Net Business Profits License Fee Return Form - City Of Russell - License Fee Division

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CITY OF RUSSELL – LICENSE FEE DIVISION
P.O. BOX 473
RUSSELL, KY 41169-0473
606 833-9555
NET BUSINESS PROFITS LICENSE FEE RETURN
FOR THE CALENDAR YEAR ___________
OR OTHER TAX YEAR BEGINNING _______________, 20____ AND ENDING _______________, 20____
th
th
Due date is the 15
of the 4
month following the close of the tax year
Company Name
Federal ID Number
Trade Name (If different)
Type of Entity
Mailing Address
Principal Business Activity
City, State, Zip
Date Business Commenced
Street Address (If different)
Telephone Number
City, State, Zip
Tax Matters Person
21.
Individuals, Partnerships, Corporations – Enter “Adjusted Net Profit” from Line 16
22.
Enter Percentage from Line 20
23.
Net profits subject to license fee (Line 21 x Line 22)
24.
License fee – Greater of 7/8% (.00875) of line 23 or minimum annual fee ($100.00)
25.
Credit of minimum annual license fee
26.
Overpayment from 20____ allowed as credit
27.
20____ estimated license fee payments
28.
Total Credits (Add Lines 25 through 27)
29.
License fee due (Subtract Line 28 from Line 24)
30.
Penalty @ 10%
31.
Interest @ 8% per annum
32.
TOTAL BALANCE DUE (Add Lines 29 through 31)
33.
OVERPAYMENT (Subtract Line 28 from Line 24)
34.
Enter amount of line 33 you want credited to 20____ estimate
35.
Refund (Subtract Line 34 from Line 33)
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief it is true, correct, and complete. Declaration of preparer (other than licensee) is based on all information of which preparer has
any knowledge.
Please
Sign
Here
__________________________________________________________ ________________________________ __________________
Signature of Officer
Title
Date
Preparer’s
__________________________________________________________ ________________________________ __________________
Signature of Preparer
Title
Date
Use
Only
________________________________________________________________________________________________________________
Firm’s Name and Address

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