Form E-2005 - Combined Report Form For Estates & Trusts - Multnomah County Business Income Tax

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COMBINED REPORT FORM FOR ESTATES & TRUSTS
MULTNOMAH COUNTY BUSINESS INCOME TAX
Form
PORTLAND CITY BUSINESS LICENSE
Taxable Year ____/____/____ to ____/____/____
E-2005
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?
b
Please
if address change:
FEIN # _________________________
Business Code ___________ (see instructions)
Please notify Bureau if your business location changes
ESTATE AND TRUST
1. Net Income or (Loss) before distribution
______________________
2. Multnomah County Business Income Tax add back
______________________
3. Total lines 1 and 2
______________________
4. Other income and deductions
______________________
5. Subject Net Income (total lines 3 and 4)
______________________
Multnomah County Business Income Tax
8. County Gross Income = _____________________________=__________._____
Total Gross Income
9. County Apportioned Net Income (line 5 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. Portla nd Gross Income =
=__________.____
Total Gross Income
19. Portland Apportioned Net Income (line 5 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
____________________
.
Note: For 2005, temporary increase = 0%
a. Application Year Adjustment Fee (see instructions)
____________________
23. Prepayments (including Disconnected Youth Credit)
(___________________)
24. Penalty
____________________
25. Interest
____________________
26. Balance Due or (Overpayment)
_____________________
27. Refund _____________ Credit _____________ To Multnomah Underpayme nt________________
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 1/05/06

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