Form Q-2005 - Estimated Multnomah County Business Income Tax/ City Of Portland Business License Fee - 2005

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2005 ESTIMATED MULTNOMAH COUNTY BUSINESS INCOME
2005 ESTIMATED MULTNOMAH COUNTY BUSINESS INCOME
TAX/CITY OF PORTLAND BUSINESS LICENSE FEE
TAX/CITY OF PORTLAND BUSINESS LICENSE FEE
Form Q-2005 QUARTER 1
Form Q-2005 QUARTER 3
Calendar Year payment due April 15, 200 5
Calendar Year payment due September 15, 200 5
th
th
th
th
Fiscal Year - Payment due 1 5
day of 4
month
Fiscal Year - Payment due 15
day of 9
month
Reset Form
Fiscal Year ___/___/200 5 to ___/___/___
Fiscal Year ___/___/2005 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
$0.00
Account #
Federal Employer ID/SS #
MCBIT
$0.00
PBL
PBL
$0.00
$0.00
Business Name
Check (Payment) Total:
Business Name
Check (Payment) Total:
$0.00
$0.00
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
Mail to: Bureau of Licenses, 111 SW Columbia #600, Portland OR 97201-5840
Mail to: Bureau of Licenses, 111 SW Columbia #600, Portland OR 97201-5840
2005 ESTIMATED MULTNOMAH COUNTY BUSINESS INCOME
2005 ESTIMATED MULTNOMAH COUNTY BUSINESS INCOME
TAX/CITY OF PORTLAND BUSINESS LICENSE FEE
TAX/CITY OF PORTLAND BUSINESS LICENSE FEE
Form Q-2005 QUARTER 2
Form Q-2005 QUARTER 4
Calendar Year payment due June 15, 2005
Calendar Year payment due December15, 200 5
th
th
th
th
Fiscal Year - Payment due 15
day of 6
month
Fiscal Year - Payment due 15
day of 12
month
Fiscal Year ___/___/2005 to ___/___/___
Fiscal Year ___/___/2005 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
$0.00
Account #
Federal Employer ID/SS #
MCBIT
$0.00
PBL
$0.00
PBL
$0.00
Business Name
Check (Payment) Total:
Business Name
Check (Payment) Total:
$0.00
$0.00
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
Mail to: Bureau of Licenses, 111 SW Columbia #600, Portland OR 97201-5840
Mail to: Bureau of Licenses, 111 SW Columbia #600, Portland OR 97201-5840
Print Form

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