WARREN COUNTY SCHOOLS OCCUPATIONAL                                                 Business Entity

                       NET PROFIT RETURN                                           _____Sole Proprietor            _____Corporation
Account #                                                          Year End
                                                                                   _____LLC                          _____S-Corp

Print Name and Address of Business/ Please note change of address.                 _____Partnership                  _____LLP

                                                                                   ______PSC                            _____Other

                                                                                   If other, list__________________________

Social Security #_______________________________ Federal ID #_____________________________________________

_____Final Return (Check Only to inactivate account and Complete Question D)  _____No Business Activity within Tax Jurisdiction

A) Business Phone_____________________________B) Principle Business Activity______________________________________________

C) Principle Owner/Administrative Officer________________________________________________________________________________

D) If Business Activity was discontinued within the Tax Jurisdiction during the year, state when____________________________________

      ______  Dissolution   ______ Sale,  If Sale, Give Name and Address of Successor______________________________________________

E) Is the Business Entity an Affiliate of a Consolidated Corporate Federal Return?  _____ YES   _____NO

*****IMPORTANT*****                                                FILING STATUS (PER FEDERAL RETURN)

Enclose Copy of Applicable   1) Sole Proprietorship or Individuals: Attach Federal Schedule(s) C,  E,  F, W2 or 1099 Misc.
     Federal Form            2) Partnership: Attach Federal Form 1065 and Form 8825, if applicable
                             3) Corporation: Attach Federal Form 1120 or 1120A or Form 1120S and Form 8825, (if
                                   applicable)
          th           th
Due the 15  Day of the 4                                                    FEE COMPUTATION
Month Following the Close
of the Taxable Year
                             1)   Total Gross Income per attached form(s)…………………………_____________________
                             2)   Total Deduction per attached form(s)……………………………._____________________
          Remit To:
                             3)   Net Income…………………………………………………….…._____________________
Warren County Schools
Occupational Tax Office      4)   Add items not deductible (See Section B)……………………….._____________________
     Net Profit Return
                             5)   ADJUSTED NET INCOME (Line 3 plus Line 4)……………….._____________________
     P.O. Box 890944
Charlotte, NC 28289-0944     6)   Enter average percentage from Section C……………………….. _____________________

Phone # (270) 842-7168       7)  Net taxable income (Line 5 x Line  )…………………………….  _____________________
Fax # (270) 842-3411
                             8)  Occupational Tax (Line 7 x .005)………………………….…….. _____________________
                             ..
          Email:             9)  Credits: Estimated Payment/ W2 withholding (where applies) ..…_____________________
www.warren.k12.ky.us
          Choose             10) Balance (Line 8 less 9)……………………………………….…. _____________________
Occupational Tax Office
                             11) Add Penalty and/or interest - $10.00 penalty -failure to file by
                              due date. Interest 1% per month on balance due from original due
If a change of address        date………………………………………………………..................______________________
occurred during the tax year,
                             12) Refund Due Taxpayer…………$____________________
please note new address and
date of move.
                             13) PAY THIS AMOUNT………………………………………...______________________

                             SIGN__________________________________________________________________  DATE___________________

                                                                      SECTION B

                                                             ITEMS NOT DEDUCTIBLE

A) State or City taxes based on income……………__________________

B) Capital Loss (Fiduciary Only)………………….__________________

C) Net Operating Loss Carryover…………………__________________

D) Other Items (Misc. Income) (list)………………__________________

E) TOTAL ADDITIONS………………………………………………..$_________________         Enter on Line 4

                                                                      SECTION C
ALLOCATION FACTOR                                                     COLUMN A                       COLUMN B                COLUMN C
                                                                      TAXABLE                        TOTAL                   PERCENTAGES

F. GROSS Income (if not applicable, write N/A in Column
       C)
G. Total Wages, Salaries & Other Compensation
        (if not applicable, write N/A in Column  C)
H. Total Percentages (Line F plus Line G)…………………………………………………………………………_____________________%

I. Average Percentage (Line H divided by number of applicable percentage) Enter on Line 6……………………_____________________%

                                                             NET PROFIT INSTRUCTIONS
Who is Subject:                           Every person association, corporation, or other entity residing or having a business situs
                                  within the Warren County Public School District. This may include areas also defined as
                                  being within the city limits of Bowling Green.
When To File:                     The Net Profit due date is the 15 thday of the 4 thmonth following the close of the taxable
                                  year. Extensions may be granted if received by the original Net Profit due date.
Basis of Net Profit:                      In computing the amount due, begin with gross income less total deductions as shown by the
                                  Federal Income Tax Return.

                                                                                 SECTION A
                                                 All items should be self explanatory unless specifically listed below.
Line 1                            Enter the total gross income per appropriate federal form(s)
Line 2                            Enter total deductions per appropriate federal form(s)
Line 4                            Add items not deductible totaled on Line E of Section B
Line 6                            Complete Section C and enter the total percentage of Bowling Green, Warren County
         taxable income.
Line 9                            Enter estimated payment from current tax year. W-2 credit only applies to individuals having the occupational tax withheld.
Line 11                           Add a $10 penalty, if return has not been filed by the original due date or an extension has not been received in this office
         by the original due date.

                                                                                 SECTION B
                                                                 See Kentucky Return for Deductions
                                                                                 SECTION C
Line F                            GROSS INCOME
                   Taxable……….Total income from operations within Bowling Green, Warren County.
                   Total…….……Total income from all operations, all locations.

Line G                            TOTAL WAGES/SALARIES/OTHER COMPENSATION
                    Taxable……….Total wages paid to all employees of the Bowling Green, Warren County business operations.
                    Total………….Gross Wages paid to all employees, all locations.