Form E-2016 - Combined Tax Return For Trusts & Estates
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TAXABLE YEAR
COMBINED TAX RETURN
FORM E-2016
From:
to
12/31/2016
01/01/2016
FOR TRUSTS & ESTATES
ACCOUNT #
FEIN #
DUE DATE: 15th day of 4th month
Multnomah County
after taxable year end
Business Income Tax
FEDERAL BUSINESS CODE
(Calendar Year Filers: 4/18/2017)
City of Portland
Business License Tax
NAME
MAILING ADDRESS (Notify the Revenue Division if your business location address changes)
STATE
ZIP CODE
CITY
OR
CEASED PORTLAND/MULTNOMAH BUSINESS? (attach explanation)
No
No
MAILING ADDRESS CHANGE?
No
AMENDED RETURN?
ATTACH FEDERAL FORM 1041 AND APPLICABLE SCHEDULES (E, D, etc.)
1.
Net Income or (Loss) before distribution .............................................................................................
1
$0
2.
Business Income Tax & Business License Tax Add Back ...................................................................
2
$0
3.
Total lines 1 and 2 ..............................................................................................................................
3
$0
4.
Other income and deductions .............................................................................................................
4
$0
5.
Subject Net Income (total lines 3 and 4) ..............................................................................................
$0
5
Multnomah County Business Income Tax
Average Sum of Multnomah Employees in 2016:
MC Not Liable
8c = (8a ÷ 8b)
(must be 1.0 or less)
8a.
8c
County Gross Income
..............
=
100.0000%
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
9.
County Apportioned Net Income (line 5 x line 8c) ..............................................................................
$0
Enter as negative sum
(
)
10. Net Operating Loss Deduction (max 75% of line 9) ............................................................................
10
$0
11. Income Subject to Tax (line 9 minus line 10) ......................................................................................
11
$0
12
12. Tax (line 11 x tax rate of 1.45%) MINIMUM $100 ...............................................................................
$100
Enter as negative sum
(
)
13
$0
13. Prepayments ......................................................................................................................................
14
14. Penalty ................................................................................................................................................
$0
15. Interest ................................................................................................................................................
15
$0
16. Balance Due or (Overpayment) ...........................................................................................................
16
$100
REFUND:
CREDIT:
TRANSFER TO PORTLAND:
17.
$0
$0
$0
City of Portland Business License Tax
Average Sum of Portland Employees in 2016:
PDX Not Liable
18c = (18a ÷ 18b)
(must be 1.0 or less)
18a.
Portland Gross Income
...........
18c
=
100.0000%
18b.
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 5 x line 18c) ..........................................................................
$0
Enter as negative sum
(
)
20. Net Operating Loss Deduction (max 75% of line 19) ..........................................................................
20
$0
21. Income Subject to Tax (line 19 minus line 20) ....................................................................................
21
$0
22. Tax (line 21 x tax rate of 2.2%) MINIMUM $100 .................................................................................
22
$100
22a.Heavy Vehicle Use Tax (HVT) (see HVT Schedule) ............................................................................
22a
$0
Enter as negative sum
(
)
23
$0
23. Prepayments ......................................................................................................................................
$0
24
24. Penalty ................................................................................................................................................
25
$0
25. Interest ................................................................................................................................................
26
$100
26. Balance Due or (Overpayment) ...........................................................................................................
REFUND:
CREDIT:
TRANSFER TO MULT CO:
$0
$0
27.
$0
$0
DONATE TO “WORK FOR ART”:
28.
COMBINED AMOUNT DUE WITH REPORT
(total lines 16 and 26) Check #___________ ..........
$200
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
Date
Filer’s Daytime Phone
__________________________________________
__________________
(
)_______________
Signature of Preparer
Date
Filer’s Email
_______________________________________
__________________
___________________________
Preparer’s Name/Address
Preparer Phone
____________________________________________________________
(
)__________________
Reset
REVENUE DIVISION (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
E-2016_FP Rev. 1/31/2017
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