Application For City Of Louisville/jefferson County Occupational Tax Reporting Number - Louisville/jefferson County Metro Revenue Commission
Download a blank fillable Application For City Of Louisville/jefferson County Occupational Tax Reporting Number - Louisville/jefferson County Metro Revenue Commission in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For City Of Louisville/jefferson County Occupational Tax Reporting Number - Louisville/jefferson County Metro Revenue Commission with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Louisville/Jefferson County Metro Revenue Commission
th
101 S 8
Street, Louisville, KY 40202
Phone: (502) 574-4860
Fax: (502) 574-4818
O
ffice Hours 8:00 A.M.-5:00 P.M. Monday thru Friday
Application for City of Louisville/Jefferson County Occupational Tax Reporting Number
Every business or individual subject to the Occupational License Fee is required to complete this application and return it to the Louisville/Jefferson County Metro Revenue Commission.
According to an opinion (OAG 85-1) of the Kentucky Attorney-General, the responses which you make to questions 1,2,3 (type of work) and 5 below are to be provided to anyone upon request,
pursuant to the Kentucky “Open Records Law”.
PLEASE TYPE OR PRINT CLEARLY
Check One:
Individual
Partnership
(With earned income, self employed and not self-employed)
(Attach list of general partners names, home addresses and social security numbers)
Non-Profit Organization
Corporation
(Provide copy of authorization provided by the IRS)
(If LLP or LLC, check appropriate box for partnership or corporation. Attach list of corporate
officers names, home addresses and social security numbers.)
Association
S Corporation
1.
What is the legal name of the Individual, Partnership or Corporation that is applying for this number?
____________________________________________________________________________________________________________________________________
2.
What is your trade name?___________________________________________________________________________________________________________
3.
Describe the type of work you are doing or the business activity you are conducting:
_____________________________________________________________________________________________________________________________________
4.
5.
What is your mailing address?
What is your primary business address?
(Do not use PO Box)
Street Address:
Street Address:
City, State, Zip Code (provide 9 digits if available):
City, State, Zip Code (provide 9 digits if available):
Email Address:
Email Address:
(
)
Fax Number: (
)
(
)
Fax Number: (
)
Day Phone:
Day Phone:
6.
7.
What is your Louisville/Jefferson County business address?
What is your home address?
(Do not use PO Box)
(Do not use PO Box )
Street Address:
Street Address:
City, State, Zip Code (provide 9 digits if available):
City, State, Zip Code (provide 9 digits if available):
Email Address:
Email Address:
(
)
Fax Number: (
)
(
)
Fax Number: (
)
Day Phone:
Day Phone:
8. What is your e-mail address?________________________
9.
If Individual, S-Corporation, or Partnership, your year end is DEC. 31ST. Corporations must give tax year end:_____________________
Month Ending
-
-
10.
What is your Social Security Number? ___________________
___________________
__________________
(Applies to individuals only.)
-
11.
What is your Federal ID Number? ________________
_____________________________________________
(Applies to all corporations, partnerships, and
individuals with employees. If applied for, please provide as soon as it is received.)
12.
When did you or when will you either:
A) Start operating a business in the City of Louisville/Jefferson County?
B) First earn income in the City of Louisville/Jefferson County from which the proper amount of local tax was not withheld?
_____________________Month_____________________Day______________________Year
13
.
Is your income being earned in the corporate boundaries of the City of Louisville?
Check applicable box.
YES
NO
14.
Is your income being earned in Jefferson County outside the City of Louisville?
Check applicable box.
YES
NO
(If income is being earned in both the City and County, check yes for both questions 12 and 13.)
15.
When did you first pay or when do you anticipate first paying an employee(s) for work performed in the City of Louisville/Jefferson County.
(Do
not include contract labor.)
_____________________Month_____________________Day______________________Year
16.
Is your employee(s) working within the corporate boundaries of the City of Louisville?
Check applicable box.
YES
NO
17.
Is your employee(s) working in Jefferson County outside Louisville?
Check applicable box.
YES
NO
(If income is being earned in both the City and County, check yes for both questions 15 and 16.)
18.
If activity has stopped at the time you are completing this form, insert date stopped. Date:______________________________________________
19.
If business was obtained from a previous owner, or a change in the type of organization:
Give date of acquisition or change:
Date:_____________________________________________________
Give name of previous owner or organization:_________________________________________________________________________________________
Give former trade name if any:______________________________________________________________________________________________________
20.
Other Information (use back if necessary):____________________________________________________________________________________________
If Individual sign your name, If partnership signature of general partner, If corporation signature of corporate officer & title:
____________________________________________________ Title____________________________ Date____________________________
____________________________________________________
---OFFICE USE ONLY---
Print Name
Account Number
Revised 03/12/04
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For Employee Refund Of Occupational Taxes Withheld - Louisville/jefferson County Metro Revenue Commission
Legal
Application For Refund Of Gasoline And Special Fuel Taxes Form - West Virgonia Department Or Tax And Revenue - Internal Auditing Division - Excise Tax Unit
Business
Application For Certificate Of Registration Food And Beverage Tax Form - County Of Henrico, Virginia Department Of Finance
Financial
Application For Extension Of Time To File Income Tax Return - City Of Sharonville, Ohio Income Tax Office
Financial
Related Categories
Parent category: Financial