Application For Portland Business License Form (Page 2 of 2) in pdf

SOME OF THE INFORMATION ON THIS FORM MAY BE SUBJECT TO DISCLOSURE PUBLIC RECORD LAW

A Business License is required of all those doing business within the City of Portland, Oregon. Exemptions include

non-profit agencies and businesses whose total gross receipts for all business everywhere is less than $25,000

annually. License fees are based upon net income; the minimum annual fee is $100.

When obtaining the original license, complete this application and return it with $100.00. You will receive a license which expires at the

end of the current business year. In the first month of your next business year, you will receive a renewal form and you will have until the

day of the fourth month after your expiration date to renew your license without penalty. The renewal fee will be determined by the

income figures filed on the renewal form.

The initial $100 payment is a minimum fee which may be adjusted upward after your actual income figures are known.

OWNERS OF CORPORATION OR PARTNERS (List Corporate Owners that hold more than 5% of the voting stock of the

corporation – List Limited Partners, if any) Use additional sheets if necessary

OF STOCK

NAME

ADDRESS

ADDITIONAL BUSINESS LOCATIONS (list addresses within

ADDITIONAL ASSUMED BUSINESS NAMES:

Multnomah County) Use additional sheets if necessary

Check one

# of

ADDRESSES OF RENTAL PROPERTY OWNED: Use additional sheet(s) if necessary.

units

COMMERCIAL

RESIDENTIAL

The term "license" as used in the ordinance is not to be construed to mean permit. The Business License fee is for revenue

purposes, and is not a regulatory permit fee. The payment of a license fee and the acceptance of such a fee and issuance

of a license by the City does not entitle a licensee to carry on a business not in compliance with all applicable requirements

of state, federal, municipal or other law. The undersigned declares under penalty of making a false certificate that the

information given in this report is true.

Title

Date

Signature of Licensee or Authorized Representative

Notice of Confidentiality: All tax returns, reports and related financial information, including a Taxpayer ID number, filed with

the City of Portland are confidential. Except as provided by PCC 7.02.230, .240 and .250, it is unlawful to divulge or release

any financial information submitted or disclosed to the City.

Application For Portland Business License Form Page 2