Annual License Tax Application Form - 2017 printable pdf download

THE CITY OF PADUCAH, KY

2017 ANNUAL LICENSE TAX APPLICATION

GENERAL INSTRUCTIONS:

ALL ITEMS ON THIS APPLICATION MUST BE ANSWERED. FAILURE TO DO SO WILL DELAY THE PROCESSING OF YOUR APPLICATION

AND COULD RESULT IN A PENALTY CHARGE. INSTRUCTIONS ARE PROVIDED FOR YOUR ASSISTANCE.

Type of Business_________________________________________

Account Number:

PLEASE COMPLETE LINES 1-3 IF ANY CHANGES

1. NAME OF BUSINESS_________________________________________________________________________________________________________________

2. MAILING ADDRESS________________________________________________CITY__________________________STATE_______ZIP___________________

3. BUSINESS PHONE (

)__________________________________________

FAX(

)____________________________________________________

4. EMAIL ADDRESS____________________________________________________________________________________________________________________

5. OWNERSHIP:

PROPRIETORSHIP (OWNER’S SSN)

_________________________________________________________________________

(PARTNER’S NAME &SSN) ________________________________________________________________________

PARTNERSHIP

(PRESIDENT’S NAME & FIN) ________________________________________________________________________

CORPORATION

6. DO YOU HAVE W2 EMPLOYEES WORKING IN PADUCAH?

YES______

NO______

IF YES, UNDER WHAT COMPANY NAME IS PAYROLL PAID?____________________________________________________________

7. DO YOU HAVE 1099 EMPLOYEES WORKING IN PADUCAH? YES_____ NO______

(IF SO PLEASE ATTACH A COPY OF 1099’S)

8. PADUCAH LOCATION(S) AND PHONE NUMBER IF DIFFERENT FROM ABOVE_____________________________________________________________

9. DO YOU LEASE THE PROPERTY WHERE THE BUSINESS IS LOCATED?

YES_____ NO_____

IF YES, PROVIDE THE OWNER’S NAME________________________________________________________________________________

CALCULATIONS:

A. TOTAL GROSS RECEIPTS BASED ON PERIOD____________________TO___________________ CY OR FY

A $_______________________

B. ALLOWABLE DEDUCTIONS

SALES TAX

$____________________

RETURNS

$____________________

LIQUOR SALES

$____________________

UNCOLLECTIBLE $____________________

B $_______________________

OUTSIDE CITY

SEE INSTRUCTIONS FOR APPORTIONMENT

C. TOTAL GROSS RECEIPTS SUBJECT TO LICENSE FEE(LINE A minus line B) OR (total from line 6 of apportionment)

C $_______________________

D. LICENSE FEE

UP TO $3,500,000 MULTIPLIED BY

MINIMUM FEE _______

(LINE C MULTIPLIED BY RATE)

(EXCESS OF $3,500,00 MULTIPLY BY .00005)

D $_______________________

E. PENALTY_______PERCENT OF FEE (SEE INSTRUCTIONS)

E $_______________________

F. INTEREST_______PERCENT OF FEE (SEE INSTRUCTIONS)

F $_______________________

G. TOTAL DUE (ADD LINES D+E+F)

MAIL PAYMENT TO: CITY OF PADUCAH

G $_______________________

P O BOX 2697

PADUCAH, KY 42002-2697

IF NO LONGER IN BUSINESS, ENTER CLOSING DATE ______/_______/_______

I AFFIRM THAT THIS RETURN (INCLUDING ANY ACCOMPANYING STATEMENTS) HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS A

TRUE, CORRECT AND COMPLETE RETURN, MADE IN GOOD FAITH, PURSUANT TO THE ORDINANCE ADOPTED DECEMBER 2, 1947, AS AMENDED AND THE REGULATIONS

ISSUED UNDER AUTHORITY THEREOF.

___________________________________________________________

_________________________________________________

___________________

SIGNATURE OF OWNER/PARTNER/CORPORATE OFFICER

PREPARER

DATE

YOUR APPLICATION MUST BE SIGNED AND A COPY OF YOUR FEDERAL TAX RETURN AND SUPPORTING SCHEDULES MUST BE ATTACHED

THE CITY OF PADUCAH WILL NOT ISSUE A BUSINESS LICENSE TO ANY BUSINESS SUBMITTING AN APPLICATION THAT IS NOT

ACCOMPANIED BY THE CORRECT FEDERAL TAX FORM AND PROPER PAYMENT.

Annual License Tax Application Form - 2017

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