Form 22b/09npf - Net Profits License Fee Return - Lexington-Fayette Urban County Government - 2009

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A
LEXINGTON−FAYETTE URBAN COUNTY GOVERNMENT
2009
NET PROFITS LICENSE FEE RETURN
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 2009? Yes No
D. Basis on which this return is prepared
Cash
Accrual
Federal ID or SSN
E. Filing status per federal return:
Corporation
S−Corp
Partnership
PLEASE NOTIFY THIS OFFICE OF ANY CHANGE IN OWNERSHIP
OR NAME AND ADDRESS SHOWN BELOW
Individual Owner
Other
F. Is the Business Entity an Affiliate or Subsidiary of a
Consolidated Federal Return?
Yes
No
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
FILING STATUS
1.
WORKSHEET I (Federal Schedule C, Schedule E, Schedule F, and (or) 1099−Misc)
2.
WORKSHEET P (Federal Form 1065 and Form 8825 if Applicable)
3.
WORKSHEET C (Federal Form 1120 or 1120A or Form 1120S and Form 8825, if Applicable)
SECTION 1: CALCULATION OF LICENSE FEE LIABILITY
Office Use Only
1. Adjusted Net business Income from Applicable Worksheet................ 1.
Transaction Number
2. Average Allocation Percentage (Section 2, Line 4, Column C)..........
Average Allocation Percentage (Section 2, Line 4, Column C.......... 2.
D
O
3.
Net Profits subject to License fee (Line 1 X Line 2)..................
Net Profits subject to License fee (Line 1 X Line 2)....................
3.
Attach
Sole Proprietors 65 years or Older deduct $3,000.............................
4.
4.
N
5. Adjusted Net Profits (Line 3 − Line 4)............................................. 5.
O
6. License Tax Liability (Line 5 X 2.25%)............................................. 6.
T
Payment
7. Less pre−paid Annual License Fee...................................................... 7.
S
8.
8.
Subtotal (Line 6 − Line 7)
.....................
Make Check Payable to:
cannot be less than zero
T
9.
Less Estimated Payments and Credits (Attach schedule)....................
9.
L.F.U.C.G.
Mail to:
A
10. Balance Due.......................................................................................... 10.
Here
Division of Revenue
P
11. Penalty @ 5% per month
.... 11.
Lex−Fay Urban Co Govt
(or portion thereof, not to exceed 25% minimum $25)
L
12. Interest @ 1% per month
.......................................... 12.
P.O. Box 14058
E
(or portion thereof)
Lexington KY 40512
13. TOTAL AMOUNT DUE......................................................................
TOTAL AMOUNT DUE...........................................
13.
14.
Overpayment Claimed
Refund
Credit................................
14.
SECTION 2: CALCULATION OF ALLOCATION PERCENTAGE
ALLOCATION FACTORS
Column A
Column B
Column C
URBAN COUNTY FACTOR
TOTAL FACTOR
PERCENTAGE
$
$
..............................................................
1. Sales factor (see instructions)
$
$
............................................................
2. Payroll factor (see instructions)
....................................................................................................
3. Total percentages (add Column C, Lines 1 and 2)
......
4. Average allocation percentage (Column C, Line 3 divided by number of percents)
Enter on Line 2, Section 1
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
Signature of Licensee (return must be signed above)
Date
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
or by the 15th day of the 4th month after close of Fiscal Year
This return must be filed and paid in full on or before:
Form 228/09NPF Revised 12/09

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