Boone County Fiscal Court
                                                             www.BooneCountyKy.org
                                                               2950 Washington Street
                                                                     PO Box 960
                                                               Burlington, KY 41005
                                                                    (859) 334-2144
                                                                     (859) 334-3914 fax

                                                     Net Profit Tax Return for 2017
                            Use this form if your year end is between January 1, 201  and December7 31, 201 7
Name:                                                                    Account #: ________________________________________ 

dba:                                                                     FEIN/SSN:_________________________________________ 

Address:                                                                 Due Date:_________________________________________ 
                                                                         Net Profit return is due one hundred and five (105) days after your last accounting day of 
                                                                         the year.  Example year end is December 31 return would be due April 15 of the 
City, State, Zip:                                                        following year. 

Boone County Board of Education Tax - 1/2 of 1% (.005)
                          *****No Maximum*****
1) Adjusted Net Business Income (Page 2, Line 25(a))                     $
2) Multiply Line 1 - by 1/2 of 1% (.005)                                 $
3) Late filing and/or Paying Penalty Fee                                 $
 5% per month, maximum not to exceed 25%,Minimum $25
4) Interest Fee (1% per month, 12% per year )                            $
5) Total Board of Education Tax                                                                            $
Boone County Ordinance #07-27 - 8/10 of 1% (.008)
                    *****Max $59,217.00/tax of $473.74*****
6) Adjusted Net Business Income (Page 2, Line 25(b))                     $
7) Multiply Line 6 - by 8/10 of 1% (.008) (Not greater than $473.74)     $
8) Late filing and/or Paying Penalty Fee                                 $
 5% per month, maximum not to exceed 25%,Minimum $25
9) Interest fee 1% per month, 12% per year                               $
10) Total Boone County Net Profit Tax                                                                      $
Boone County Mental Health Tax  Ordinance #07-26- 15/100 of 1% (.0015)
             *****Max Profit $16,666.00/tax of $25.00*****
11) Adjusted Net Business Income (Page 2, Line 25(c))                    $
12) Multiply Line 11-  by 15/100 of 1% (.0015) (Not greater than $25.00) $
13) Late filing and/or Paying Penalty Fee                                $
  5% per month, maximum not to exceed 25%,Minimum $25
14) Interest fee 1% per month, 12% per year                              $
15) Total Mental Health Tax                                                                                $
16) Subtotal Taxes (add lines 5,10,15)                                                                     $
17) AddAnnual     Business License Fee      $25 (See instructions for multiple location fees)              $
18) TOTAL DUE (ADD LINES 16 and 17)                                                                        $
19) Overpayment from Prior Year                                          $
20) Estimated Tax Payment with Extension                                 $
21) Total Prior Year & Estimated Payments (ADD LINES 19 and 20)                                            $
Total remittance (line 18 less line 21)                                                                    $
Make check payable to:  Boone County Fiscal Court
If Overage please specify  Refund or Credit                              Refund                            Credit 
                  You must attach a copy of the Federal Tax Return, Supporting Schedules (include all pages) 
                                 and complete page two -Calculation Of  Adjusted Business Income
Signed:                                                                  Date:
Printed Name                                                             Official Title:
Tax Form Prepared By:                                                    Telephone Number:
                                                                         E-mail
I declare, under the penalties of perjury, that I have examined this document and to the best of my knowledge and belief, this is a true and accurate return.
Please notify in writing any changes of ownership or new address by completing a Request to Change/Close Occupational License Account which 
can be found on our website @ www.BooneCountyKY.org.  If you have any questions please call 859-334-2144 or email 
OccLicense@BooneCountyKY.org
Mail your return to:
PO Box 457, Florence, KY 41022-0457) are for returns WITH PAYMENT and 
PO Box 960, Burlington, KY 41005-0960) are for returns WITHOUT PAYMENT.                                           Form 0706 - page 1 of  2

   Account #: _________________________                                                     Account Name:___________________________
   Year Ended:________________________                                                      FEIN/SSN: _______________________________

                                                                  Adjusted Business Income Calculation Page (page 2 of Net Profit Return)
                                                                                                  Individual                             Partnership         Corp and S-Corp
                                                                                            1040 Schedule C, E, F, 1040 
                                                                                            Other income, 1099                           Form 1065           Form 1120 & 1120S
   Non-employee Compensation as reported on Form 1099-Misc reported as "other income" 
1 on Federal Form 1040 (attach Page 1 of Form 1040 and Form 1099)                                                                        N/A                          N/A
   Net Profit/Loss per Federal Schedule C of Form 1040 (attach Schedule C, Pages 1 & 2, 
2 Schedule C-EZ)                                                                                                                         N/A                          N/A

3 Rental Income/Loss per Federal Schedule E of form 1040 (attach Schedule E)                                                             N/A                          N/A

4 Net farm Profit/Loss per Federal Schedule F of form 1040 (Attach Schedule F, pages 1 & 2)                                              N/A                          N/A
   Capital Gain from Federal Form 4797 or form 6252 reported on Schedule D of form 1040 
5 (attach form 4797, Pages 1 & 2 or Form 6252)                                                                                           N/A                          N/A
   Ordinary Gain/Loss on the sale of property used in trade or business per Federal Form 
6 4797 (Attach Form 4797, pages 1 & 2)                                                                                                   N/A                          N/A
   Ordinary Income/Loss per Federal Form 1065 (Attach Form 1065, Pages 1,2,&3, 
7 Schedule of other Deductions and Rental Schedule(s), if applicable)                                N/A                                                              N/A
   Taxable  Income/Loss per Federal Form 1120 or 1120A or Ordinary Income/Loss per 
   Federal Form 1120S (Attach Form 1120 or 1120A, Pages 1 & 2, Schedule of other 
8 Deductions, and Rental Schedule(s), if applicable)                                                 N/A                                 N/A
   Ordinary Income/Loss per Federal Form 1120S (Attach  Form 1120S, Pages 1,2 & 3, 
9 Schedule of other Deductions, and Rental Schedule(s), if applicable)                               N/A                                 N/A
   State Income Taxes and Occupational taxes deducted on Federal Schedule C,E,F, or 
10 Form 1065, 1120, 1120A, or 1120S
   Additions from Schedule K of Form 1065 or Form 1120S (Attach Schedule K of Form 
11 1065 or 1120S and rental schedule(s), if applicable).                                             N/A

12 Net Operating Loss deducted on Form 1120                                                          N/A                                 N/A
13 Total Income - Add Line 1 through Line 12
   Subtractions from Schedule K of Form 1065 or Form 1120S (Attach Schedule K of Form 
14 1065 or 1120S and rental schedule(s), if applicable).                                             N/A

15 KY Alcoholic Beverages (Attach Computation Sheet)

16 Other Adjustment (Attach Schedule)

17 Professional Expense not reimbursed by the Partnership (Attach schedule of Expenses)              N/A                                                              N/A

18 Total Deductible Items - Add Lines 14 through 17

19 Adjusted Net Business Income - Subtract Line 18 from Line 13

                                                              COMPUTATION OF APPORTIONMENT PERCENTAGES
   All licensees who conduct a business activity in Boone County, KY must complete                Column A                               Column B                Column C
   this part, regardless of profit or loss.                                                 Boone County Factor         Total Operations Everywhere          Boone County %  ( A/B=C)
                                                                                            20(a)                       20(b)                         20(c)
20 Gross Receipts from sales made and/or services rendered
   Gross Compensation including wages, salaries and other compensation (see                 21(a)                       21(b)                         21(c)
21 instructions before completing)
                                                                                                                                                      22(c)
22Total Apportionment Factor(add Column C, lines 2 0& 21)
   Apportionment Factor(Column C line 2 2divided by the number of percents used).  If                                                                 23(c)
   both lines 20(b)& 21(b) are greater than zero, divide the entry on Line 2(c)by 2 and 
23 enter here.  If either Line 20(b) or 2 (b)1 is zero, enter the amount from Line 2  here.2
                                                                                                                                                      24(c)
24 Taxable Boone County Net Profit - Multiply Line 19 by 23(c) and enter here

                                                                                                  Boone County BOE      Boone CountyOrdinance #07-27         Boone County Mental Health 
                                                                                            see page 1 for maximum            see page 1 for maximum         see page 1 for maximum
                                                                                            25(a)                       25(b)                         25(c)
25 Allocated Profit Enter Line 2 4- transfer to page 1 where appropriate
                                                                                            (Transfer to Line 1 page 1) (Transfer to Line 6 page1)           (Transfer to Line 11 page 1)
                                                                                                                                                             Form 0706-1 - Page 1 of 2
                                                                                                                                                             Form 0806-1 - Page 2 of 2