Form Cc-3 - Campbell County & Cities Occupational Tax & Business License Fee Annual Return - 2016 Page 3

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SCHEDULE G: GROSS RECEIPTS METHOD

COMPLETE ONLY ONE COLUMN, AS APPLICABLE—MAKE COPIES AS NEEDED FOR EACH CITY

FOR CITY:

ACCOUNT #: ______________________

_______________________________________________________

INDIVIDUAL

PARTNERSHIP

CORPORATION

Non-employee compensation as reported on Form 1099-Misc reported as “other

2.)

income” on Federal Form 1040 . Attach Page 1 of Form 1040 and Form 1099.

Gross Receipts or Sales per Federal Schedule C of Form 1040. Attach Schedule C,

3.)

Pages 1 and 2, or Schedule C-EZ.

Gross receipts per Federal Schedule E of Form 1040. Attach Schedule E.

Gross income per Federal Schedule F of Form 1040. Attach Schedule F, pages 1

5.)

and 2.

Gross receipts or sales per Federal Form 1065. Attach Form 1065, Pages 1, 2 and

6.)

3, Form 1125A, Schedule of Other Deductions, and Form 8825 Rental

Income/Expense.

Gross Receipts from Rental Real Estate of a Partnership. Attach Federal Form

7.)

8825.

Gross Receipts or Sales on Federal Form 1120 or 1120A OR Gross Receipts or Sales

8.)

on Federal Form 1120S. Attach Form 1120 or 1120A, Pages 1 and 2, Form 1125A,

Schedule of other Deductions OR Form 1120S, Pages 1, 2 and 3, Form 1125A,

Schedule of other Deductions, and Form 8825 Rental lncome/Expense.

Gross Receipts from Rental Real Estate of an S Corporation. Attach Federal Form

9.)

8825.

10.

Total Gross Receipts - Add Lines 2 through Line 9.

10.)

11.

Alcoholic Beverage Sales Deduction FROM SCHEDULE GX LINE 3 BELOW.

11.)

12.

Excise Tax (Sales Tax).

12.)

13.

Returned Goods and Allowances.

13.)

14.

14.)

Total Deductions - Add Lines 11 through Line 13

Adjusted Gross Receipts - Subtract Line 14 from Line 10.

15.

15.)

16.

Allocation percentage from SCHEDULE GY LINE 4 BELOW, IF APPLICABLE.

16.)

17.

SUBJECT EARNINGS. MULTIPLY LINE 15 BY LINE 16; ENTER RESULT HERE AND

17.)

ON PAGE 1, COLUMN 3 FOR THIS LOCALITY.

SCHEDULE GY: GROSS RECEIPTS BUSINESS ALLOCATION

DIVIDE: (A  B = C)

All licensees who conducted business operations in a City collecting gross receipts tax, see page 1,

NOTE: All Percentages in Column

column 1 and 2, must complete this part, regardless of profit or loss

C should be carried out four (4)

decimal places.

APPORTIONMENT

COLUMN A

COLUMN B

COLUMN C

FACTORS

LOCATED CITY ABOVE

TOTAL OPERATIONS EVERYWHERE

CITY %

1. Gross receipts from sales made and/or services

(1a.)

(1b.)

(1c.

)

rendered

Gross wages, salaries, and other compensation

(2a.)

(2b.)

(2c.)

paid to all employees. Includes compensation of

officers, but not contract labor or leased employees.

(3.)

Total Percentage For City. Add the percentages computed on Lines 1c. & 2c.

Average Percentage - If both entries on Lines 1b. and 2b. are greater than zero, then divide entry on Line 3,

(4.)

Column C, by 2 and enter here and on Line 16 in SCHEDULE G above. If either Line 1b. or Line 2b. is NOT greater

than zero, enter the amount from Line 3 here and on Line 16 in SCHEDULE G ABOVE.

SCHEDULE GX: GROSS RECEIPTS ALCOHOLIC BEVERAGE SALES

1. Kentucky Alcoholic Beverage Sales enter here and on Schedule G Line 11

(1.)

(ALCOHOLIC BEVERAGE SALES DEDUCTION)

SCHEDULE GY: GROSS RECEIPTS BUSINESS ALLOCATION--READ THE INSTRUCTIONS BELOW FOR THE ITEMS

THAT APPLY TO YOUR OPERATION BEFORE COMPLETING SCHEDULE G.

Line 1(a): “Gross Receipts City." - Enter total gross receipts from sales made or services performed in applicable City of Campbell County. MAKE

COPIES AS NEEDED FOR EACH LOCALITY WHERE REPORTING GROSS RECEIPTS.

Line 1(b): “Gross Receipts - Total Operations Everywhere" - Enter total gross receipts (less re turns and allowances) from sales made or services

performed everywhere for your total operation per the Federal return.

Line 1(c): “City Gross Recei pts Percentage" - Divide the entr y in Column A of Line 1, b y the entry in Colu mn B of Line 1.

Enter the r esulting

percentage on Column C, Line 1.

Line 2(a): “Gross Wages – City” - Enter total gross wages paid to employees for work performed within applicable City of Campbell County.

Line 2(b): “Gross Wages – Total Operations Everywhere" - Enter total gross wages paid to employees everywhere per the Federal return.

NOTE: Entries on Lines 2(a.) a nd 2(b.) should i nclude compensation of officers. Do not incl ude contract or sub-c ontract labor or f ees paid for leased

employees.

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