Form 150-604-002 - Quarterly Return - 2009 Page 2
Download a blank fillable Form 150-604-002 - Quarterly Return - 2009 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 150-604-002 - Quarterly Return - 2009 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Reset Form
Print Form
State of Oregon Lodging Tax
FOR OFFICE USE ONLY
Date Received
•
Quarterly Return
Payment Received
Tax Year 2009
•
Quarter
Due Date
Business Identification Number (BIN)
Program Code Year
Period
Liability
4
•
•
525
•
09
•
1
10/01/09 to 12/31/09 January 31, 2010
000000000
525
09
12
1
Federal Employer Identification Number (FEIN)
4th Quarter
Amended return?
Yes
Mailing Address:
Mailing address change?
Yes
Physical Site Address:
See instructions on separate page.
A. Has ownership changed since the last reporting period?
Yes
No
B. Is this your final return because you closed or sold this business?
Yes
No
Date business was
bought
sold
closed: ____________________New owner/operator name: __________________________
New owner’s BIN __________________________________________
(if known)
C. Number of taxable rental properties .......................
Note: If you are reporting taxable lodging sales from multiple vacation rental properties under this BIN and if you have changes from the last reporting period, you
MUST provide us with a current list of each of your rental properties. Please include the physical address of each property. Attach the list to this return.
D. Number of taxable units/sites available for rent .....
E. Number of units/sites rented during the quarter ....
•
1. Total gross receipts for lodging sales ................................................................................................... 1
2. Nontaxable lodging sales.
See instructions.
STOP!
2a. Long-term or monthly rentals ............................................................ 2a
0.00
2b. Federal employees on business ........................................................ 2b
0.00
2c. Federal instrumentalities ................................................................... 2c
0.00
•
2d. Nontaxable lodging sales TOTAL (add lines 2a thru 2c) ................................................................ 2d
0.00
3. Total taxable lodging sales (subtract line 2d from line 1) .................................................................... 3
0.00
4. Tax rate ................................................................................................................................................... 4
x 0.01
5. Tax due (multiply line 3 by line 4) ........................................................................................................... 5
0.00
6. Administrative fee rate ............................................................................................................................ 6
x 0.05
(
)
7. Administrative fee (multiply line 5 by line 6) This will reduce your tax ................................................... 7
0.00
•
8. TOTAL TAX DUE (subtract line 7 from line 5) ........................................................................................ 8
$
0.00
Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and complete.
Signature
Date
PRINT name signed above
Title
Telephone number
(
)
Mail this return on or before the due date shown above to: State of Oregon Lodging Tax
Oregon Department of Revenue
PO Box 14110
Keep a copy for your records
Salem OR 97309-0910
150-604-002 (Rev. 3-09) Calc
Page 2 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial