensboro.
DUE DATE: The Occupational Tax Administrator has the authority to extend the time for filing the net profit license fee return,
provided the extension request is made on or before the required due date of the return.
INTEREST: If the Occupational Tax Administrator grants an extension of time for filing a return, any balance unpaid when payment
is due, without regard to extension granted, shall bear interest at the rate of one (1) percent per calendar month or fraction of month.
UNTIMELY REQUEST: An extension will be granted for a request received after the original due date of the return; however,
penalties will be assessed from the due date of the return to the date the extension request is received.
LENGTH OF EXTENSION: No single extension of time for filing a net profit license fee return shall be granted for more than six
(6) months from the original due date.
MAIL TO: OCCUPATIONAL TAX ADMINISTRATOR
TELEPHONE NUMBER (270) 687-5600
PO BOX 10008
FAX TELEPHONE NUMBER (270) 687-8526
OWENSBORO, KY 42302-9008
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