Louisville Metro Revenue Commission                                                                                
                                                                                                                               
                    Quarterly Net Profit Deposit Form                                                                            Form OL-3 D 
                                                                                                              OL-3_D_2017_V1.0 
 ▼   INDIVIDUAL/ SOLE PROPRIETOR    ▼                                   
  Last name                                                       First name                       MI                  Social Security Number 
                                                                                                               
 ▼      CORPORATION/ PARTNERSHIP    ▼                              
  Legal name/ Business name                                                                                                 Federal ID Number 
                                                                                                               
  Address (number and street)                                                        Unit/Apt. no.                            Account ID 
                                                                                                               
  City, town, or post office                                     State               Zip code                               Tax Year Ending 
                                                                                                                        
  Email                                                          Phone no.           Ext.                                   Deposit Amount 
                                                                                                               $                                         .00 
                                                                                                   CHECK APPLICABLE QUARTER DEPOSIT IS FOR 
                                                                                            Q1        Q2                   Q3           Q4 
  Estimated Tax      1.  Expected adjusted net profit in the current tax year                                     1.        $                                  .00 
  Liability          2.  Expected Receipt factor - Louisville Metro Receipts divided by Total Receipts            2.                           % 
                      Everywhere 
  Worksheet   
  Do not             3.  Expected Wage factor - Louisville Metro Wages divided by Total Wages Everywhere          3.                           % 
  complete this      4.  Expected Apportionment factor – (Line 2 + Line 3) divided by 2 (Only divide if both      4.                           % 
  worksheet if the    factors are present) 
  current net profit 5.  Multiply Line 1 by Line 4;                                                               5.        $                                  .00 
  liability will be 
  $5,000 or less     6.  Multiply Line 5 by .0220 = (Your estimated current tax liability)                        6.        $                                  .00 
                     7.  Multiply Line 6 by 90%                                                                   7.        $                                  .00 
                     8.  Enter 100% of prior whole year net profit liability                                      8.        $                                  .00 
                     9.  If your net profit liability for any of the three (3) preceding full taxable years exceeded     9. $                                  .00 
                      $20,000, enter 100% of average net profit liability for the past three (3) whole tax years. 
                     10.  Enter the lesser of Lines 7, 8, or 9.                                                   10.       $                                  .00 
                     11.  Divide Line 10 by 4 (This is the amount due each deposit.)                              11.       $                                  .00 
  Disclaimer         Please be advised that the above Worksheet for Calculating Estimated Tax Liability is a guideline to assist in the calculation of 
                     quarterly deposits. If any of the above calculations are underestimated, license fees will be underpaid and late payment 
                     interest of 1% per month will be assessed against any license fee balance unpaid by the due date. 
  Signature          I hereby certify, under penalty of perjury, that the information provided and the attached supporting schedules are true, 
                     correct, and complete to the best of my knowledge.     
                     Your signature                                                    Date 
                                                                                        
                     Print/type your name                              Your title                            Daytime phone number 
                                                                                                              
  Preparer           Print/Type preparer’s name                 Preparer’s signature          Date           PTIN 
  Use Only                                                                                                    
                     Firm’s name                              ▶                                              Firm’s EIN    ▶    
                     Firm’s address                          ▶                                               Phone no.      ▶   
         
                                                                  ELECTRONIC FILING: 
     Register for electronic filing. It is an easy, secure, and convenient way to file and pay taxes on-line. For more information log on to 
                                                                 https://www.metrorevenue.org 
 
                               MAILING ADDRESS: P.O. BOX 35410, LOUISVILLE, KENTUCKY 40232-5410                                                 
                             Telephone: (502) 574-4860  .   Email: taxhelp@metrorevenue.org   .  Fax: (502) 574-4818