Business Privilege License/gross Receipts License Fee Return Form - City Of Radcliff

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BUSINESS PRIVILEGE LICENSE/GROSS RECEIPTS LICENSE FEE RETURN
th
City of Radcliff
Fee Return & Payment Due Date: 15
day of the
th
PO Box 519
4
month following the close of the taxable year
Radcliff, KY 40159-0519
(270)351-4714
Business Type (check one): _____Individual _____Partnership _____Corporation
*This return must be filed with a copy of your federal income tax return with
supporting schedules as follows: Individual (Form 1040 Schedule C and/or E);
Partnership (Form 1065 and Form 8825, if applicable); Corporation (Form 1120 or Form
1120S or Form 1120A and Form 8825, if applicable)
Calendar/Fiscal Year Ended: Mo._____________ Day______ Year_______
Business Name and Address:
___________________________________
___________________________________
___________________________________
___________________________________
Federal ID # or Social Security # _____________ Radcliff Account #____________
Category _____ Article # _____
Description _____________________________
If business activity was discontinued in the tax jurisdiction during the year, state when:
________________________. If business was sold, provide name and address of
successor:_____________________________________________________________
**Note: You must contact this office to finalize and close your account
PART A: TAXABLE GROSS RECEIPTS COMPUTATION
1. Gross Receipts from Form 1040 Schedule C
________________
2. Gross Receipts from Form 1040 Schedule E
________________
3. Gross Receipts from Form 1065
________________
4. Gross Receipts from Form 1120, 1120S, 1120A
________________
5. Gross Receipts from Form 8825
________________
6. Total Gross Receipts: (Add Lines 1 through 5)
________________
7. Gross Alcoholic Beverage Sales
________________
8. Returns, Allowances and Bad Debts
________________
9. Sales Tax
________________
10. Total Deductions (Add Lines 7 through 9)
________________
11. Adjusted Gross Receipts (Subtract Line 10 from Line 6)
________________
PART B: BUSINESS APPORTIONMENT COMPUTATION
*All licensees whose business operations were not conducted entirely in this taxing
jurisdiction must complete this part. Otherwise, you may skip to PART C.

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