Spencer County Net Profit License Fee Return Revised 12/2020
SPENCER COUNTY, KENTUCKY NET PROFIT LICENSE FEE RETURN
Occupational License Administrator
P.O. Box 397
Taylorsville, KY 40071
(502) 477-2997 (502) 477-2998
www.spencercountyky.gov
Make Check payable to: Spencer County Treasurer.
Online payments: www.spencercountyky.gov, choose work here, Occ Tax Forms
Name: ____________________________________________________________________________________________
Address: ___________________________________________________________________________________________
City: ______________________________State: ________Zip: _________ Email:_________________________________
Phone: _______________________________Fax:___________________________
Each filing individual/entity MUST include copies of all business tax documents filed with IRS. Individuals: Schedule
C/E/1099; Partnership: 1065/8825; Corporation: 1120/1120A/1120S/8825. All entities must file supporting
schedules for deductions. If payments were made to any individual/business for rent, services rendered, repairs, etc.
you must provide the name, address and amount paid.
Principal Business Activity: ____________________________________________________________________________
Date business began: ___________Did you file a consolidated return? ______ (
If yes, see Net Profit License Fee Instructions)
During the past year, did Federal Authorities change or propose to change net income reported for that year or any prior
year? ________ Which year(s)__________(Attach statement if yes)
Was there a change in ownership in the past year? _______Date ____________New Owner: ______________________
If business activity was discontinued within this locality during the year, please state when and the reason:
_________________________________________________________________________________________________
List Principal Administrative Officer Name, Address & SSN:
__________________________________________________________________________________________________
24. Adjusted Net business income from line 19 ___________________
25. Apportionment percentage from line 23 (enter as a decimal) ___________________
26. Net Profit subject to license fee (line 24 x line 25) ___
____________
___
27. License Fee Due (0.80% x line 26 - Minimum License Fee $25.00) ___________________
28. Late f
ee 5% per
mon
th (m
ax not to exc
eed 25%/
minimum $25) ___________________
29. Interest fee 1% per month (12% per year) fraction of month = 1 month ___________________
30. Net profit license fee due Spencer County (Sum of lines 27,28, 29) ___________________
31. If you purchased a Spencer County Business License for 2020/2021
Deduct $25.00 from amount due. License #_
______
_ or Estimated Pmt. ___________________
32. Subtotal (Sum of lines 30 & 31)
___________________
33. Spencer County Business License Fee for 2021/2022,
add $25 ___________________
34. Total amount due Spencer County (Sum of lines 32,33) ___________________
__________________________________________________ ____________________________________________
Preparer’s Signature Signature of Licensee
__________________________________________________ ____________________________________________
Print Name Print Name & Title
__________________________________________________ ____________________________________________
Address Address
__________________________________________________ ____________________________________________
City, State, Zip City, State, Zip
__________________________________________________ ____________________________________________
Date, Fed. ID, Phone Date, Federal ID
Final (list date operations ceased)
Amended
Yes
No
For Year Ending
(m/d/y)
Business Type
Individual
Corporation
Partnership
Other
Account #
Federal ID or SSN
No Business Activity
Yes
Due Date
Accounting Method
Accrual
Cash
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