Form Np-1 - Net Profit License Fee Return - City Of Owensboro/daviess County Fiscal Court
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4City of Owensboro/Daviess County Fiscal Court
Social Security # or Federal ID#
FORM NP-1
Net Profit License Fee Return
Account Number
Business Type
Name and Address
____ Individual
____ Corporation
____ Partnership
____ LLC/Individual
____ LLC/Partnership
Change of Address
____ Other _______________
Period Ending
____ Final return (Check only to inactivate the account-- Complete Question B)
____ No activity in jurisdictions during tax year.
(Check only if no activity in both jurisdictions)
Account will remain open.
A) Business telephone:
B) If business activity was discontinued within both jurisdictions during the year, state when:
/
/
______ If sold, enter name and address of successor:
C) Did you have employees working in either jurisdiction during the tax year? ____ YES ____ NO
Make check payable
ATTACH APPLICABLE FEDERAL FORM OR SCHEDULE(S)
Form 1099
Schedule F
Form 1065
and mail to:
Schedule C or CZ
Form 4797
Form 1120 or 1120S
Occupational Tax Administrator
Schedule E
Form 6252
Form 8825
Schedule K
PO BOX 10008
(See pages 3 thru 5 of Instructions)
TAX COMPUTATION
OWENSBORO, KY 42302-9008
City of
Daviess
Owensboro
County
PHONE: (270) 687-5600
COLUMN A
COLUMN B
1) Total Net Profit from Part I……………………..………………..
2) Pre Apportionment adjustments (READ INSTRUCTIONS)……..
3) Adjusted Net Profit (line 1 plus line 2)………………………………
Complete Part II if applicable)……………
4) Business Apportionment (
5) Taxable Net Profit (line 3 multiplied by line 4)………………………..
0.35%
6) Occupational license fee Rate
(Please refer to Table A in instructions)
7) Total license fee Due (line 5 x line 6)………………………………
$47
$0
8) Minimum License Fee (see instructions)………………………….
9) Enter the Larger amount from Line 7 or Line 8 ……....................... .
10) Payments/Credits and first year registration fee………...............
oRefund oCredit……
11) If Line 10 is larger than Line 9, Difference is
License Fee Due.............
12) If Line 9 is larger than Line 10, Difference is
13) Penalty (5% per calendar month or portion thereof
not to exceed 25%) Minimum $25…………...................
14) Interest (1% per calendar month or fraction thereof)…..............
15) Total Amount Due (add lines 12, 13 and 14)…………................
16) Payment Amount
(Add line 15 Column A to line 15 Column B)……………
RETURN MUST BE SIGNED - I hereby certify, under penalty of perjury, that the statements made herein and any
supporting schedules are true, correct, and complete to the best of my knowledge.
Preparer's Signature
Taxpayer's Signature
Date
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