Net Profits License Fee Return Form - Ohio County Kentucky Page 2
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1
2
3Make checks payable to:
Mail this form along with supporting schedules to:
Ohio Co. Occ. Tax Adm.
OHIO COUNTY OCCUPATIONAL TAX * P O BOX 185 * HARTFORD, KY 42347
(Detach Coupon Before Mailing)
Extension Request Coupon
ACCT NO.
NAME:
FOR YEAR ENDING
____________________
12 / 31 / - -
DUE DATE
04 / 15/ - -
Extension Payment $___________________
Account Credit
$____________________
OHIO COUNTY OCCUPATIONAL TAX
Mail To:
P.O. BOX 185
HARTFORD KY 42347
Signature
Date
Title
NP1 Rev 5/20/11
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