Form Net Profit License Tax Returns -2016
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5Georgetown/Scott County Revenue Commission
For Year Ended
2016 Net Profit License Tax Returns
/
/
Business type
Name and address
Federal ID # or Social Security #
Individual
Corporation
Partnership
LLC/Individual
Final return (Check only to inactivate the account-- Complete Question D)
LLC/Partnership
No activity in jurisdictions during tax year (Check only if no activity in all jurisdictions)
Other_________
A)
Business telephone:
B) Principal business activity
C)
Principal owner/administrative officer
D)
If business activity was discontinued within the jurisdiction during the year, state when
Dissolution
Sale
If sale, name and address of successor
Other
If other, describe
E)
Is the business entity an affiliate of a consolidated corporate federal return?
YES
NO
F)
Did you have employees in the jurisdiction during the tax year?
YES
If YES, how many?
NO
Make check payable
FILING STATUS (per federal return)
and mail to:
Worksheet I
Federal Schedule C, Schedule E, Schedule F or 1099-Misc
Georgetown/Scott County
Worksheet P
Federal Form 1065, Schedule K and rental schedule(s)
Revenue Commission
Worksheet C
Federal Form 1120, 1120A, 1120S, Schedule K and rental schedule(s)
P O Box 800
TAX COMPUTATION
Georgetown, Kentucky 40324
City of
Scott
Scott County
Georgetown
County
Schools
(A)
(B)
(C)
Adjusted net profit from Worksheet
1)
%
%
%
Business apportionment
(see reverse)..
2)
$10,000
Less: Net profit exemption
..
3)
see instructions.
Taxable net profit
4)
({line 1 X line 2} minus line 3)
1%
1%
0.50%
Occupational license tax rate
………..
5)
Total tax due
6)
…………………………………..
Less: Estimated payments/credits
7)
..
Balance due
8)
……………………………………
9) Late Filing/Payment Penalty
5% a month Max 25%
Minimum $25- due even if filed late with no tax due
Interest
10)
……12% per annum……………………
Total amount due/(overpayment)>>
11)
12)
Credit
Overpayment
Refund
Payment Due (Add Line 11, Columns A,B & C)
**13) Please check this box if you need the 2017 Form NP100 mailed to you next year.
RETURN MUST BE SIGNED - I hereby cerify, under penalty of perjury, that the statements made herein and any supporting schedules are true,
correct, and complete to the best of my knowledge.
OFFICE USE ONLY
Rec'd
Preparer's signature
Date
Ck. No.
Taxpayer's signature
Date
Amt.
Print name
By
Print name
Date
*Please do NOT staple or paperclip check to return.
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