Bccd Form 2 - Annual License Fee Return
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2BCCD- Form 2
BOYLE COUNTY AND CITY OF DANVILLE ANNUAL LICENSE FEE RETURN
This return is due on or before April 15, for the Calendar Year or within 105 days of the end of your Fiscal Year.
Calendar or
Account No.
Name and Address of Business or Licensee
Fiscal Year Ended
Mo.
Year
Day
Note: If you are doing business
in the City of Danville,
you must have a
Danville Occupational License.
Contact the City at 859-936-6840.
Chan g e If Incorrect
0
0
FINAL RETURN (Check only to ciose account.) Date Operations Ceased:
NO ACTIVITY (Check box if there was no activity.)
ALL LICENSEES MUST ANSWER QUESTIONS BELOW:
Did you make payments to any individual for
A. Principal business activity _____________ _________ _
services rendered in Boyle County or the
City of Danville (other than employee)
B. What is your Social Security# (if any) _______ Spouse's Social Security# _____ _
or equivalent?
0 11 New Number Check Box
C. Your Federal ldenification # (if any)
Oves
ONo
D. Home Phone ___________ Business Phone __________ _
If yes, you are required to file Form 1099-SF
E. During the past year did Federal Authorities change or propose to change net income reported for that year
or any prior year?
ENCLOSE CHECK OR MONEY ORDER
0 Yes
DNo
(If yes, which year was adjusted?) _____ _ (Attach statement of changes)
PAYABLE TO
F. Principal Corporation Administrative Officer's Name _______________ _
"BOYLE COUNTY TAX ADMINISTRATOR"
Address _____ _ _ __________ SSN # ______ _ _ _ _
TAX ADMINISTRATORS OFFICE
G. Did you file a consolidated return? 0Yes
0No
321 WEST MAIN ST., ROOM 117
H. Was there a change in ownership in the past year? Date of change ____________ Make payment and mail to:
BOYLE COUNTY COURT HOUSE
DANVILLE, KENTUCKY 40422-1848
i �! ; c h a rg ed
Name and address of new owner ___________________ ___ �) �:
t � ;:;� c �
PHONE (859) 238-1115
SECTION A - BOYLE COUNTY
SECTION B - CITY OF DANVILLE
1. NET PROFIT PER SECTION C
1. NET PROFIT PER SECTION C
FROM BACK OF RETURN
FROM BACK OF RETURN
2. SECTION D, COLUMN D, OR 100%
2. SECTION D, COLUMN E, OR 100%
3. BOYLE COUNTY NET PROFIT
3. CITY OF DANVILLE NET PROFIT
(LINE #1 X LINE #2)
(LINE #1 X LINE #2)
4. BOYLE COUNTY LICENSE FEE
*4. CITY OF DANVILLE LICENSE FEE
(LINE #3 X .0075)
(LINE #3 X .0175)
5. ESTIMATED PAYMENTS/CREDITS
5. ESTIMATED PAYMENTS/CREDITS
6. BALANCE
6. BALANCE
(LINE #4 LESS LINE #5)
(LINE #4 LESS LINE #5)
7. PENALTY (5% PER MONTH OR
7. PENAL TY (5% PER MONTH OR
PORTION THEREOF NOT TO EXCEED 25%.)
PORTION THEREOF NOT TO EXCEED 25%.)
$25.00 MINIMUM PENALTY.
$25.00 MINIMUM PENALTY.
0
0
EXTENSION FILED
EXTENSION FILED
8. INTEREST
8. INTEREST
(12 % PER ANNUM SIMPLE INTEREST)
(12 % PER ANNUM SIMPLE INTEREST)
9. BALANCE
9. BALANCE
(LINE #6 PLUS LINE #7 PLUS LINE #8)
(LINE #6 PLUS LINE #7 PLUS LINE #8)
10.0VERPAYMENT
_______
10.0VERPAYMENT
(LINE #6)
(LINE #6)
0REFUND
0APPLY TO NEXT YEAR
0 REFUND 0APPLY TO NEXT YEAR
11. PAYMENT: ADD SECTION A , LINE 9 AND SECTION B , LINE 9. MAKE CHECK PAYABLE TO BOYLE COUNTY TAX ADMINISTRATOR. ______ _
BALANCE DUE
OVERPAYMENT TO SECTION A OR B CANNOT BE CREDITED TO SECTION WHERE PAYMENT IS DUE.
PLEASE PAY THIS
I HEREBY CERTIFY THAT THE STATEMENTS MADE HEREIN AND IN ANY SUPPORTING
AMOUNT
SCHEDULES ARE TRUE, CORRECT, AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
SIGNATURE OF TAXPAYER
TITLE
DATE
DATE
PREPARER INFORMATION
YOU MUST ATTACH A COMPLETE COPY INCLUDING ALL ATTACHMENTS OF YOUR FEDERAL
RETURN AS APPLICABLE.
PLEASE COMPLETE REVERSE SIDE
Revised Form: 7/17
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