Business Privilege License/gross Receipts License Fee Return Form

Business Privilege License/gross Receipts License Fee Return Form - City Of Radcliff Page 2

Apportionment

COLUMN A

COLUMN B

COLUMN C

Factors:

Radcliff Jurisdiction All Jurisdictions

A/B=C

1. PAYROLL FACTOR

________________ _____________

__________%

Compensation paid to

employees

2. SALES FACTOR

________________ _____________

__________%

Adjusted gross receipts from

(From Line 11)

sales, rents, or services

3. Total Percentages (Add Lines 1 and 2)

__________%

4. Business Apportionment

*If the business had both a sales factor and a payroll factor,

__________%

(both factors must be greater than 0% to divide), then divide the total

percentages by two. However, if the business had either a sales factor or

a payroll factor, but not both, then enter the single factor percentage here.

PART A CON’T: TAXABLE GROSS RECEIPTS COMPUTATION

12. Business Apportionment % (if paying less than 100%

________________%

of gross receipts) (from PART B, Line 4)

13. TAXABLE GROSS RECEIPTS (Multiply Line 11 x

_________________

Line 12) (Enter Result Here and on PART C, Line 1)

PART C: LICENSE FEE COMPUTATION

1. Taxable Gross Receipts (From PART A, Line 11 or 13)

_________________

2. Business Category Rate

_________________

3. TOTAL LICENSE FEE DUE (Line 1 x Business

_________________

Category Rate)

4. Minimum Fee Due of $25 (If Line 3 is Less Than $25,

_________________

You Must Pay a Minimum Fee of $25)

5. Discount of 5% of License Fee (If Fee from Line 3 is

_________________

More Than $100 and Paid in Full 105 Days from the

Close of the Taxable Year, then Line 3 x 5%)

6. ADJUSTED LICENSE FEE DUE (After Discount)

_________________

*Deferred License Fee Option for Balances Over $100

(If Fee from Line 3 is More Than $100, Not Including

the $25 Minimum Fee, then Remaining License Fee May

be Split into Two Equal Payments) No Discount Taken

7. First Deferred Payment (Due 105 Days from the Close

_________________

of the Taxable Year) (Line 3 Minus $25 / 2 Plus $25)

8. Second Deferred Payment (Due 180 Days from the

_________________

First Deferred Payment Date) (Line 3 Minus Line 7)

9. PENALTY @ 5% per Month from Due Date with $25

_________________

Minimum (Not to Exceed 25% of Total License Fee)

10. INTEREST @ 1% per Month from Due Date

_________________

11. TOTAL AMOUNT DUE Including Penalty & Interest

_________________

Business Privilege License/gross Receipts License Fee Return Form - City Of Radcliff Page 2

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