Business License Application Form - City Of Portland, Oregon Page 2

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ADDITIONAL LOCATION ADDRESSES and/or ADDRESSES OF RENTAL PROPERTY OWNED (use add’l sheet if needed):
Business Name and Address
Business Description
Check All That Apply
This is an Add’l Bus Location
Rental Property Owned
If Rental Property is owned, is it:
Commercial
or Residential
Number of Units _____
_____________________________________________________________________________________________________
This is an Add’l Bus Location
Rental Property Owned
If Rental Property is owned, is it:
Commercial
or Residential
Number of Units _____
____________________________________________________________________________________________________
This is an Add’l Bus Location
Rental Property Owned
If Rental Property is owned, is it:
Commercial
or Residential
Number of Units _______
OWNERS OF CORPORATION or PARTNERS (List Corporate Owners that hold more that 5% of the voting stock of the corporation;
List all partners, including ltd partners, if any) and all LLC members. Use add’l sheets if needed.
Owner Name and Address
Social Security Number
% of Stock
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
A Business License is required of all those doing business within the City of Portland, Oregon. Exemptions include most non-profit
agencies and businesses whose total gross receipts for all busine ss everywhere is less than $50,000 annually. License fees are based upon
net apportioned income; the minimum annual fee is $100. Complete this application and return it with $100. You will receive a license
which expires at the end of the current business year.
Annual Business License Renewal Process:
1. In the first month of your next fiscal/tax year, you will receive a reminder to renew.
2. You will have 3.5 months after your expiration date to renew your license without penalty
(for example, if your business fiscal year goes from January 1 - December 31,
then your business license will expire on Dec 31 each year,
and you will have until April 15th of the following year to renew).
3. The renewal fee will be de termined by the income figures filed on the renewal form.
4. The initial $1 00 payment is the minimum fee which will be applied toward your first year license fee.
Renewal Forms may be found at:
Notice of Confidentiality: All tax returns, reports and related financial information, includ ing a Taxpayer ID #, 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 in formation submitted
or disclosed to the City.
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 laws. The undersigned declares under penalty of making a false certificate that the information given in
this form is true.
______________________________________________________________
_____________________
________________________
Signature of Licensee or Authorized Representative
Title
Date

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