Net Profit License Fee Return - Mccracken County Tax Administrator Form - Kentucky

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MCCRACKEN COUNTY TAX ADMINISTRATOR

NET PROFIT LICENSE FEE RETURN

***This form is due on or before April 15 and must be completed in its entirety. If Account number is omitted, this form will be returned to

you. If address change applies, you must check the address change box.***

CHECK IF ADDRESS CHANGE

AMENDED RETURN

NO ACTIVITY

ACCOUNT NO.

FEDERAL I.D. OR SSN

Name

FOR YEAR ENDING

Contact

Address

State

City

Zip

Phone No.

Extension

Fax No.

CHECK IF "FINAL RETURN" Date Operations ceased

(Required to close account.)

* ALL LICENCEES MUST ANSWER THE QUESTIONS BELOW *

Principle business activity:

Principle owner/administrative officer:

Address:

Was business activity discontinued?

When?

For Dissolution

or Sale/Transfer?

If sale / transfer state sucessor

Name and Address:

Did you make payments in the sum of $600.00 or more to any individual for services rendered in this

YES

County other than an employee? IF YES, YOU ARE REQUIRED TO FILE COPIES OF FEDERAL FORM 1099.

* ALL LICENCEES MUST COMPLETE PAGE 2 OF THIS FORM BEFORE COMPLETING THIS SECTION *

20.

Enter ADJUSTED NET PROFIT (From line 15 on the back of this form):

21.

Enter percentage from Line 18 or 19 (if applicable)

22.

Net Profits Allocation (Line 20 X Line 21) (if no apportionment use line 20 figure)

23.

McCracken County License Fee (Line 22 X 1 %)

24.

Credits: Estimated Payments

Business License paid to City of Paducah during fiscal year above

25.

City License Fee (Non-refundable)

26.

Balance of License Fees Due (Line 23 minus Line 24)

27.

Penalty - 5 % per month, not to exceed 25% - Minimum $25

Penalty due on amount owed from original due date, unless full estimated payments were made

If payment not made by extension date, penalty will be calculated back to original due date

28.

Interest -

1 % per month

Calculate interest on amount owed on Line 26 from original due date.

29.

Total amount due (Add lines 26, 27, & 28)

30.

Overpayment

Refund

I hereby certify, under penalty of perjury, that the statements made herein and any supporting schedules are true, correct, and complete to the best of my knowledge.

Preparer Signature (Return must be signed.)

Date

Taxpayer Signature (Return must be signed.)

Date

Print Name

Federal ID

Print Name

Address

Phone No.

Title

Social Security No.

If you have any questions concerning this form visit or call (270)444-4722