NELSON COUNTY FISCAL COURT OCCUPATIONAL LICENSE FEE RETURN ...

NELSON COUNTY FISCAL COURT

OCCUPATIONAL LICENSE DIVISION PO Box 578 1 Court Square, Suite 202 Bardstown KY 40004 (502) 348-1862 (502) 348-1897 fax

FORM I-1

OCCUPATIONAL LICENSE FEE RETURN ON NET PROFIT INDIVIDUAL/SOLE PROPRIETOR

***Maximum $15,000 per individual taxpayer***

Check all that apply: Address Change? Change in Ownership? Contract labor paid this year? (attach 1099's) Employees in Nelson County? Final return?

Principal Business Activity ___________________________________

Daytime Phone Number _____________________________________

Federal ID Number/Social Security Number ______________________

1) Adjusted Net Profit from worksheet on page 2 2) Apportionment % - if applicable from worksheet. If not applicable, enter 100% 3) Apportioned Net Profit - Line 1 x Line 2 4) Maximum earnings allowed 5) Enter lesser of lines 3 or 4. This is your taxable income 6) Multiply line 5 x 1/2 of 1% (.005) 7) Late filing and/or payment penalty

10% of total tax on line 6

8) Interest fee

0.5% per month, 6% per annum - of total tax on line 6

0 0.000000%

0

15,000.00

0 0

9) Tentative tax due - add lines 6, 7, and 8

$

0

10) Local Occupational Tax Withheld from W-2, if applicable (attach copy)

11) Total Tax Due (Subtract line 10 from line 9)

$

0

**Each filing individual MUST include copies of all applicable tax documents filed with the Internal Revenue Service. Individuals: Form 1040, pages 1&2; Schedule C; Schedule F; 1099-Misc; W-2 Form

I declare, under the penalties of perjury, that I have examined this document and to the best of my knoweledge and belief, this is a true and accurate return.

Signature

Date

Printed Name

Signature of preparer (if other than taxpayer)

Date

Printed Name

ADJUSTED NET PROFIT CALCULATION 1) Non-employee compensation reported as "other income" on Federal Form 1040 (Attach Page 1 of Form 1040 and Form 1099 if applicable) 2) Net profit per Federal Schedule C

3) Net profit per Federal Schedule F

4) Ordinary income or (loss) per Federal Form Schedule K-1 (Partnership Form 1065)

5) Ordinary income or (loss) per Federal Form Schedule K-1 (S Corporation Form 1120S)

6) Add items not deductible: a) State or Local Taxes based on income b) License fee under this ordinance c) Capital Loss (fiduciary only) d) Net Operating Loss Carryover e) Other Items (list)

7) TOTAL INCOME - ADD LINES 1 through 6

8) Subtract items not subject: a) Interest on Corporate Bonds b) Royalties on Patents, Copyrights c) Dividends d) Net Capital Gain e) Other Items (list)

9) TOTAL DEDUCTIONS - ADD LINES 8a-e

10) ADJUSTED NET PROFIT - SUBTRACT LINE 9 FROM LINE 7. ENTER HERE AND ON APPLICABLE SECTION ON PAGE 1

INDIVIDUAL

0 0 0

NELSON OCCUPATIONAL LICENSE PAGE 2 - WORKSHEET FORM I-1

WORKSHEET: BUSINESS APPORTIONMENT

Use ONLY if a portion of revenue was earned outside Nelson County during the year COLUMN A

NELSON COUNTY

COLUMN B

DIVIDE

TOTAL EVERYWHERE (A/B=C)

11) Revenue Factor - Total Sales/Receipts for the year

0.0000%00%

NELSON COUNTY FISCAL COURT

OCCUPATIONAL LICENSE DIVISION PO Box 578 1 Court Square, Suite 202 Bardstown KY 40004 (502) 348-1862 (502) 348-1897 fax

FORM SP-1

OCCUPATIONAL LICENSE FEE - INFORMATION RETURN S-Corporation, Partnership, LLC, LLP or similar

**Information Return Only -- Tax Assessed at the Individual Level

C-Corporations and Individuals - do not use. Please file Form C-1 or I-1 Check all that apply: Address Change? Change in Ownership? Contract labor paid this year? (attach 1099's) Employees in Nelson County? Final return?

Principal Business Activity ___________________________________

Daytime Phone Number _____________________________________

Federal ID Number__________________________________________

REQUIRED: The following information is required of all shareholders, partners, members, etc during the tax year. Attach additional sheets if necessary:

Name

Address

K-1 Attached?

_________________________________

_________________________________

_____

_________________________________

_________________________________

_____

_________________________________

_________________________________

_____

_________________________________

_________________________________

_____

_________________________________

_________________________________

_____

_________________________________

_________________________________

_____

_________________________________

_________________________________

_____

_________________________________

_________________________________

_____

**Each filing entity MUST include copies of all applicable tax documents filed with the Internal Revenue Service. S Corporations: Form 1120S pages 1-5, K-1, 1099-Misc; Partnerships: Form 1065 pages 1-5, K-1, 1099-Misc.

I declare, under the penalties of perjury, that I have examined this document and to the best of my knoweledge and belief, this is a true and accurate return.

Signature of Corporate Officer

Printed Name

Title

Date

Signature of preparer (if other than taxpayer)

Date

Printed Name

NELSON COUNTY FISCAL COURT

OCCUPATIONAL LICENSE DIVISION PO Box 578 1 Court Square, Suite 202 Bardstown KY 40004 (502) 348-1862 (502) 348-1897 fax

FORM C-1

OCCUPATIONAL LICENSE FEE RETURN ON NET PROFIT C-CORPORATIONS

S-Corporations and Partnerships - do not use. Please file Form SP-1

Check all that apply: Address Change? Change in Ownership? Contract labor paid this year? (attach 1099's) Employees in Nelson County? Final return?

Principal Business Activity ___________________________________

Daytime Phone Number _____________________________________

Federal ID Number__________________________________________

1) Adjusted Net Profit from worksheet on page 2 2) Apportionment % - if applicable from worksheet. If not applicable, enter 100% 3) Apportioned Net Profit - Line 1 x Line 2 4) Maximum earnings allowed 5) Enter lesser of lines 3 or 4. This is your taxable income 6) Multiply line 5 x 1/2 of 1% (.005) 7) Late filing and/or payment penalty

10% of total tax on line 6

8) Interest fee

0.5% per month, 6% per annum - of total tax on line 6

0 0.000000%

0

15,000.00

0 0

9) Tentative tax due - add lines 6, 7, and 8

$

0

10) Prepayments/Overpayments/Credits on Account, if applicable 11) Total Tax Due (Subtract line 10 from line 9)

$

0

**Each filing entity MUST include copies of all applicable tax documents filed with the Internal Revenue Service. Corporations: Form 1120 or 1120A, pages 1-4; 1099-Misc

I declare, under the penalties of perjury, that I have examined this document and to the best of my knoweledge and belief, this is a true and accurate return.

Signature of Corporate Officer

Printed Name

Title

Date

Signature of preparer (if other than taxpayer)

Date

Printed Name

ADJUSTED NET PROFIT CALCULATION

1) Taxable income or (loss) per Federal Form 1120 or 1120A. Attach Form 1120/1120A, Pages 1-4 2) Add items not deductible:

a) State or Local Taxes based on income b) License fee under this ordinance c) Capital Loss (fiduciary only) d) Net Operating Loss Carryover e) Other Items (list)

3) TOTAL INCOME: ADD LINES 1-2 4) Subtract items not subject:

a) Interest on Corporate Bonds b) Royalties on Patents, Copyrights c) Dividends d) Net Capital Gain e) Other Items (list)

5) TOTAL DEDUCTIONS - ADD LINES 4a-e

6) ADJUSTED NET PROFIT - SUBTRACT LINE 5 FROM LINE 3. ENTER HERE AND ON APPLICABLE SECTION ON PAGE 1

CORPORATION

0 0 0

NELSON OCCUPATIONAL LICENSE PAGE 2 - WORKSHEET FORM C-1

WORKSHEET: BUSINESS APPORTIONMENT

Use ONLY if a portion of revenue was earned outside Nelson County during the year

COLUMN A

COLUMN B

NELSON COUNTY TOTAL EVERYWHERE

DIVIDE (A/B=C)

11) Revenue Factor - Total Sales/Receipts for the year

0.000000%%

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