Fillable Business Tax New (City of Johns Creek)

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Business Tax New (City of Johns Creek)

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U.S.A. forms for City of Johns Creek

BROWSE CITY OF JOHNS CREEK (GA) FORMS

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STAFF USE: REVENUE: Initials: _______ Amount Due: __________________ Amount Paid: ______________ Balance Due: ___ Receipt #: ____ R100 (1/27/16)
Business Occupation Tax Return
20___ New Business
City of Johns Creek
Revenue
11360 Lakefield Drive
Johns Creek, Georgia 30097
(678) 512-3242
www.johnscreekga.gov
THE BUSINESS OCCUPATION TAX IS DUE WITHIN 30 DAYS OF COMMENCING BUSINESS IN THE CITY
BUSINESS NAME & LOCATION INFORMATION
CONTROL NUMBER:
(assigned by the City)
LICENSE NUMBER:
(assigned by the City)
a. BUSINESS NAME/DBA
WEBSITE ADDRESS
SUITE/UNIT
CITY
ST
ZIP CODE
PHONE
MAIL SUITE/UNIT
MAIL CITY
MAIL ST
MAIL ZIP CODE
ATTENTION TO
d. TYPE OF OWNERSHIP (check one)
Sole Proprietor Partnership Corporation LLC Foreign Corporation Other:
FEDERAL ID (FEIN) OR SSN (Sole Proprietor)
e. CORPORATE/OWNER NAME*
ADDRESS
SUITE/UNIT
CITY
ST
ZIP CODE
* Corporations and partnerships must provide the name of all officers or partners, their titles, resident addresses and phone numbers on the space provided on the instructions for this return.
f. DATE BUSINESS COMMENCED IN JOHNS CREEK
g. PRACTITIONERS OF PROFESSIONS: Are you a practitioner of a profession electing to pay the $400 flat fee? (see instructions for details)
Yes or No If yes, please submit a copy of your State license with this return.
h. IS THIS BUSINESS REQUIRED BY THE STATE OF GEORGIA TO HAVE A STATE LICENSE?
Yes or No If yes, please submit a copy of all State licenses associated with
this business, including all practitioners’ licenses.
i. IS THIS A SEXUALLY ORIENTED BUSINESS OR OTHER BUSINESS SUBJECT TO FURTHER BUSINESS LICENSE OR
PERMIT REQUIREMENTS BY THE CITY OF JOHNS CREEK CODE? Yes or No
If yes, please specify type:
j. IS THIS BUSINESS A HOME-BASED OCCUPATION? (Check One) Yes or No If yes, read the following acknowledgement and initial on the line provided.
As an applicant for a home-based occupation tax certificate, I have received a copy of Article 4.12 of the City of Johns Creek Zoning Ordinance entitled “Home Occupation.” I have read and
understand these provisions and understand I must comply with this section and all sections of the Johns Creek Zoning Ordinance and all other codes and ordinances as established by Mayor and
City Council. I understand that failure to adhere to these regulations may result in revocation of the occupation tax certificate. Initial:
k. COMMERCIAL LEASE INFO: Term of Lease(Years): ___________________________ Total Sq. Footage: ___________________ Starting Monthly Lease Amount: __________________________
Lease Start Date: ___________________________ Lease End Date: ______________________________ Date Signed : _______________________
l. I hereby certify under penalty of perjury, that statements made herein are to the best of my knowledge true & correct.
Print Name: Title: Signature: Date:
DL/ID # & State Issued: Date of Birth: Phone: Email: _______________________________
INDUSTRY DESCRIPTION – brief description of primary business activity
NAICS CODE
FEE CLASS
TAX RATE
GEORGIA SALES TAX ID NUMBER
Calculation to Determine Estimated Taxable Gross Receipts
20
Occupation Tax Calculation
1. Estimated gross receipts for calendar year
$
4. Multiply line 3 by the tax rate
$
2. Allowable deductions included in item 1
5. Flat rate
$ 50.00
A. Sales, use or excise taxes
$
6. Estimated # of employees for calendar year (minimum of 1)
B. Sales returns and allowances
$
7. Multiply line 6 by $13 per employee
$
C. Inter-organizational sales
$
8. Administrative fee
$ 75.00
D. Payments to subcontractors or independent agents
$
9. Subtotal occupation tax due – add lines 4, 5, 7 and 8
$
E. Governmental and foundation grants or charitable contributions
$
10. Late filing – If return is filed after 30 days from start of business in City, add penalty and interest
F. Out of state sales
$
a. Penalty – 10% of line 9
$
G. Standard deduction
$ 20,000.00
b. Interest – 1.5% of line 9 per month
$
H. Total estimated allowable deductions - total of 2A through 2G
$
11. Zoning Verification – add $30.00 for commercial locations only
$
3. Estimated taxable gross receipts
$
- home occupations must sign acknowledgement above
– line 1 minus line 2H (enter 0 if amount is negative)
12. TOTAL DUE & PAYABLE - add lines 9, 10a, 10b and 11
$
Make Checks Payable to the City of Johns Creek
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City of Johns Creek
Revenue
111360 Lakefield Drive
Johns Creek, Georgia 30097
(678) 512-3242
www.johnscreekga.gov
Business Occupation Tax Return
New Business
TAX RETURN MUST BE COMPLETED IN FULL AND
PAYMENT OF ALL TAXES AND FEES MUST BE REMITTED
TO THE CITY WITHIN 30 DAYS OF COMMENCING
BUSINESS IN THE CITY. Penalty and interest will apply to all
returns remitted later than 90 days after the commencement of
business in the City of Johns Creek.
Upon fulfilling the City’s requirements for an occupation tax certificate,
the City will issue a certificate that shall be available for inspection by
the City and may be posted at the location listed on the certificate.
Renewals are due by January 1
st
each year and shall be delinquent
after March 31
st
.
Practitioners of Professions – Practitioners of professions may elect
to pay a flat fee of $400.00 per practitioner or compute their fee using
the gross receipts method and appropriate fee class. Practitioners
electing to pay the flat fee of $400.00 per practitioner must complete a
separate application per practitioner and are NOT required to complete
the calculation portion of the occupation tax return. Additional $30.00
zoning verification is required for commercial locations and signed
home occupation acknowledgement on the return is required for home-
based locations.
Insurers – State of Georgia licensed insurers are not subject to the
City’s business occupation tax, but do need to complete the insurer
license application (Form R103) and submit to the Revenue Division
with full payment of fees.
Enter the name of all officers or partners, their titles, resident
addresses and phone numbers in the table below, as directed on the
tax return.
OFFICER OR PARTNER INFORMATION
(1) Officer/Partner:
Title:
Phone:
Resident Address:
(2) Officer/Partner:
Title:
Phone:
Resident Address:
(3) Officer/Partner:
Title:
Phone:
Resident Address:
(4) Officer/Partner:
Title:
Phone:
Resident Address:
INSTRUCTIONS FOR CALCULATION OF OCCUPATION TAX
Line 1 - Enter the total estimated gross receipts (gross revenue) of
the business for the calendar year including without being
limited to total income without deduction for the cost of
goods sold or expenses incurred, gain from the trading in
stocks, bonds, capital assets, or instruments of
indebtedness, proceeds from fees charged for services
rendered, and proceeds from rent, interest, royalty, or
divided income.
Line 2A - Enter the estimated sales, use and excise taxes that will
be collected and remitted to government agencies.
Line 2B -
Line 2C -
Line 2D -
Line 2E -
Line 2F -
Line 2G -
Line 2H -
Line 3 -
Line 4 -
Line 5 -
Line 6 -
Line 7 -
Line 8 -
Line 9 -
Enter the estimated sales returns, allowances, and
discounts for the calendar year.
Enter the estimated interorganizational sales or transfers
between or among the units of a parent-subsidiary
controlled group of corporations, as defined by 26 U.S.C.
Section 1563(a)(1), between or among the units of a
brother-sister controlled group of corporations, as defined
by 26 U.S.C. Section 1563(a)(2), between or among a
parent corporation, wholly owned subsidiaries of such
parent corporation, and any corporation in which such
parent corporation or one or more of its wholly owned
subsidiaries owns stock possessing at least 30% of the
total value of shares of all classes of stock of such
partially owned corporation, or between or among wholly
owned partnerships or other wholly owned entities for the
calendar year.
Enter the estimated calendar year payments made to
subcontractors or independent agents for services that
contributed to the overall gross receipts. Attach a
separate sheet with name, address, phone number and
amount estimated to be paid.
Enter the estimated calendar year governmental and
foundation grants, charitable contributions, or the interest
income derived from such funds, received by a nonprofit
organization which employs salaried practitioners
otherwise covered by the City Code, if such funds
constitute 80% or more of the organization’s receipts.
Enter the estimated calendar year proceeds from sales of
goods or services which are delivered to or received by
customers who are outside the state at the time of delivery
or receipt.
This is the standard deduction for the first $20,000 in
gross receipts.
Enter the total of lines 2A through 2G to determine the
total allowable deductions from the gross receipts.
Enter the difference between lines 1 and 2H to determine
the estimated taxable gross receipts.
Enter the gross receipts tax by multiplying line 3 by the tax
rate assigned to the business industry. Contact the
Revenue Division for your appropriate tax rate at (678)
512-3242 or by email at revenue@johnscreekga.gov.
This is the flat rate for the first $20,000 in gross receipts.
Enter the estimated number of employees for the calendar
year (minimum of 1 employee).
Enter the per employee tax by multiplying line 6 by $13.
This is the non-refundable administrative fee.
Enter the total of lines 4, 5, 7 and 8.
Line 10a - If your return is filed after the due date, enter 10% of line
9.
Line 10b - If your return is filed after the due date, enter 1.5% of line
9 for every month past due.
Line 11 - Enter $30.00 if this business is located on commercial
property.
Line 12 - Enter the total of lines 9, 10a, 10b and 11.
* Sign the tax return and make check or money
order payable to the City of Johns Creek. Visa or
MasterCard are accepted in person at City Hall.
Note: Please make a copy of the occupation tax return for your
records.
City of Johns Creek
Revenue
11360 Lakefield Drive
Johns Creek, Georgia 30097
(678) 512-3242
www.johnscreekga.gov
Affidavit Verifying Lawful Presence
Within the United States
I, (print name) , swear or affirm under penalty
of perjury that (check one):
I am a United States citizen.
I am a legal permanent resident of the United States.
I am a qualified alien or nonimmigrant under the Federal Immigration and
Nationality Act 18 years of age or older lawfully present in the United States.
Alien Registration Number:
I am applying for the following public benefit (check one):
Alcoholic Beverage License for
Print Business Name
Alcohol Employee Pouring Permit
Occupation Tax Certificate
Print Business Name
Door-to-Door Salesmen/Solicitors Permit
Other:
Public Benefit Name of Business (if applicable)
I understand that this sworn statement is required by law because I have applied for a public benefit. I
understand that state law requires me to provide proof that I am lawfully present in the United States prior
to receipt of this public benefit. I further acknowledge that knowingly and willfully making a false,
fictitious, or fraudulent statement of representation in this affidavit shall be guilty of a violation of Code
Section 16-10-20 of the Official Code of Georgia.
Print Name of Applicant Position Title (if applicable)
Signature of Applicant Date
Subscribed and sworn to before me on
this the day of , 20 .
(Clerk/Notary Public)
My commission expires: __________________
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City of Johns Creek
Revenue
11360 Lakefield Drive
Johns Creek, Georgia 30097
(678) 512-3242
www.johnscreekga.gov
PRIVATE EMPLOYER AFFIDAVIT
Private Employer Affidavit Pursuant to O.C.G.A. § 36-60-6(d)
By executing this affidavit under oath, as an applicant for an occupational tax certificate (business license,
occupational tax certificate, or other document required to operate a business) as referenced in O.C.G.A. § 36-60-
6(d), from the City of Johns Creek, the undersigned applicant representing the private employer known as
(Print Business Name) (printed name of business/private
employer) verifies one of the following with respect to my application for the above mentioned document:
Fill out this section (Effective July 1, 2013) for new and/or renewal business occupation tax certificates.
Check (a) or (b).
(a) _______ On the below signed year the individual, firm, or corporation employed ten (10) or more employees.
(b) _______ On the below signed year the individual, firm, or corporation employed less than ten (10) employees.
ALL APPLICANTS MUST SIGN BELOW, NOTARIZE, AND THEN RETURN THIS AFFIDAVIT WITH
APPLICATION/PAYMENT TO OBTAIN YOUR BUSINESS TAX CERTIFICATE
In making the above representation under oath, I understand that any person who knowingly and willfully makes a
false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. § 16-
10-20, and face criminal penalties allowed by such statute.
Executed on the ______ day of _________________, 20____ in ________________ (city),
______________________ (state)
_______________________________________________
Printed Name of and Title of Authorized Officer or Agent
_______________________________________________
Signature of Authorized Officer or Agent
SUBSCRIBED AND SWORN BEFORE ME
ON THIS THE ____ DAY OF ______________, 20____.
_______________________________________________ NOTARY SEAL
Notary Signature
COMPLETE THIS SECTION IF AND ONLY IF YOU CHECKED (a) ABOVE
The employer has registered with and utilizes the federal work authorization program, commonly known
as E-Verify or any subsequent replacement program, in accordance with the applicable provisions and
deadlines established in O.C.G.A. § 36-60-6(a). The undersigned private employer also attests that its
federal work authorization user identification number and date of authorization are as listed below:
_____________________________________________ ______ ___________________________
Federal Work Authorization User Identification Number Date of Authorization
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City of Johns Creek
Revenue
11360 Lakefield Drive
Johns Creek, Georgia 30097
(678) 512-3242
www.johnscreekga.gov
NEW BUSINESS CHECKLIST
Copy of GA Secretary of State Articles of Incorporation
Commercial Lease (Call 678.512.3298 for Zoning Approval of Use)
SAVE Affidavit Verifying Lawful Presence (Notarized)*
Private Employer Affidavit (Notarized)*
Provide (6) six digit E-Verify Number for 10 or more Employees
Permanent Resident “Green” Card – (Non U.S. Citizens Only)
Please Copy Both Sides of Card!
Copy of Valid Driver’s License
List of Officers/Members/Partners
Federal Identification Number OR Social Security Number
Georgia Sales Tax Identification Number
Copy of Professional State License(s) (If applicable)
Health Report from Fulton County Health Dept.
(Full Service and Limited Restaurants Only)
* Free Notary Services Provided at City Hall
Home Occupation Applicants Driver’s License must reflect City of Johns Creek Address
Allow 7-10 Business Days For Zoning Approval For All New
Commercial Businesses
IMPORTANT NOTICE!!
Before signing your lease, call the Fire Marshall’s Office if starting the listed types of businesses:
Physician’s or Dentist Office
School or Daycare Services
Restaurants
Churches
Massage/Day Spa Services
Fire M
arshall
Chad McGiboney
11360 Lakefield Drive
Phone: (678) 512-3363
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Completed 23 January 2021

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