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LEXINGTON−FAYETTE URBAN COUNTY GOVERNMENT

NET PROFITS LICENSE FEE RETURN

2008

QUESTIONS (ANSWER FULLY)

Account Number

A. Nature of business

B. Date business started in Fayette County

Fiscal Year Ended

C. Did you have employees in Fayette County in 2008? Yes No

If yes, number of employees

Federal ID or SSN

D. Basis on which this return is prepared

Cash

Accrual

PLEASE NOTIFY THIS OFFICE OF ANY CHANGE IN OWNERSHIP

E. If organization was discontinued, state when

OR NAME AND ADDRESS SHOWN BELOW

Dissolution or

Sale If by sale, give name and address of successor

Partnership

F. Check:

Corporation

S−Corp

Individual Owner

Other

LLC − Check Federal Filing Status Above

G. Is the Business Entity an Affiliate of a Consolidated

Corporate Federal Return? No

Yes

(If Yes, See Instructions)

FILING STATUS

per Federal Return

WORKSHEET I (Federal Schedule C, Schedule E, Schedule F, and (or) 1099−Misc)

WORKSHEET P (Federal Form 1065 and Form 8825 if Applicable)

WORKSHEET C (Federal Form 1120 or 1120A or Form 1120S and Form 8825, if Applicable)

SECTION 1

CALCULATION OF LICENSE FEE LIABILITY

Adjusted Net business Income from Applicable Worksheet................

Office Use Only

Transaction Number

Average Allocation Percentage (Section 2, Line 4, Column C..........

Average Allocation Percentage (Section 2, Line 4, Column C)..........

Net Profits subject to License fee (Line 1 X Line 2).......................

Attach

Sole Proprietors 65 years or Older deduct $3,000.............................

Adjusted Net Profits (Line 3 − Line 4).............................................

License Tax Due (Line 5 X 2.25%)...................................................

Less Estimated Payments and Credits (Attach schedule)....................

Payment

Balance Due..........................................................................................

Penalty @ 5% per month

....

(or portion thereof, not to exceed 25% minimum $25)

Make Check Payable to:

10.

Interest @ 1% per month

.............................................

10.

L.F.U.C.G.

(or portion thereof)

Here

Mail to:

11.

TOTAL AMOUNT DUE......................................................................

11.

Division of Revenue

12.

Overpayment Claimed

Refund

Credit................................

12.

Lex−Fay Urban Co Govt

P.O. Box 14058

Lexington KY

40512

SECTION 2

CALCULATION OF ALLOCATION PERCENTAGE

ALLOCATION FACTORS

Column A

Column B

Column C

URBAN COUNTY FACTOR

TOTAL FACTOR

PERCENTAGE

..............................................................

1. Sales factor (see instructions)

............................................................

2. Payroll factor (see instructions)

....................................................................................................

3. Total percentages (add Column C, Lines 1 and 2)

......

4. Average allocation percentage (Column C, Line 3 divided by number of percents)

Enter on Line 2, Section 1

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

Preparer's Signature (return must be signed above)

Date

Signature of Licensee (return must be signed above)

Print Name

Federal ID

Print Name

Address

Phone #

Title

ALL FEDERAL ID NUMBERS OR SOCIAL SECURITY NUMBERS MUST BE SUPPLIED FOR BOTH THE TAX PREPARER & LICENSEES

This return must be filed and paid in full on or before:

or by the 15th day of the 4th month after close of Fiscal Year

Form 228/08NPF Revised 12/08

Form 228/08npf - 2008 Net Profits License Fee Return - Lexington-Fayette Urban County Government

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