Occupational Business License Application Form (Page 2 of 3) in pdf

7. I DENTI FI CATI ON NUM BERS

Enter any of the following identification numbers which apply to your company:

FEDERAL EMPLOYER I.D. NUMBER ________ - _______________________

SOCIAL SECURITY NUMBER (If you are sole proprietor)

8. PAYROL L WI THHOL DI NG FEE

A.) Will you have employees working in the corporate city limits of Owensboro? ____ YES ____ NO

B.) Will you have employees working in Daviess County, outside the corporate city limits of Owensboro? ____ YES ____ NO

C.) First Date Wages/Other Compensations are to be paid to employees:

The City of Owensboro assesses a withholding fee of 1.33% of the compensation paid to employees while they are

working within the city limits. Daviess County assesses a withholding fee of .35% of the compensation

paid to employees while they are working in Daviess County, outside the corporate city limits of the City

of Owensboro. It is the responsibility of each employer to withhold these fees and submit them on the required periodic basis.

For the first year after registration the withholdings for either jurisdiction will be remitted by the employer on a quarterly basis.

The employer will be notified of any change from the quarterly filing status. Forms for submitting the employee

withholdings will be mailed to the employer well in advance of the applicable due dates. If you wish to have the

withholding forms sent to an address other than that listed in Item No. 2 on page 1 of this application, please indicate below:

NAME

ADDRESS

9. BUSI NESS ACTI VI TY

Business Activity within the City of Owensboro or Daviess County occurs when a business generates sales revenue or

receipts from the sale, lease, or rental of goods, services or property within either jurisdiction and/or is paying compensation

to employees working within the jurisdiction(s). NOTE: Sales revenues or receipts generated within the corporate city limits

of Owensboro constitutes business activity in the City of Owensboro. Sales revenues or receipts generated in Daviess

County, outside the corporate city limits of Owensboro, constitutes business activity in Daviess County.

A.) Will you or have you conducted business activity in the City of Owensboro: ______ YES ______ NO

B.) Indicate the date business activity began or will begin in the City of Owensboro: _____/_____/_____

C.) Will you or have you conducted business activity in Daviess County: ______ YES ______ NO

D.) Indicate the date business activity began or will begin in Daviess County: ____/____/____

E.) Is Business in Owensboro/Daviess County to be: ______Permanent ______ Temporary

If temporary, give approximate dates of activity :

F.) Is business classified as non-profit for federal tax purposes: __________ YES

___________ NO

10. TYPE OF BUSI NESS ACTI VI TY

A. Check appropriate business classification:

Agriculture, Forestry, Fishing

Wholesale Trade

Mining

Retail Trade

Construction

Insurance & Real Estate

Transportation & Public Utilities

Manufacturing

Services

Public Administration

B. Give brief description of primary business activity:

Occupational Business License Application Form Page 2

Related Articles

Related forms

Related Categories