THE CITY OF PADUCAH
2007 BUSINESS LICENSE 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.
PLEASE PRINT OR TYPE ALL ANSWERS
1. NAME OF BUSINESS______________________________________________________________________________________________________________________________
2. MAILING ADDRESS____________________________________________________________CITY________________________________STATE_______ ZIP________________
3. BUSINESS PHONE: (
) _______________________________
FAX: (
) _______________________________
4. OWNERSHIP
PROPRIETORSHIP
(OWNER’S & SSN)
___________________________________________________________________________
PARTNERSHIP
(PARTNER’S NAME & SSN)
___________________________________________________________________________
CORPORATION
(PRESIDENT’S NAME & FEIN)
___________________________________________________________________________
A. KENTUCKY SALES TAX #_________________________________________________
5.
(If yes please see withholding section on back)
DO YOU HAVE EMPLOYEES WORKING IN PADUCAH?
YES
NO
IF YES, UNDER WHAT COMPANY NAME IS PAYROLL PAID? _______________________________________
6. PADUCAH LOCATION (
) AND PHONE IF DIFFERENT FROM ABOVE_________________________________________
S
7. CALCULATIONS:
YOUR APPLICATION AND PAYMENT ARE DUE ON OR BEFORE APRIL 15. FAILURE TO
RENEW BY OCTOBER 15 WILL RESULT IN LEGAL ACTION BY FINANCE DEPARTMENT.
A. TOTAL GROSS RECEIPTS (
)
CALENDAR YEAR
A $________________________
SEE INSTRUCTIONS
RECEIPTS BASED ON PERIOD ________________ TO ______________ FISCAL YEAR
B. A
D
(SEE INSTRUCTIONS)
B $________________________
LLOWABLE
EDUCTIONS
SALES TAX
$_____________________
RETURNS
$_____________________
LIQUOR SALES
$_____________________
UNCOLLECTABLE
$_____________________
OUTSIDE CITY
$_____________________
B
FILL IN TOTAL DEDUCTIONS ON LINE
TO THE RIGHT
C. TOTAL GROSS RECEIPTS (
)
C $________________________
MINUS ALLOWABLE DEDUCTIONS
D. LICENSE FEE
UP TO $3,500,000 MULTIPLIED BY ___________________________
(LINE C MULTIPLIED BY RATE)
(EXCESS MULTIPLIED BY .00005)
MINIMUM FEE _________________________
D $________________________
E. LATE PAYMENT PENALTY _____ PER CENT OF FEE (
)
E $________________________
SEE INSTRUCTIONS
F. TOTAL DUE
MAKE CHECK PAYABLE TO
CITY OF PADUCAH
F $________________________
(LINE D+E)
AND MAIL TO
P O BOX 2697
PADUCAH, KY 42002-2697
PHONE 444-8513
IF NO LONGER IN BUSINESS, ENTER CLOSING DATE
______/____
___/____
___
YOUR APPLICATION MUST BE SIGNED
RENEWAL DUE ON OR BEFORE A
PRIL 15
I AFFIRM THAT THIS RETURN (INCLUDING ANY ACCOMPANYING STATEMENTS) HAS BEEN EXAMINED
BY ME, A
ND 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
NAME/PREPARED BY
DATE
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.