COMBINED REPORT FORM FOR CORPORATIONS
FORM
MULTNOMAH COUNTY BUSINESS INCOME TAX
CITY OF PORTLAND BUSINESS LICENSE
C-2006
01/01/06
12/31/06
Taxable Year ____/____/____ to ____/____/____
th
th
DUE DATE:15
day of the 4
month following the taxable year end
(April 16 for calendar year filers)
Name/Address:
Account #:
Amended Return?
Ceased Business?
(attach explanation)
FEIN # _________________
b
Please
if address change:
Federal Business Code _________________
Please notify Bureau if your business location changes
Attach Oregon Form 20
CORPORATION
$0
1. Net Income or (Loss)
_________________________
$0
2. Multnomah County Business Income Tax add back
_________________________
1
3. Compensation (# of controlling shareholders ____)
_________________________
$0
$0
4. Other additions or subtractions
_________________________
Reset Form
$0
5. Adjusted Net Income (total lines 1, 2, 3 and 4)
_________________________
$0
6. Compensation Allowance Deduction (see instructions)
(________________________)
$0
7. Subject Net Income (line 5 minus line 6)
_________________________
Multnomah County Business Income Tax
Average Sum of Multnomah Employees in 2006
$1
8. County Gross Income =
____________________________ =______________.____
100.0000%
$1
Total Gross Income
$0
9. County Apportioned Net Income (line 7 x line 8)
____________________
$0
10. Net Operating Loss Deduction (max 75% of line 9)
(___________________) Enter as negative sum
11. Income Subject to Tax (line 9 minus line 10)
____________________
$0
$0
12. Tax (line 11 x tax rate of 1.45%)
____________________
$0
13. Prepayments
(___________________) Enter as negative sum
$0
14. Penalty
____________________
$0
15. Interest
____________________
$0
16. Balance Due or (Overpayment)
_____________________
$0
$0
17. Refund _______________ Credit _________________ Transfer to Portland ______________
$0
City of Portland Business License Fee
Average Sum of Portland Employees in 2006
$1
18. Portland Gross Income = ____________________________ =______________.___ If you are not liable for a Portland License
100.0000%
Total Gross Income
please push "Not Liable" button
$1
Not Liable
$0
19. Portland Apportioned Net Income (line 7 x line 18)
____________________
$0
20. Net Operating Loss Deduction (max 75% of line 19)
(___________________) Enter as negative sum
$0
21. Income Subject to Fee (line 19 minus line 20)
____________________
$100
22. Fee (line 21 x rate of 2.2%) MINIMUM $100
____________________
a. Application Year Adjustment Fee (see instructions)
____________________
$0
$0
b. Temporary Rate Increase (line 21 x .14% or .0014)
____________________
23. Prepayments (including Disconnected Youth Credit)
(___________________) Enter as negative sum
$0
24. Penalty
____________________
$0
25. Interest
____________________
$0
$100
26. Balance Due or (Overpayment)
_____________________
$0
$0
$0
27. Refund _______________ Credit ________________ Transfer to Multnomah _____________
$0
Donation to “Work for Art” Program
_____________________
$100
28. Combined Amount Due with Report (total lines 16 and 26) Check # ____________
_____________________
Make check payable to City of Portland, 111 SW Columbia St, Suite #600, Portland, OR 97201-5840.
The undersigned declares that the information given on this report is true. The undersigned is authorized to act as a representative of the filer.
Signature of Filer _______________________________________________________ Filer’s Daytime Telephone (
)___________________
Signature of Preparer _______________________________________________________ Date _________________________________________
Preparer’s Name/Address ___________________________________________________ Telephone (
) _______________________________
REVENUE BUREAU (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
Rev. 12/26/06