Form C-2009 Draft - Combined Tax Return For Partnerships - 2009
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1
2COMBINED TAX RETURN FOR CORPORATIONS
FORM
MULTNOMAH COUNTY BUSINESS INCOME TAX
CITY OF PORTLAND BUSINESS LICENSE TAX
C-2009
Taxable Year ____/____/____ to ____/____/____
th
th
DUE DATE:15
day of the 4
month following the taxable year end
(April 15 for calendar year filers)
Name/Mailing Address:
Account #:
Amended Return?
Ceased Portland/Multnomah Business?
(attach explanation)
FEIN # _________________
b
Please
if address change:
Federal Business Code _________________
Please notify Bureau if your business location changes
Attach Oregon Form 20 and pages 1-4 of federal Form 1120
CORPORATION
1. Net Income or (Loss)
_____________________
2. Business Income Tax & Business License 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 (see instructions)
(____________________)
7. Subject Net Income (line 5 minus line 6)
_____________________
Multnomah County Business Income Tax
Average Sum of Multnomah Employees in 2009
8. County Gross Income =
____________________________ =______________.______
Total Gross Income*
*If total gross income is less than $50,000, the taxpayer is exempt and should complete the Annual Exemption Request (Form AER).
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%) MINIMUM $100
____________________
13. Prepayments
(___________________)
14. Penalty
____________________
15. Interest
____________________
16. Balance Due or (Overpayment)
_____________________
17. Refund _______________ Credit _________________ Transfer to Portland ______________
City of Portland Business License Tax
Average Sum of Portland Employees in 2009
18. Portland Gross Income = ____________________________ =______________.______
Total Gross Income*
*If total gross income is less than $50,000, the taxpayer is exempt and should complete the Annual Exemption Request (Form AER).
19. Portland Apportioned Net Income (line 7 x line 18)
____________________
20. Net Operating Loss Deduction (max 75% of line 19)
(___________________)
21. Income Subject to Tax (line 19 minus line 20)
____________________
22. Tax (line 21 x rate of 2.2%) MINIMUM $100
____________________
23. Prepayments
(___________________)
24. Penalty
____________________
25. Interest
____________________
26. Balance Due or (Overpayment)
_____________________
27. Refund _______________ Credit ________________ Transfer to Multnomah _____________
Donation to “Work for Art” Program
_____________________
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. Filers of incomplete
returns (including returns that have not reported the Average Sum of Employees) may be subject to civil penalties of up to $500.
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
DRAFT (Rev. 11/9/2009)
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