Net Profits License Fee Return Form - Woodland County Fiscal Court - Kentucky
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1WOODFORD COUNTY FISCAL COURT
NET PROFITS LICENSE FEE RETURN
Name and Address of Business
ACCOUNT NO.
CALENDAR/FISCAL YEAR ENDED
I
MONTH
I
OAY
I
YEAR
DUE DATE
I
I
[
c
OFFICE HOURS:
8:00-5:00
MON - FRI
INDICATE ANY NAME OR ADDRESS CHANGE ABOVE
QUESTIONS
(ANSWER
IN FULL)
(859) 873-5701
Attach a copy of Federal Tax Return used
as basis of License Fee
1. Nature of Business -
2. Date Business Started in Woodford County
3. IfBusiness was Discontinued, State When
DissolutionD
or Sale
D
If by sale, give Name and Address
of successor
4. Did you have employees in Woodford County'!
DYes
D No
5. Basis upon which tax return is prepared
D
Cash
D
Accrual
6. Business Type: DC-Corp D S-CorpD PartnershipD Sole-Prop.
D Fiduciary D Other(Specify)
7. Has the IRS changed the Net Income as originally reported for any
prioryear?
D
No
D
Yes (AttachScheduleof Changesfor eachyear)
SCHEDULE
A
ANNUAL PAYROLL
PAYROLL
RATE
X 1.50%
AMOUNT DUE
Make checks payable and mail to:
WOODFORD
COUNTY FISCAL COURT
103 SOUTH MAIN ST ROOM 201
VERSAILLES KY 40383
Phone Number
(859) 873-5701
1. NET Business income per Federal Tax Return
2. ADD Items not Deductible (Line F, Schedule B Below)
3. TOTAL (Line1 Plus Line 2)
4. DEDUCT Items not subject (Line L, Schedule B)
5. ADJUSTED NET BUSINESS 1NCOME (Line 3 less Line 4)
6. If Sch. C (line4) is used enter here AVERAGE PERCENTAGE
7. NET PROFITS subject to License Fee (Line 5 x Line 6)
8. Prior year adjustments
9. ADJUSTEDNETPROFITS(Line7 less Line8) If lessthan "0" enter "NONE
10. License Fee - 1.5000%
of line 9
11. Interest - 6.00 %
per annum
12. Penalty - 10.00 %
13. Total (Lines 10+11+12)
14. Less Credits - () ESTIMATE () OTHER
15. BALANCE DUE (Line 13 less Line 14 plus Farmer's Payroll)
16. If estimate overpaid Indicate () Refund or () Credit
SCHEDULE
B
NOTE:
ADD AND OR DEDUCT
ONLY THOSE
ITEMS WHICH ARE INCLUDED
IN CALCULATING
1 INCOME PER FEDERAL
RETURN
ITEMSNOTDEDUCTIBLE
-
ADD
A. State or Local taxes based on income
B. Gain or loss on sales of business property
C:Net operating Loss Deduction
D. Additions from Schedule K
E.
F. TOTAL ADDITIONS (enter on line 4)
ITEMS NOT SUBJECT
-
DEDUCT
G. Alcohol Beverage Sales Deduction
H. Subtractions from Sched K and Rental Sched
I. Local Adjustments
J.
K.
L. TOTAL DEDUCTIONS (enter on line 4)
n. ._-~._-----
n-
.
.-
.
SCHEDULE C
I hereby certify that the information, schedules, statements and exhibits filed herewith are true and correct.
Signed
Title
Date
THISRETURNIS DUEON OR BEFORE APRIL 15, FORTHE CALENDAR YEAR OR WITHIN105DAYSOF THE ENDOFYOURFISCALYEAR
WCNP
Rev.1211/2005
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ALLOCA TON FACTORS
Woodford
Total
Percent
1. Total Gross Business Receipts
2. Total Wages, Salaries and Other Personal Service
3. TOTALPERCENTS.... . ........... " """""""""'...........................................................................................................". . ...........
'
4. AVERAGEPERCENTAGE (Line3 dividedby numberof percents)................................................................Enter
on line6
i
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