2020
Printaddress/account#here
BUSINESSLOCATION STREETADDRESS
1.
2.
3.
4.
5.
$100.00
Penalty
TotalPaid
Sendyourpaymentto:
Ifthebusinessclosedorwassold,pleasecompletetheappropriateitembelowandreturnthisformtous:
CustomerID
FederalID
NumberofLocations
MinimumLicenseFee
LEXINGTON‐FAYETTEURBANCOUNTYGOVERNMENT
DIVISIONOFREVENUE
P.O.BOX14058
Telephone:(859)‐258‐3340
LEXINGTON,KENTUCKY40512
Date
BUSINESSMINIMUMLICENSEFEE
The$100.00minimumlicensefeeforcalendaryear2020isduebythefiling
deadlinefortheNetProfitLicenseFeereturnfortaxyear2019.(April15,2020for
calendaryeartaxpayers).Usethisformtoremitthe2020MinimumLicenseFee
priortotheduedate.
Owner’sSignature
Businessc
l
ose
d
orwasso
ld
e
ff
ective:
Ifsold,givenameandaddressofsuccessor:
Officeuseonly