Form L-150u - Transient Lodgings Tax Registration Update

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CITY OF
TRANSIENT LODGINGS
PORTLAND, OREGON
TAX
REGISTRATION UPDATE
BUREAU OF LICENSES
An Equal Opportunity Employer
PLEASE PRINT OR TYPE
Total Number of Rooms ________
Hotel/Motel Name__________________________________________________________________________
Address __________________________________________________________________________________
Business Phone # ____________________________
Taxpayer ID # ____________________________ Business License #_________________________________
Date of Acquisition/Purchase ________________ E-mail Address ____________________________________
Mailing Address
_________________________________________________________________________________________
________________________________________________________________________________________
Name of Contact Person ____________________________________________________________________
Owner’s Name_____________________________________________________________________________
Tax Entity:
Sole Proprietor
Partnership
Corporation
Estate
Trust
Ltd. Liability Co.
Ltd. Partnership
S-Corporation
Other:
(check one)
List Owner, Partner, or Corporate Officers:
NAME
TITLE
RESIDENCE ADDRESS
PHONE NO.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Please Note:
The Transient Lodgings Tax Code 6.04.110 provides that a security deposit may be required for the
period in which the tax returns are filed. This security deposit, if required, may be in the form of cash,
bond, or other security deemed proper by the Bureau and may not exceed twice the operator’s estimated
average quarterly liability.
Signature _______________________________________________ Date __________________________
L-150U Rev. 03/05

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