Form P-2004 - Combined Report Form For Partnerships
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1COMBINED REPORT FORM FOR PARTNERSHIPS
MULTNOMAH COUNTY BUSINESS INCOME TAX
Form
PORTLAND CITY BUSINESS LICENSE
Taxable Year ____/____/____ to ____/____/____
01/01/04
12/31/04
P-2004
th
th
DUE DATE: 15
day of the 4
month following the taxable year end
Name/Address:
Account #:
FEIN # ____________________
b
Please
if address change:
Mailing
Location
Business Code __________
Attach form 1065 and Schedule K
PARTNERSHIP
, LP
, LLC
, LLP
, OTHER
(Check one)
1. Ordinary Income or (Loss)
_________________________
$0
2. Multnomah County Business Income Tax add back
_________________________
$0
3. Schedule K (lines 2-3, 5-13) and Oregon modifications
_________________________
$0
Reset Form
4. Owner’s compensation (# of partners_______)
_________________________
$0
1
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)
_____________________
$0
Multnomah County Business Income Tax
8. County Gross Income = ______________________________ =______________
$1
100.0000%
Total Gross Income
$1
9. County Apportioned Net Income (line 7 x line 8)
____________________
$0
10. Net Operating Loss Deduction (max 75% of line 9)
(___________________) Enter as negative number
$0
11. Income subject to tax (line 9 minus line 10)
____________________
$0
12. Tax (line 11 x tax rate of 1.45%)
____________________
$0
13. Prepayments
(___________________) Enter as negative number
$0
14. Penalty
____________________
$0
15. Interest
____________________
$0
16. Balance Due or (Overpayment)
_____________________
$0
17. Refund _______________ Credit ____________ To Portland Underpayment_____________
$0
$0
$0
City of Portland Business License Fee
Portland Gross Income = _____________________________ =______________ If you are not liable for a Portland License
18.
100.0000%
$1
Total Gross Income
please push "Not Liable" Button:
$1
Not Liable
Portland Apportioned Net Income (line 7 x line 18)
____________________
19.
$0
Net Operating Loss Deduction (max 75% of line 19)
(___________________) Enter as negative number
20.
$0
Income subject to fee (line 19 minus line 20)
____________________
21.
$0
Fee (line 21 x rate of 2.2%) MINIMUM $100
____________________
22.
$100
a. Application Year Adjustment Fee (see instructions)
____________________
$0
b. Temporary rate increase (line 21 X .4%--no minimum)
____________________
$0
Prepayments
(___________________) Enter as negative number
23.
$0
Penalty
____________________
24.
$0
Interest
____________________
25.
$0
$100
Balance Due or (Overpayment)
_____________________
26.
Refund _______________ Credit ____________ To Multnomah Underpayment_____________
$0
27.
$0
$0
Combined amount due with report (total lines 16 and 26)
_____________________
$100
28.
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 _________________________________________________ Telephone (
) __________________________
Signature of Preparer ___________________________________________________________________ Date ______________________________
Preparer’s Name/Address ________________________________________________________________ Telephone (
) ____________________
Bureau of Licenses (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
Rev. 3/15/05
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