Form C-2005 - Combined Report Form For C-Corporations - 2005
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1COMBINED REPORT FORM FOR C-CORPORATIONS
Form
MULTNOMAH COUNTY BUSINESS INCOME TAX
PORTLAND CITY BUSINESS LICENSE
C-2005
Taxable Year ____/____/____ to ____/____/____
th
th
DUE DATE: 15
day of the 4
month following the taxable year end
(April 17 for calendar year filers)
Name/Mailing Address:
Account #:
Amended return?
Final Return?
FEIN # _________________________
Please b if address change:
Business Code ___________ (see instructions)
Attach Oregon Tax Form 20 or 20-I pgs 1-4
Please notify Bureau if your business location changes
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 ______________ Credit _______________ 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 t o fee (line 19 minus line 20)
____________________
22
Fee (line 21 x rate of 2.2%) MINIMUM $100
____________________
.
Note: For 2005, temporary increase = 0%
a. Application Year Adjustment Fee (see instructions)
____________________
23. Prepayments (includin g Disconnected Youth Credit)
(___________________)
24. Penalty
____________________
25. Interest
____________________
26. Balance Due or (Overpayment)
_____________________
27. Refund _____________ Credit ______________ To Multnomah Underpayment_________________
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 12/19/05
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