Net Profit License Fee Return Form
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1
2CITY NET PROFIT
CITY OF BOWLING GREEN, KY
LICENSE FEE RETURN
P.O. Box 1410
FOR
YEAR
ENDED
DUE ON OR BEFORE
Bowling Green, KY 42102-1410
(270) 393-3000
CITY OCCUPATIONAL ACCOUNT NUMBER
MAILING ADDRESS
S.S.# OR FED. I.D. #
MEMO TO TAXPAYER
***NOTICE***: Extension requests submitted
without an estimated payment will not be accepted.
See instructions on back of form.
PLEASE SEE INSTRUCTIONS ON BACK.
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COPY OF APPLICABLE
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FEDERAL RETURN
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OR SCHEDULE
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MUST BE ENCLOSED
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Fed. Sch. C (1040)
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Fed. Sch. E (1040)
Fed. 1041
Fed. 1065
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Fed. 1120
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FEDERAL RETURN
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SHOULD INCLUDE:
1.) Cost of Goods Sold Schedule
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2.) Schedule of “Other Deductions”
LLC’S SPECIAL INSTRUCTIONS
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LLC’S REPORTING INCOME
UNDER A SEPARATE CITY
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ACCOUNT MUST PROVIDE THAT
CITY ACCOUNT NUMBER FOR
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LICENSE FEE TO BE WAIVED
WITH THIS RETURN.
_________ . _________ %
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CITY ACCT# _______________.
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THIS RETURN MUST BE FILED
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BY THE ORIGINAL DUE DATE
TO AVOID PENALTIES.
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BUSINESS CLASSIFICATION
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(CHECK ONE):
4 CORPORATION 4 PARTNERSHIP
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4 INDIVIDUAL 4 FIDUCIARY 4 OTHER
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Date Business Activity Began In
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Bowling Green:____________________
Date Business Activity Ceased In
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Bowling Green:____________________
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MAKE CHECK PAYABLE TO:
CITY OF BOWLING GREEN
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MAIL OR DIRECT INQUIRIES TO:
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P.O. BOX 1410
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BOWLING GREEN, KY 42102-1410
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Phone (270) 393-3000
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I hereby certify that the statements made herein and in any supporting schedule are true, correct and complete to the best of my knowledge.
X_________________________________ _______________
X_________________________________ _______________
RETURN MUST
Signature of Individual Preparing Return
Phone
Signature of Taxpayer
Phone
BE SIGNED.
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