CITY NET PROFIT
CITY OF BOWLING GREEN, KY
LICENSE FEE RETURN
P.O. Box 1410
FOR
YEAR
ENDED
DUE ON OR BEFORE
Bowling Green, KY 42102-1410
(270) 393-3000
CITY OCCUPATIONAL ACCOUNT NUMBER
MAILING ADDRESS
S.S.# OR FED. I.D. #
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LICENSE FEE TO BE WAIVED
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BUSINESS CLASSIFICATION
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Bowling Green:____________________
Date Business Activity Ceased In
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Bowling Green:____________________
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MAKE CHECK PAYABLE TO:
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TREASURER CITY OF BOWLING GREEN
MAIL OR DIRECT INQUIRIES TO:
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P.O. BOX 1410
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BOWLING GREEN, KY 42102-1410
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Phone (270) 393-3000
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I hereby certify that the statements made herein and in any supporting schedule are true, correct and complete to the best of my knowledge.
X_________________________________ _______________
X_________________________________ _______________
RETURN MUST
Signature of Individual Preparing Return
Signature of Taxpayer
Phone
Phone
BE SIGNED.