Form Q-01 - Estimated City Of Portland Business License Fee/multnomah County Business Income Tax - 2001

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2001 ESTIMATED CITY OF PORTLAND BUSINESS LICENSE
2001 ESTIMATED CITY OF PORTLAND BUSINESS LICENSE
FEE/MULTNOMAH COUNTY BUSINESS INCOME TAX
FEE/MULTNOMAH COUNTY BUSINESS INCOME TAX
Form Q-01 QUARTER 1
Form Q-01 QUARTER 3
Calendar Year payment due April 15,2001
Calendar Year payment due September 15, 2001
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th
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Fiscal Year - Payment due 15
day of 4
month
Fiscal Year - Payment due 15
day of 9
month
Fiscal Year ___/___/2001 to ___/___/___
Fiscal Year ___/___/2001 to ___/___/___
Note ¨ Mailing ¨ Location Address Change
Note ¨ Mailing ¨ Location Address Change
Apply Amount by Program
Apply Amount by Program
Account #
Federal Employer ID/SS #
MCBIT
$
Account #
Federal Employer ID/SS #
MCBIT
$
PBL $
PBL $
Business Name
Check (Payment) Total:
Business Name
Check (Payment) Total:
Mailing Address
Mailing Address
City, State, Zip Code
Telephone #
City, State, Zip Code
Telephone #
(
)
(
)
Make check payable to: City of Portland
Make check payable to: City of Portland
th
Mail to: Bureau of Licenses, 1900 SW 4
Ave #3500, Portland OR 97201-5350
th
Mail to: Bureau of Licenses, 1900 SW 4
Ave #3500, Portland OR 97201-5350
2001 ESTIMATED CITY OF PORTLAND BUSINESS LICENSE
2001 ESTIMATED CITY OF PORTLAND BUSINESS LICENSE
FEE/MULTNOMAH COUNTY BUSINESS INCOME TAX
FEE/MULTNOMAH COUNTY BUSINESS INCOME TAX
Form Q-01 QUARTER 2
Form Q-01 QUARTER 4
Calendar Year payment due June 15, 2001
Calendar Year payment due December15, 2001
th
th
th
th
Fiscal Year - Payment due 15
day of 6
month
Fiscal Year - Payment due 15
day of 12
month
Fiscal Year ___/___/2001 to ___/___/___
Fiscal Year ___/___/2001 to ___/___/___
Note ¨ Mailing ¨ Location Address Change
Apply Amount by Program
Note ¨ Mailing ¨ Location Address Change
Apply Amount by Program
Account #
Federal Employer ID/SS #
MCBIT
$
Account #
Federal Employer ID/SS #
MCBIT
$
PBL $
PBL $
Business Name
Check (Payment) Total:
Business Name
Check (Payment) Total:
Mailing Address
Mailing Address
City, State, Zip Code
Telephone #
City, State, Zip Code
Telephone #
(
)
(
)
Make check payable to: City of Portland
Make check payable to: City of Portland
th
th
Mail to: Bureau of Licenses, 1900 SW 4
Ave #3500, Portland OR 97201-5350
Mail to: Bureau of Licenses, 1900 SW 4
Ave #3500, Portland OR 97201-5350

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