CITY OF RICHMOND
Form 2
Rev. 11/26/08 NET PROFIT LICENSE FEE RETURN
QUESTIONS (ANSWER FULLY)
CALENDAR FISCAL YEAR ENDED 1. Nature of Business _____________________________________
ACCOUNT NO. YEAR MO. DAY YEAR 2. Date Business started in Richmond ________________________
OR 3. If Organization was discontinued, State when ________________
Dissolution ____ or Sale ____ If by sale, Give name and
address of Successor ____________________________________
Name and Address of Business 4. Number of Employees in Richmond during the year. _____________
5. Has Richmond License Fee been withheld from all subject employees
And Remitted Quarterly in accordance with the regulations?
Yes ____ No ____ If answer is “No” explain _________________
6. Check Which: ____Corporation ____Sub-Chapter S
____ Partnership ____Individual Owner ____Fiduciary
____ Other (state) __________________________________________
7. Basis on which the Return is prepared Cash____ Accrual ____
8. Have Federal Authorities changed the Net Income as originally
reported for any prior year? Yes____ No____
PLEASE NOTIFY THIS OFFICE OF ANY CHANGE OF OWNERSHIP OR If answer is “Yes” attach Schedule of Changes for each year.
NAME AND ADDRESS SHOWN ABOVE 9. Telephone Number _____________________________________
10. Contact Name ________________________________________
SCHEDULE A
1. Total Gross Income per Federal Return, Form _______…………………………… $
2. Total Business Deductions per Federal Return……………………………………… $ *ENCLOSE ONE COPY
3. Net Business Income per Federal Return…………………………………………… $ OF APPLICABLE
4. ADD items not deductible (Line G, Schedule B)……………………………………… $ FEDERAL RETURN
5. Total (Line 3 plus Line 4)……………………………………………………………… $ INCLUDING SUPPORTING
6. DEDUCT items not subject (Line N Schedule B) …………………………………… $ STATEMENTS
7. AJUSTED NET BUSINESS INCOME (Line 5 Less Line 6)……………………… $
MAKE CHECK PAYABLE
8. Enter average percentage allocable to Richmond (Schedule C, Line 4)…………… _____________% TO:
9. NET PROFITS subject to Richmond License Fee (Line 7 x Line 8)………………… $ CITY OF RICHMOND
10.Richmond License Fee @ 2.00% of amount on Line 9 (Min $25.00)……………,,,,,,, $ MAIL TO:
11.Less Credits ____________ Estimated Payments __________…………………… $ CITY OF RICHMOND
12.Refund or Credit. If Line 11 is greater than Line 10 Enter difference P.O. BOX 1268
(Refund ______ Credit _____)………………………………………………………… $ RICHMOND, KY 40476-1268
13.Balance Due. If Line 10 is greater than Line 11, Enter difference as License Fee Due $ PHONE: (859) 623-1000
14.Penalty – 5% of tax due per calendar month or fraction of month not to exceed 25% $ FAX: (859) 624-2753
of total tax due however, not less than $25.00…………………………………………
15.Interest – 12% per anum after due date......................................................................... $
16.Total Amount Due (Add Lines 13,14,15)……………………………………………… $
SCHEDULE B NOTE:
ADD AND/OR DEDUCT ONLY THOSE ITEMS WHICH ARE INCLUDED INCALCULATING NET INCOME PER FEDERAL RETURN
ITEMS NOT DEDUCTIBLE – ADD ITEMS NOT SUBJECT - DEDUCT
A. State or Local taxes based on income $ H. Interest on Corporate Bonds $
B. License Fee under this Ordinance I. Interest on U.S. Government Securities
C. Capital Gain J. Royalties on Patents, Copyrights
D. Net Operating Loss Carryover K. Dividends
E. Partner’s Salaries (attach schedule) L. Capital Loss
F. Other (attach schedule) M. Other (attach schedule)
G. Total Additions (enter on Line 4) $ N. Total Deductions (enter Line 6) $
SCHEDULE C
Business Allocation Percentage – Divide (Col. A) by (Col. B) to obtain decimal. Carry out to at least six places.
Column A Column B Column C
ALLOCATION FACTORS Richmond Factor Total Factor Percentage
1. TOTAL GROSS BUSINESS RECEIPTS……………………………………………………… $ $ %
2. Total Wages, Salaries and Other Personal Service Compensation Paid to employees $ $ %
3. TOTAL PERCENTS…………………………………………………………………………………………………………………………………… %
4. AVERAGE PERCENTAGE (Line 3 divided by number of percents) Enter on Line 8…………… %
I hereby certify that the statements made herein and in any supporting schedules are true, correct, and complete to the best of my knowledge
Return Must
Be Signed
_________________________________ ____________ ______________________________ ____________
Signature of Individual Preparing Return Date Signature of Taxpayer Date
This return must be filed and paid in full on or before APRIL 15, or within 105 days after close of the fiscal year, sale, liquidation, or transfer.