City of Stanford
Form 520
305 East Main Street
Stanford, KY 40484
Net Profit License Fee Return
(Please attach a copy of the return)
Federal ID or Social Security Number ______________________ Year Ended ______________
Name: ____________________________________________________
Address: __________________________________________________
City/State/Zip: _____________________________________________
1. Check One: ______ Corporation _____ S-Corp. _____Partnership ______ Individual
______ Fiduciary
______ Other _______________________________
2. Nature of Business: _______________________________________ Number of
Employees ____.
3. Have Federal authorities changed the net income as originally reported for any prior year?
_____ Yes
______ No.
4. Telephone Number: (Business) __________________________ (Home) ________________
5.If organization was discontinued, state when __________________________
Name and address of Successor __________________________________________________
Schedule A
1. Net Income per tax return: ATTACH FEDERAL FORM USED
1
$_____________________
2. Add items not deductible (Line F Schedule B)
2 ___________________
.
SUBTOTAL
_____________________
3. Deduct items not subject to tax (Line L Schedule C)
3 _____________________
ADJUSTED NET INCOME
_____________________
4 Enter average percentage from Schedule D (If used)
4 _____________________
5. Net Profits Subject to License Fee
5 _____________________
6. City License Fee
6 _____________.65____%
7. Credits or Estimated Payments (Deduct only if paid in advance)
7
__________(25.00)_____
.
TOTAL DUE
_____________________
8. Penalty ___________ Interest _____________
8 _____________________
BALANCE DUE
______________________
Schedule B-Items Not Deductible
Schedule C- Items Not
Subject to Tax
A. State or local taxes based on income $_____________
G.. Interest
_______________
B. Capital Losses
_____________
H. Dividends
_______________
C. Net operating loss deduction
_____________
I Capital Gains
_______________
D. Guaranteed payments to partners
______________
J. Royalties
_______________
E. Other non deductible items
______________
K Other non taxable items ___________
F. Total additions
$_____________
L Total deductions
______________
Schedule D- Business Allocation
Allocation Factor
In City
Total
Column C
M. Gross Income (if not applicable, write N/A in Col. C.) _____________________________________%
N. Total wages, salaries & other compensation
(if not applicable, write N/A in Column C)
%
O. Total percents (Line M plus Line N)
%
P. Average Percentage (Line O divided by appl. percent) Enter on line 6
___________%
___________________________________
_____________________________________
Signature of Taxpayer
Signature of Preparer
Make check or money order payable to the City of Stanford Tax Administrator Mail to City of Stanford, Kentucky 305
East Main Street, Stanford, KY 40484.
This return is due by April 15
th
or 105 days after the fiscal year end.