Form 228 - Net Profits License Fee Return - 2016
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1
2LEXINGTON-FAYETTE URBAN COUNTY GOVERNMENT
� LEXINGTON
2016 NET PROFITS LICENSE FEE RETURN - FORM 228
QUESTIONS {ANSWER FULLY)
Account Number
A. Nature of business
Fiscal Year Ended
B. Date business started in Fayette County
C. Did you have employees in Fayette County in 2016?
Federal ID or SSN
0Yes0No
D
D
D
D
D
D. Basis on which this return is prepared
Cash
0Accrual
Check
if:
Initial
Amended
Final
Address Change
E. Filing status per federal return:
D
D
Corporation
OS-Corp
Partnership
D
D
Individual Owner
Other
F. Is the Business Entity an Affiliate or Subsidiary of a
Consolidated Federal Return?
YesO
NoD
If Yes, FEIN of Parent:
G. If organization was discontinued, check appropriate box:
D Dissolution D Sale D Merger Date:
Sucessor Name, address and FEIN:
D
MINIMUM LICENSE FEE EXEMPTION
Check this box if gross receipts from all Federal Form 1040 Schedules C, E and F plus all Form 1099-MISC
was EQUAL TO OR LESS THAN
$4,400.00 (See Instructions).
Attach all federal forms, sign and date this
form and return by April 18, 201 7.
I
FEE LIABILITY
SECTION 1:
CALCULATION
OF
LICENSE
1. Adjusted Net Business Income from Worksheet 1, Line 19
(Attach Federal return and all schedules) .............................................................................. 1.
D
Attach
0 2. Apportionment Percentage from Section 2 Line
4 .................................................................
2.
3. Net Profit subject to License Fee (Line 1 X Line 2) .......................................................... 3.
N
0 4. Sole Proprietors 65 or older deduct $3000.00 ...................................................................... 4.
-
T
5. Adjusted Net Profit (Line 3
Line 4) ................................................................................. 5.
Payment
6. License Fee Liability (Line 5 X 2.25%) if less than $100.00, enter $100.00 ................... 6.
7. Less Minimum License Fee paid for 2016 (Non-Refundable) .............................................. 7.
T
-
A
8. Subtotal (Line 6
Line 7) cannot be less than zero ........................................................... 8.
Here
p
9. Less Estimated Payments and Prior Year Credits (Attach schedule) ..................................... 9.
-
L
Line 9) ..................................................................................................... 10.
10. Subtotal (Line 8
E
FOR 2017 ( $100.00 ) ...........................................................
11. Plus Minimum License Fee Due
11.
(If
<O
12. Net Amount Due
enter amount here and on Line 15) ............................................. 12.
....................
13. Penalty and Interest (See instructions)
13.
Penalty $
Interest $
14. Total Amount Due (Add Lines 12 and 13) ........................................................................... 14.
15. Indicate Amount of overpayment if any from Line 12 ......................................................... 15.
16. Amount on Line 15 to be refunded ....................................................................................... 16.
........................................................................
17. Amount on Line 15 to be credited to 2017
17.
Office Use Only
Make Check Pa�able to: LFUCG
I
Transaction Number
Division of Revenue
Box
P.O.
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
PTIN OR FID #
Print Name
Address
Phone #
Title
Phone #
ALL PTIN, FID# AND 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 228/16NPF Revised 12/2016
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