Individual Occupational License Fee Return Taxpayer #*Filed for Month Ending*Choose any day within the month for which you are filing MM slash DD slash YYYY Taxpayer Name* First Last Taxpayer Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Schedule of CompensationDownload the spreadsheet: HERE Enter the gross receipts and compensation, which includes salaries, wages, commissions, bonuses, and other forms of compensation, from which the Irondale occupational license fee has not been deducted and reported to the City by the employer(s).File*Upload the completed fileAccepted file types: xls, xlsx, Max. file size: 17 MB.HiddenAfter 20thHiddenDays After 20th1) Gross Receipts and Compensation*Total before any deductions (i.e. federal/state taxes, retirement, benefits) (Column A - above)2) Less*Salaries/Wages reported to another municipality (city) and/or earned outside the city limits of Irondale (Column D - above)3) Adjusted Gross Salaries/Wages*Line 1 minus Line 2 (Column C - above)4) License Fee*Line 3 multiplied by one-percent (1%) Price: $0.00 5) Penalty*10% of Line 4 (Automatically assessed on license fees not paid by the 20th of the following month in which the fee is due) Price: $0.00 6) Interest*4% per year (formula: .04/365 = daily rate x no. of days late x line 4) (Automatically assessed on license fees not paid by the 20th of the following month in which the fee is due) Price: $0.00 7) TotalLine 4 + Line 5 + Line 6 $0.00 SignaturePayee Signature*DECLARATION: Under penalties of perjury, I declare that this return is true, correct, and complete as required by City Ordinance No. 2018 - 10. First Last Signature Date* MM slash DD slash YYYY General InformationThis return must be filed by each individual whose occupational license fee was not deducted by their employer. A return must be filed for each month of the year by the first day of the second month next following the end of such monthly period. An Annual Return Form will be furnished to each employer in December, upon which to report the names and addresses of all persons employed within the City during the year, the periods of employment and total compensation of each, and the total City Occupational License Fees withheld from the wages of each. Employers are advised to maintain sufficient records to enable them to complete the Annual Return.PaymentTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name CAPTCHA
