Form 228/11npf - Net Profits License Fee Return - 2011
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1
2ABC
LEXINGTON−FAYETTE URBAN COUNTY GOVERNMENT
NET PROFITS LICENSE FEE RETURN
2011
DEF
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 2011? Yes No
D. Basis on which this return is prepared
Cash
Accrual
Federal ID or SSN
E. Filing status per federal return:
Partnership
PLEASE NOTIFY THIS OFFICE OF ANY CHANGE IN OWNERSHIP
Corporation
S−Corp
OR NAME AND ADDRESS SHOWN BELOW
Individual Owner
Other
F. Is the Business Entity an Affiliate or Subsidiary of a
Consolidated Federal Return?
No
Yes
If Yes, FEIN of Parent: _____________
G. If organization was discontinued, check appropriate box:
Dissolution
Sale
Merger
Date: __________
Sucessor Name, address and FEIN:
Initial
Amended
Final
Address Change
MINIMUM LICENSE FEE EXEMPTION
Check this box if gross income from all Federal Form 1040 Schedules C, E and F plus all Form 1099−MISC
EQUAL TO OR LESS THAN $ 4,400.00
was
. Attach all federal forms, sign and date this form and return
by April 17, 2012.
SECTION 1: CALCULATION OF LICENSE FEE LIABILITY
1. Adjusted Net Business Income from Worksheet 1, Line 19
(Attach Federal return and all schedules).............................................................................. 1.
D
2.
2. Apportionment Percentage from Section 2 Line 4.................................................................
O
Attach
3. Net Profit subject to License fee (Line 1 X Line 2)........................................................... 3.
N
4. Sole Proprietors 65 or older deduct $3000.00......................................................................
4.
O
5. Adjusted Net Profit (Line 3 − Line 4).................................................................................. 5.
T
Payment
6.
6.
License Tax Liability (Line 5 X 2.25%) if less than $100.00, enter $100.00...................
S
7. Less Minimum License fee paid for 2011 (non−refundable)................................................. 7.
T
8.
Subtotal (Line 6 − Line 7) cannot be less than zero........................................................... 8.
A
Here
9.
Less Estimated Payments and Prior Year Credits (attach schedule)......................................
9.
P
L
10. Subtotal (Line 8 − Line 9)..................................................................................................... 10.
E
11. Net Amount Due (if Line 10
0 skip to Line 13 otherwise enter Line 10).....................11.
<
12. Penalty and Interest (see instructions) Penalty $_____ Interest $_____.....................
12.
$100.00
13.
Minimum License Fee
............................................................................................13.
FOR 2012
14.
Total Amount Due (add Lines 11, 12 and 13).....................................................................14.
15.
15.
If Line 10
Line 14, Indicate Amount of overpayment......................................................
>
16. Amount on Line 15 to be refunded....................................................................................... 16.
17.
17.
Amount on Line 15 to be credited to 2012 ........................................................................
Office Use Only
Make Check Payable to: LFUCG
Division of Revenue
Transaction Number
P.O. Box 14058
Lexington, KY 40512
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
Date
Signature of Licensee (return must be signed above)
Print Name
Federal ID
Print Name
Address
Phone #
Title
Phone #
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 the 15th day of the 4th month after close of Fiscal Year
Form 228/11NPF Created 2011/11
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