Form 228s-Ip - Questionnaire And Initial Reporting For An Occupational License Tax Account For Schools

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For Internal Use Only
QUESTIONNAIRE AND INITIAL REPORTING
Acct #
FOR AN OCCUPATIONAL LICENSE TAX ACCOUNT FOR SCHOOLS
Please complete this questionnaire and return it to the Tax Office by mail.
NON-PROFIT organizations will not be required to file Form 228-S, Net Profits Occupational License Tax Return,
provided a copy of a Federal letter of exemption is submitted to support the non-profit status.
1)
Business or trade name
2)
Local business address
3)
Home address
4)
Mailing address for forms if different
5)
Business phone #
Home phone #
6)
Email address
Web address
Sole proprietor
Partnership
Corporation
S Corporation
7)
Ownership
LLC/Sole prop.
LLC/Partnership
Non-Profit
Other
Name of owner(s), partner(s), or if a corporation, list officers and titles:
8)
9)
Social Security Number
Federal ID #
10)
Nature of business
11)
Do you have employees?
Yes
No
Date business started in Fayette County
12) Accounting period per federal income tax return:
Calendar Year
Fiscal Year (month/day)
13) Do you have any other business entities in Fayette County?
Yes
No
If "Yes", list the business name(s):
If applicable, name former owner:
My signature certifies that, to the best of my knowledge, the above information is true, accurate, and complete.
Signature
Title
Date
Mail Completed Form To:
Print Form
Fayette County Public Schools
% Division of Revenue
PO Box 14058
Reset Form
Lexington, KY 40512
Form 228S-IP
Revised 11-2006

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