2021
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BUSINESS LOCATION
STREET ADDRESS
1.
2.
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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:
BUSINESS MINIMUM LICENSE FEE
The $100.00 minimum license fee for calendar year 2021 is due by the filing deadline
for the Net Profit License Fee return for tax year 2020. (April 15th, 2021 for calendar
year taxpayers).
ONLY USE THIS FORM WHEN REMITTING THE MINIMUM LICENSE FEE
PRIOR TO AND SEPERATE FROM THE NET PROFITS LICENSE FEE RETURN
Business closed or was sold effective:
If sold, give name and address of successor:
Office use only
LEXINGTON-FAYETTE URBAN COUNTY GOVERNMENT
DIVISION OF REVENUE
P. O. BOX 14058
Telephone: (859)-258-3340
LEXINGTON, KENTUCKY 40512
Date
Customer ID
Federal ID
Number of Locations
Minimum License Fee
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