Form C-2003 - Combined Report Form For C-Corporations - Multnomah County Business Income Tax

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COMBINED REPORT FORM FOR C-CORPORATIONS
Form
MULTNOMAH COUNTY BUSINESS INCOME TAX
PORTLAND CITY BUSINESS LICENSE
C-2003
Taxable Year ____/____/____ to ____/____/____
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 ___________ (see instructions)
Attach Oregon Tax Form 20 or 20-I pgs 1-4
CORPORATION
1. Net Income or (Loss)
_________________________
2. Multnomah County Business Income Tax add back
_________________________
3. Compensation (# of controlling shareholders ____)
_________________________
4. Other additions or subtractions
_________________________
5. Adjusted Net Income (total lines 1,2,3 and 4)
_________________________
6. Compensation allowance deduction
(________________________)
7. Subject Net Income (line 5 minus line 6)
_________________________
Multnomah County Business Income Tax
8. County Gross Income = ______________________________ =______________.______
Total Gross Income
9. County Apportioned Net Income (line 7 x line 8)
____________________
10. Net Operating Loss Deduction (max 75% of line 9)
(___________________)
11. Income subject to tax (line 9 minus line 10)
____________________
12. Tax (line 11 x tax rate of 1.45%)
____________________
13. Prepayments
(___________________)
14. Penalty
____________________
15. Interest
____________________
16. Balance Due or (Overpayment)
_____________________
17. Refund ______________ Apply to Portland Underpayment_________________
City of Portland Business License Fee
18. Portland Gross Income = ____________________________ =______________.______
Total Gross Income
19. Portland Apportioned Net Income (line 7 x line 18)
____________________
20. Net Operating Loss Deduction (max 75% of line 19)
(___________________)
21. Income subject to fee (line 19 minus line 20)
____________________
22. Fee (line 21 x rate of 2.2%) MINIMUM $100
____________________
a. Application Year Adjustment Fee (see instructions)
____________________
b. Temporary rate increase (line 21 X 0.4% --no minimum)
____________________
23. Prepayments
(___________________)
24. Penalty
____________________
25. Interest
____________________
26. Balance Due or (Overpayment)
___________________
27. Refund ______________ Apply to Multnomah Underpayment________________
28. Combined amount due with report (total lines 16 and 26)
_____________________
Make check payable to City of Portland, 111 SW Columbia St, Suite 600, Portland, OR 97201-5814*.
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 ___________________________________________________________ Email Address _____________________________________
Signature of Preparer ____________________________________________________________
Date _____________________________________
Preparer’s Name/Address ____________________________________________________________ Telephone (
) __________________________
Bureau of Licenses (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
Rev 11/03
*Address effective 1/15/2004

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