Form Np-1 - Net Profit License Fee Return
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1City of Owensboro/Daviess County Fiscal Court
Social Security # or Federal ID#
FORM NP-1
Net Profit License Fee Return
Account Number
Business Type
Name and Address
____ Individual
____ Corporation
____ Partnership
____ LLC/Individual
____ LLC/Partnership
Period Ending
Change of Address
____ Other _______________
____ Final return (Check only to inactivate the account-- Complete Question B)
____ No activity in jurisdictions during tax year. Account will remain open. (
) Zero Due
Check only if no activity in both jurisdictions
A) Business telephone:
B) If business activity was discontinued within both jurisdictions during the year, state when:
/
/
______ If sold, enter name and address of successor:
C) Did you have employees working in either jurisdiction during the tax year? ____ YES ____ NO
Make check payable
FILING STATUS >>>
ATTACH APPLICABLE FEDERAL FORM OR SCHEDULE(S)
and mail to:
____Worksheet I
Schedule C, Schedule E, Schedule F, 1099-Misc
____Worksheet P
Form 1065, Schedule K, rental schedule(s)
Occupational Tax Administrator
PO BOX 10008
____Worksheet C
Form 1120, 1120A, 1120S, Schedule K, rental schedule(s)
(See pages 3 thru 5 of Instructions)
TAX COMPUTATION
OWENSBORO, KY 42302-9008
City of
Daviess
Owensboro
County
PHONE: (270) 687-5600
COLUMN A
COLUMN B
1) Total Net Profit from applicable Worksheet……………………….
2) Pre Apportionment adjustments (READ INSTRUCTIONS)……..
3) Adjusted Net Profit (line 1 plus line 2)………………………………
%
%
4) Business Apportionment (
Complete Worsheet Y if applicable)……………
5) Taxable Net Profit (line 3 multiplied by line 4)………………………
1.33%
0.35%
(If for period before 12/31/07 see Instructions to
6) Occupational license fee Rate
Determine Daviess County Rate for Column B)
7) Total license fee Due (line 5 x line 6)………………………………
$47
$0
8) Minimum License Fee (see instructions)………………………….
9) Enter the Larger amount from Line 7 or Line 8 ……....................
10) Payments/Credits and first year registration fee………...............
Refund
Credit……
11) If Line 10 is larger than Line 9, Difference is
License Fee Due..........
12) If Line 9 is larger than Line 10, Difference is
13) Penalty (5% per calendar month or portion thereof
not to exceed 25%) Minimum $25…………...................
14) Interest (1% per calendar month or fraction thereof)…..............
15) Total Amount Due (add lines 12, 13 and 14)…………................
16) Payment Amount
(Add line 15 Column A to line 15 Column B)……………
RETURN MUST BE SIGNED - 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's Signature
Phone
Taxpayer's signature
Date
Revised 09/08
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Parent category: Financial