Enlarge image | MCLEAN COUNTY TAX ADMINISTR MCLEAN COUNTY, KY NET PROFIT LICENSE TAX RETURN FOR YEAR: 2021 P.O. BOX 128 (270) 273-9170 CALHOUN KY 42327 www.mcleancounty.ky.gov jedmonds@mcleanky.com FISCAL YEAR ENDED 12 / 31 / 2021 ACCOUNT NUMBER DUE DATE 04 / 15 / 2022 Name and Address of Business 00002 DUE BY FEDERAL TAX DAY FILE DATE, UNLESS FILING AN EXTENSION MICHAEL L BRAWNER, JR DID YOUR BUSINESS ACTIVITY CEASE IN MCLEAN COUNTY? PO BOX 467 _____ YES _____ NO CALHOUN KY 42327 Cease Date: INDICATE ANY NAME OR ADDRESS CHANGE ABOVE COMPUTATION OF NET PROFIT LICENSE TAX 1. Total Gross Receipts/Income in McLean County (Business Income, Farm Income, Rental Income, etc.) $ ___________________________________ 2. Total Expenses in McLean County $ ___________________________________ 3. TOTAL (Line1 less Line 2) $ ___________________________________ 4. License Tax Due - 1% of line 3 $ ___________________________________ MAXIMUM DUE $750.00 MINIMUM DUE $50.00 5. INTEREST for Late Payment - 1% Per Month $ ___________________________________ 6. PENALTY for Late Payment - 5% per month, $25.00 minimum, not to exceed 25% $ ___________________________________ 7. Employees Occupational License Tax $ ___________________________________ (Applicable if not paid on a Quarterly Basis) - 1% of Gross Wages 8. Credit (Prior Payment - Must Attach Proof of Prior Payment) $ ___________________________________ 9. TOTAL AMOUNT DUE Line 4 + Line 5 + Line 6 + Line 7 - Line 8 = Line 9 $ ___________________________________ If a refund is due, please attach letter for request of refund. No refund or credit after 2 yrs of overpayment Please make checks payable and mail to: MCLEAN COUNTY LICENSE TAX ADMINISTRATOR P.O. BOX 128 CALHOUN KY 42327 I hereby certify that the statements made herein and in any supporting documents are true, correct, and complete to the best of my knowledge. _______________ _______________________________________________ _____________________ Date Taxpayer Signature Title Firm Name and Address:_________________________________________________________________________________ Date:_____________________ Signature of Preparer:_____________________________________________________ MCNP Rev. 9/16/2021 |