FORM NP
City of Henderson
PO Box 671
Henderson, KY 424190671
DUE APRIL 15TH OR THE 15TH DAY
OCCUPATIONAL LICENSE TAX
OF THE 4TH MONTH FOLLOWING
NET PROFIT RETURN
THE CLOSE OF THE FEDERAL TAX
YEAR
Name
FOR YEAR ENDED
Address
MONTH
DAY
YEAR
City, State & Zip
ACCOUNT NUMBER
Phone: (270) 8311290, ext. 229 or (270) 8311200
No Activity
Place Check Mark in Box if there was No Activity
Final Return (Check only to make account inactive. Complete questions H & I)
ALL LICENSEES MUST ANSWER QUESTIONS BELOW:
A.
Principal business activity
B.
What is your Social Security # (If any)
C.
Your Federal Identification # (If any)
D.
Home phone
Business phone
E. Principal Corporation Administrative Officer
Address
F.
Did you file a Consolidated Federal Return?
Yes (If yes, see instructions)
No
G.
Was there a change in ownership during the year?
Name and address of new owner
Yes
No
H. Did you cease doing business within the City of Henderson during the last year and anticipate no further operations?
Yes (If yes, check the box "Final Return" and provide date operations ceased)
No
I.
Did you have any employees regularly working in Henderson?
Yes (If yes, how many?)
No
Form 060504
Rev. 11/27/2006