Spencer County, Kentucky Net Profit License Fee Return Form - 2014
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1
2For Year Ending
Business Type
Account #
SPENCER COUNTY, KENTUCKY NET PROFIT LICENSE FEE RETURN
(m/d/y)
Individual
Occupational License Administrator
Federal ID or SSN
Corporation
P.O. Box 397
Partnership
Accounting Method
Amended
No Business Activity
Taylorsville, KY 40071
Other
Accrual
Due Date
Yes
Yes
(502) 477-2997 (502) 477-2998
?
?
Cash
No
?
?
Make Check payable to: Spencer County Treasurer.
Final (list date operations ceased)
Online payments: , choose County Gov't, Occ Tax Page
Name: ____________________________________________________________________________________________
Address: ___________________________________________________________________________________________
City: ______________________________State: ________Zip: _________ Email:_________________________________
Phone: _______________________________Fax:___________________________
Each filing individual/entity MUST include copies of all business tax documents filed with IRS. Individuals: Schedule
C/E/1099; Partnership: 1065/8825; Corporation: 1120/1120A/1120S/8825. All entities must file supporting
schedules for deductions. If payments were made to any individual/business for rent, services rendered, repairs, etc.
you must provide the name, address and amount paid.
Principal Business Activity: ____________________________________________________________________________
Date business began: ___________Did you file a consolidated return? ______ (
If yes, see Net Profit License Fee Instructions)
?
During the past year, did Federal Authorities change or propose to change net income reported for that year or any prior
year? ________ Which year(s)__________(Attach statement if yes)
?
Was there a change in ownership in the past year? _______Date ____________New Owner: ______________________
?
If business activity was discontinued within this locality during the year, please state when and the reason:
_________________________________________________________________________________________________
List Principal Administrative Officer Name, Address & SSN:
__________________________________________________________________________________________________
24. Adjusted Net business income from line 19
___________________
$0.00
25. Apportionment percentage from line 23 (enter as a decimal)
___________________
0
26. Net Profit subject to license fee (line 24 x line 25)
__________________
$0.00
27. License Fee Due (0.80% x line 26 - Minimum License Fee $25.00)
___________________
$0.00
28. Late fee 5% per month (max not to exceed 25%/minimum $25)
___________________
$0.00
29. Interest fee 1% per month (12% per year) fraction of month = 1 month
___________________
$0.00
30. Net profit license fee due Spencer County (Sum of lines 27,28, 29)
___________________
$0.00
31. If you purchased a Spencer County Business License for 2014/2015
Deduct $25.00 from amount due. License #________ or Estimated Pmt.
___________________
32. Subtotal (Sum of lines 30 & 31)
0.00
___________________
33. Spencer County Business License Fee for 2015/2016, add $25
___________________
$0.00
34. Total amount due Spencer County (Sum of lines 32,33)
___________________
$0.00
__________________________________________________ ____________________________________________
Preparer’s Signature
Signature of Licensee
__________________________________________________ ____________________________________________
Print Name
Print Name & Title
__________________________________________________ ____________________________________________
Address
Address
__________________________________________________ ____________________________________________
City, State, Zip
City, State, Zip
__________________________________________________ ____________________________________________
Date, Fed. ID, Phone
Date, Federal ID
Spencer County Net Profit License Fee Return
Revised 10/2014
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