Form Sp-2011 Draft- Combined Tax Return For Individuals
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1
2COMBINED TAX RETURN
TAXABLE YEAR
FORM SP-2011
From: 1/1/2011 to 12/31/2011
FOR INDIVIDUALS
(Attach explanation if not a calendar year filer.)
ACCOUNT #
SOCIAL SECURITY #
Multnomah County
2011 CALENDAR YEAR
Business Income Tax
DUE DATE:
City of Portland
FEDERAL BUSINESS CODE
FEIN #
APRIL 17, 2012
Business License Tax
NAME
MAILING ADDRESS (Notify the Revenue Bureau if your business location address changes)
CITY
STATE
ZIP CODE
CHECK ALL THAT APPLY
JOINT VENTURE /
AMENDED RETURN?
CEASED PORTLAND/MULTNOMAH BUSINESS?
1 MEMBER
TENANT-IN-COMMON
SOLE PROPRIETORSHIP
(attach explanation)
MAILING ADDRESS CHANGE?
LLC
(PARTIAL OWNER)
ATTACH PAGE 1 OF FEDERAL FORM 1040
_
DRAFT
1.
Net Income or (Loss) from Federal Schedule C (Attach all Schedule Cs) ........................................
1
2.
Business Income Tax & Business License Tax Add Back....................................................................
2
3.
Net Income or (Loss) from Federal Schedule E, D, etc. (Attach Schedule E, D, etc.) ......................
3
4.
Subtract ½ SE tax (see instructions) ...................................................................................................
4
5.
Adjusted Net Income (total lines 1, 2, 3 and 4).....................................................................................
5
(
)
6.
Compensation Allowance Deduction (see instructions) (# of owners______) ...................................
6
7.
Subject Net Income (line 5 minus line 6) .............................................................................................
7
Multnomah County Business Income Tax
Average Sum of Multnomah Employees in 2011:
8a.
8.
County Gross Income
.........
8c
8c = (8a ÷ 8b) Cannot be more than 1.0
=
.
8b.
Total Gross Income*
* *If less than $50,000, the taxpayer is exempt and should complete the Annual Exemption Request (see instructions if tenant-in-common)
9.
County Apportioned Net Income (line 7 x line 8c) ..............................................................................
9
(
)
10. Net Operating Loss Deduction (max 75% of line 9)
10
...................Must be entered as negative sum
11. Income Subject to Tax (line 9 minus line 10) .......................................................................................
11
AWAITING
12
12. Tax (line 11 x tax rate of 1.45%) MINIMUM $100 ...............................................................................
(
)
13. Prepayments
13
....................................................................................Must be entered as negative sum
14. Penalty ................................................................................................................................................
14
15. Interest ................................................................................................................................................
15
16. Balance Due or (Overpayment)
.........................................................
16
— Allocate overpayment on line 17
FINALIZATION
17.
REFUND:
CREDIT:
TRANSFER TO PORTLAND:
City of Portland Business License Tax
Average Sum of Portland Employees in 2011:
18a.
18. Portland Gross Income
...........
18c = (18a ÷ 18b) Cannot be more than 1.0
18c
=
.
18b.
OF IRS/OREGON
Total Gross Income*
*If less than $50,000, the taxpayer is exempt and should complete the Annual Exemption Request (see instructions if tenant-in-common)
19
19. Portland Apportioned Net Income (line 7 x line 18c) ..........................................................................
(
)
20. Net Operating Loss Deduction (max 75% of line 19)
.........
20
.................Must be entered as negative sum
21. Income Subject to Tax (line 19 minus line 20) .....................................................................................
21
FORMS
22. Tax (line 21 x tax rate of 2.2%) MINIMUM $100 .................................................................................
22
(
)
23. Prepayments
....................................................................................Must be entered as negative sum
23
24. Penalty ................................................................................................................................................
24
25. Interest ................................................................................................................................................
25
26. Balance Due or (Overpayment)
.........................................................
— Allocate overpayment on line 27
26
27.
REFUND:
CREDIT:
TRANSFER TO MULT CO:
DONATE TO “WORK FOR ART”:
COMBINED AMOUNT DUE WITH REPORT
28.
(total lines 16 and 26) Check #___________ ..........
28
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 Phone (
)_________________
Signature of Preparer ____________________________________________________ Date ______________________________________
Preparer’s Name/Address _________________________________________________ Telephone (
)___________________________
REVENUE BUREAU (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
Draft (Rev 10/26/2011)
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