Phone No. (270) 842-7168            WARREN COUNTY SCHOOLS NET PROFIT TAX RETURN       Fax No. (270) 842-3411 
                                                              303 Lovers Lane, Bowling Green, KY 42103
 SECTION A – See Warren County Schools Net Profit Instructions located at www.warren.kyschools.us 
 1    ACCOUNT #:                                                                                                           PLEASE ENTER TAX YEAR BEING REPORTED:  

  2 A) Business Phone__________________________   B) Principal business activity_________________________________________ 
     C) Principal Owner/Administrative Officer ________________________________________________________________________ 
     D) If business activity was DISCONTINUED within the Tax Jurisdiction during the Year, State When_________________________ 
     E) Is the Business Entity an Affiliate of a Consolidated Corporate Federal Return? _____________________(if Yes, See Instructions) 
 Mailing       SHAUNNA R. CORNWELL                                                                                                                     3                    Business Entity Type        
                                                                                                                                                       ___ Corporation       ___  Individual 
 Address:      ATTN: PAYROLL                                                                                                                           ___  Partnership       ___  SCorp 
                                                                                                                                                       ___  LLC                   ___  Other: ______________ 
               
                                                                                                                                                       4                FINAL RETURN - Check only to inactivate 
 5    Please Enter  FEIN/ SOCIAL SEC. NO.:                                                                                                                  Complete        Question D (Box 5 Below) 
                                                                                                                                                                        NO BUSINESS ACTIVITY within Tax  
     **IMPORTANT**                                                                                                                                          Jurisdiction 
                                     6       FILING STATUS (per FEDERAL RETURN)1                                                         
     THE APPROPRIATE                 1) _____ Worksheet C (Federal Form 1120 or 1120 A or Form 1120S and Form 8825, if applicable)         
     SCHEDULES MUST BE 
                                     2) _____ Worksheet I  (Federal Form 1040 Schedule C, Schedule E, Schedule F, and/or 1099 MISC)  
     ATTACHED OR THE 
      RETURN WILL BE                 3) _____ Worksheet P (Federal Form 1065 and Form 8825, if applicable) 
     MAILED BACK AND                  SECTION B - See Warren County Schools Net Profit Instructions located at www.warren.kyschools.us 
           WILL BE                                                                                                                                
        CONSIDERED 
        DELINQUENT                                                                                                             FEE COMPUTATION 
                                     1) “Adjusted Net Profit” from Applicable Worksheet - See Page 2 (If paying on  
        REMIT TO: 
                                                                                   less than 100% of Net Profit complete Worksheet Y)                 _______________________    
      Warren County                  2) Business Apportionment, if paying on less than 100% of Net Profit                                                                          
           Schools 
                                                                                                                               (from Worksheet Y, Line 4)                         _______________________ 
     Net Profit Return 
                                     3)      Taxable Net Profit Line 1 x Line 2                                                                                                   _______________________ 
      P.O. Box 890944 
                                     4)      Occupational License Fee (Line 3 x .005)                                                                                             _______________________ 
        Charlotte, NC  
        28289-0944                   5)      TOTAL TAX DUE                                                                                                                        _______________________ 
                                     6)      Less Estimated            Payments or Credits (attach explanation of credit)                                                         _______________________ 
      THE FILING OF 
                                     7)      Balance Due                                                                                                                          _______________________ 
     JOINT RETURNS 
 ARE NOT ALLOWED                     8)      Penalty @ 5% per month (not to exceed 25%;Minimum $25.00)                                                                            _______________________ 
                                     9)      Interest @ 1% per month from DUE DATE                                                                                                _______________________ 
                    TH
     DUE THE 15        DAY           10) TOTAL AMOUNT DUE  ………………………………………………………….    _______________________ 
                TH
     OF THE 4        MONTH             
     Following the Close of           11) Overpayment (if Line 6 exceeds Line 5)        $                                                                   EXTENSIONS MUST BE FILED BY THE 
      the Taxable Year                           Refund            Credit to next year estimated payment                                                    ORIGINAL NET PROFIT DUE DATE

  RETURN   MUST BE SIGNED- I hereby certify, under penalty of perjury, that the statements made herein and in supporting schedules are true, correct and complete to the best of my knowledge. 
 ______________________________________________________________________________________ ____________________________________________________________________________________ 
 TAXPAYERS SIGNATURE                                                                                                     DATE  PREPARER’S SIGNATURE                                                                                                     DATE   
     
 PRINT NAME    ________________________________________________________________________                                        PRINT NAME    ________________________________________________________________________ 

                                             NET PROFIT WORKSHEET Y: BUSINESS APPORTIONMENT 
        All business operations that were not conducted entirely in the Tax Jurisdiction must complete this part, regardless of profit or loss 
          APPORTIONMENT FACTORS                                   COLUMN A (Tax Jurisdiction)      COLUMN B (Total Everywhere)        COLUMN C (A/B = C) 

1) PAYROLL FACTOR-Compensation Paid or                                                                                                                                               
                               Payable to Employees 
2) SALES FACTOR-Total Revenue from Sales,                                                                                                                                            
                    Rents, Work or Services Performed 

 3) TOTAL PERCENTAGES 
4) BUSINESS APPORTIONMENT   (If your business had both a sales factor and a payroll factor, then divide line 3 
by two (2). However, if the business had either a sales factor or a payroll factor, but not both, then enter the single                                                              
factor percentage here and Line 2 of Net Profit Return.) 
                                                                                                                                                                                                                                                                

                                                                               NET PROFIT INSTRUCTIONS 
 NOTE:  Detailed instructions to assist with the completion of this return can be found on our website atwww.warren.kyschools.us 
Who is Subject?                     A Corporation filing Form 1120, 1120A, 1120S, or 1120REIT, Partnership filing Federal Form 1065 & 8825, if applicable a     
 Sole Proprietor filing Federal Form Schedule C, E, F, and/or 1099 MISC and the business or job is located in the Warren County School District 
When to File?   Years ending December 31: return must be filed and all taxes paid on or before April 15. For years ending other than 
December       31: return must be filed and all taxes paid on or before the fifteenth day of the fourth month following the close of the fiscal year. 
        NETNETPROFITPROFITWORKSHEETWORKSHEETC:C:ForForBusinessBusinessEntitiesEntitiesrequiredrequired totofilefileaaCORPORATECORPORATEUSUSIncomeIncomeTaxTaxReturnReturn 
  
 1)      Taxable income or (loss) per Federal Form 1120 or 1120 A or Ordinary Income or (loss) per Federal Form                                         ____________________ 
         1120 S (Attach the Applicable Form 1120, 1120A Pages 1 and 2 or 1120 S Pages 1,2, and 3) 
  
 2)      State income Taxes and Occupational License Fees deducted on the Federal Form 1120, 1120A or 1120S                                             ____________________ 
  
 3)      Net Operating Loss deducted on Form 1120 (does not apply to 1120 S entities)                                                                   ____________________ 
    
 4)      Additions from Schedule K of Form 1120S (See Instructions) (Attach Schedule K of Form 1120S and Rental                                         ____________________ 
         Schedules, Form 8825, if applicable) (applies to entities filing 1120 S only)     
  
 5)TotalIncomed           (Ad1  4)  Lines inethroughL                        ____________________ 
  
 6)      Subtractions from Schedule K of Form 1120S (See Instructions) (Attach Schedule K of 1120S and Rental                                           ____________________ 
         Schedules, Form 8825, if applicable) ( applies to entities filing 1120 S only) 
  
 7)      Alcoholic Beverage Sales Deduction (From Worksheet X, below, Line 5)                                                                           ____________________ 
  
 8)      Local/Other Adjustments (See Instructions) (Attach Full Explanation and Schedule)                                                              ____________________ 
  
 9) justmentsTotal Ad6         (Add ____________________Lines through8)
  
 10)     “Adjusted Net Profit” (Subtract Line 9 from Line 5)Enter on Line 1, Section B of Fee Computation on the Net Profit Return                  ____________________ 

         NETNETPROFITPROFITWORKSHEETWORKSHEETI:ForI:ForBusinessBusinessEntitiesEntitiesrequiredrequired totofilefileananINDIVIDUALINDIVIDUALUSUSIncomeIncomeTaxTaxReturnReturn 
  
 1)      Non-employee compensation as reported on Form 1099-Misc Reported as “Other Income” on Federal Form 1040 (Attach Page 1 of Form 1040 and Form 1099) ____________________ 
          
 2)      Net profit or (loss) per line 31 of the Federal Schedule C of Form 1040 (Attach Schedule C,  Pages 1 and 2)                                    ____________________ 
       
 3)      Gain or loss on sales of business property used in a trade or business from Federal Form 4797 (pgs 1 & 2) or Form 6252 reported on Schedule D of Form 1040  ____________________ 
         
 4)       Rental income or (loss) per Federal Schedule E of Form 1040 (See Instructions ) (Attach Schedule E)                                           ____________________ 
  
 5)      Net farm profit or (loss) per Federal Schedule F of Form 1040 (Attach Schedule F, Pages 1 and 2)                                               ____________________ 
  
 6)      State Income Taxes and Occupational License Fees deducted on the Federal Schedule C,E or F      ____________________ 
  
 7)TotalIncomed           (Ad1  6)  Lines inethroughL                        ____________________ 
  
 8)      Alcoholic Beverage Sales Deduction (Form Worksheet X, below, Line 5)                                                                           ____________________ 
  
 9)      Local/Other Adjustments (See Instructions) (Attach Full Explanation and Schedule)                                                              ____________________ 
  
 10)Total            Adjustments____________________( Add 8 Lines9) & 
  
 11)     “Adjusted Net Profit” (Subtract Line 10 from Line 7) Enter on Line 1, Section B of Fee Computation on the Net Profit Return   ____________________ 

      NETNETPROFITPROFITWORKSHEETWORKSHEETP:P:ForForBusinessBusinessEntitiesEntitiesrequiredrequired totofilefileaaPARTNERSHIPPARTNERSHIPUSUSIncomeIncomeTaxTaxReturnReturn 
  
 1)      Ordinary income or (loss) per Federal Form 1065 (Attach Form 1065, Pages 1,2 and 3, Sch K and Rental Schedules, if applicable)   ____________________ 
  
 2)      State Income Taxes and Occupational License Fees deducted on the Federal Form 1065                                                             ____________________ 
  
 3)      Additions from Schedule K of Form 1065 (See Instructions) (Attach Schedule K of Form 1065 and Rental Schedules, Form 8825, if applicable)      ____________________ 
    
 4)TotalIncomed           (Ad1  3)  Lines inethroughL                        ____________________ 
  
 5)      Subtractions from Schedule K of Form 1065 (See Instructions) (Attach Schedule K of Form 1065 and Rental Schedules, Form 8825, if applicable)   ____________________ 
  
 6)      Alcoholic Beverage Sales Deduction (Form Worksheet X, below, Line 5)                                                                           ____________________ 
  
 7)      Local/Other Adjustments (See Instructions) (Attach Full Explanation and Schedule)                                                              ____________________ 
  
 8)      Professional Expenses not reimbursed by the partnership(Attachedule ) SchExpensesof            ____________________ 
  
 9) justmentsTotal Ad5         (Add ____________________Lines through8)
  
 10)     “Adjusted Net Profit” (Subtract Line 9 from Line 4) Enter on Line 1, Section B of Fee Computation on the Net Profit Return       ____________________ 

                                                NETNETPROFITPROFITWORKSHEETWORKSHEETX:X:AlcoholicAlcoholic BeverageBeverageSalesSalesDeductionDeduction 
 1) DIVIDE   Kentucky Alcoholic Beverage Sales    =   ____________________________________ 
                                            Total Sales        
               NOTE: “Total Sales” is Total Gross Receipts of Business including Non-Alcoholic Beverage Sales                           __________________________________ 
  2)Enter Net of Line 7 of Worksheet I on Page 1 OR                                                                                     __________________________________ 
 3)   Enter Net of Lines 4 ,5,7 and 8 of Worksheet P (whichever applies)                                                                __________________________________ 
 4)   Enter Net of Lines 5 and 6 of Worksheet C, (whichever applies)                                                                    __________________________________ 
 5) Alcoholic Beverage Sales Deduction (Multiply Line 1 by Line 2,3, or 4)                                                              __$_______________________________ 
                                                                                                                                                                                           
   The Warren County Schools do not discriminate on the basis or race, color, national origin, sex, religion, age or disability in the employment or the provision of services.          
                     Any and/or all questions or issues related to discrimination policies, procedures or practices are to be directed to the Office of Superintendent, 
                                    Warren County Public Schools, 303 Lovers Lane, Bowling Green, KY 42103.  Telephone: 1-270-781-5150, Fax: 1-270-781-2392