Form Ol-3 - Occupational License Tax Return
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1
2DO NOT STAPLE FORMS
FOR OFFICIAL USE ONLY
FORM
LOUISVILLE METRO REVENUE COMMISSION
3
OL-
OCCUPATIONAL LICENSE TAX RETURN
CHECK IF “FINAL RETURN” Date Operations Ceased: _____________ (Required to close account.)
CHECK IF “NO ACTIVITY” FOR YEAR
CHECK IF CHANGE IN ADDRESS IS BELOW
CHECK IF AMENDED RETURN
ACCOUNT NUMBER
Name
_______________________________________________________________________________
_______________________________________________________________________________
Address
FOR YEAR ENDING
MM
DD
YY
City
____________________________________________________
State
Zip
_________
__________
Federal ID
______________________________
Phone No.
Ext
__________
______________________
* THE QUESTIONS BELOW MUST BE ANSWERED *
A. Principal business activity:
B. During the past year, did Federal Authorities change or propose to change net income reported for that year or any prior year?
YES
NO
If YES, which year(s) was adjusted?
(Attach statement of changes)
_________________________________________________________________________
C. Corporation’s Principal Administrative Officer:
Social Security Number:
_______________________________________________________
__________________
Address:
D. Did you file a consolidated federal return?
YES
NO
(If YES, see instructions.)
E. Was there a change in ownership in the past year?
YES
NO
(If YES, when did the change occur?)
Please write name and address of new owner:
_________________________________________________________________________________________________
YES
NO
Did you make payments in the sum of $600.00 or more to any individual for services rendered in Louisville Metro, Kentucky,
other than an employee?
IF YES, YOU ARE REQUIRED TO FILE FORM 1099-SF.
* PAGE 2 MUST BE COMPLETED PRIOR TO COMPLETING THIS NEXT SECTION *
25.
$
Enter Adjusted Net Profit (From Line 20 on back of form):
COLUMN A
COLUMN B
Louisville Metro & Mass Transit
School Boards
Occupational License Tax Computations
Tax Rate = (.0145)
Tax Rate = (.0075)
IMPORTANT!
DO NOT COMPLETE COLUMN B
.
Enter Apportionment Percentage from Line 24
26.
IF NON-RESIDENT INDIVIDUAL
Please write your
account number on
27.
Net Profits Allocation (Line 25 x Line 26) Enter in Columns A & B
$
$
your check or
money order and
28.
Enter result of Line 1(e)
$
$
make payable to:
29.
Enter the sum of Line 27 + Line 28 or Line 28, whichever is
$
$
greater
Louisville Metro
Revenue
Tax Calculations – [Line 29, Column A x .0145] & [Line 29,
30.
Commission
$
$
Column B x .0075] Enter in proper column
TOTAL OCCUPATIONAL TAX DUE – Sum of Columns A & B of Line 30 (If Line 31 is greater than $5,000.00, see Exhibit
31.
$
“A” under Specific Instructions.)
32. Enter any credit due:
(a) Prepayment of tax: $
(b) Refund Due: $
(c) Credit to next year: $
33.
Line 31 minus Line 32(a)]
$
BALANCE OF OCCUPATIONAL LICENSE TAX DUE [
:
34.
(See Instructions):
$
PENALTY AND INTEREST
35.
(Add Lines 33 and 34):
$
AMOUNT TO BE PAID
I hereby certify, under penalty of perjury, that the information provided and the attached supporting schedules are true, correct, and complete to the best of my
knowledge.
/
/
/
/
Date
Date
Preparer’s Signature (Return must be signed.)
Signature of Licensee (Return must be signed.)
Print Name
Federal ID
Print Name
Title
Address
Phone No.
Social Security Number
ATTENTION: Federal ID Numbers and Social Security Numbers must be supplied for both the Tax Preparer and the Licensee.
MAILING ADDRESS: P.O. BOX 35410 LOUISVILLE, KENTUCKY 40232-5410
Telephone: (502) 574-4860 Fax: (502) 574-4818 TDD: (502) 574-4811
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Parent category: Financial