Form 150-604-001 - State Of Oregon Lodging Tax Registration - 2013
Download a blank fillable Form 150-604-001 - State Of Oregon Lodging Tax Registration - 2013 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 150-604-001 - State Of Oregon Lodging Tax Registration - 2013 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
2Reset Form
Print Form
FOR OFFICE USE ONLY
Date received
Oregon Lodging Tax Registration
Business identification number (BIN)
• Please print.
Business name/owner (including DBAs)
Federal employer identification number (FEIN)
Mailing address
City
State
ZIP code
County
Physical site address of rental property (if multiple, see page 2)
City
State
ZIP code
Business telephone number
(
)
Contact person/operator/management co.
Daytime telephone number
E-mail address
Date you began operating
your rental
(
)
/
/
Has a previous owner/operator/management co. ever registered for or paid Oregon lodging tax for this facility? If yes, list previous name and address:
Name
Address
City
State
ZIP
Type of organization
Type of accommodation (please check all that apply)
If you are responsible for multiple vacation rental properties, you must provide a listing of each property and its
Sole proprietor
physical address (see page 2)
Partnership
Bed & breakfast—
Houseboat—
Number of units: ___________________
Number of units: ________________________
Cabin—
Inn—
Corporation
Number of units: _____________________________
Number of units: ________________________________
Campground—
Lodge—
Number of units: ______________________
Number of units: _____________________________
LLC (Organized as sole proprietor)
Condominium—
Motel—
Number of units: _____________________
Number of units: _____________________________
LLC (Organized as partnership)
Duplex—
RV site—
Number of units: ____________________________
Number of units: ____________________________
LLC (Organized as corporation)
Guest ranch—
Townhome—
Number of units: _______________________
Number of units: ________________________
Government
Hostel—
Vacation home—
Number of units: _____________________________
Number of units: ____________________
Other ____________________
Hotel—
Other: _________________ —
Number of units: ______________________________
Number of units: ________
Names of owners, partners, or corporation officers. Please print clearly (use additional sheets if necessary):
Name
Street address
City, state, ZIP code
Social Security number
This information will be used primarily by the Oregon Department of Revenue for identification and
compliance purposes in the administration of the Oregon lodging tax.
Under penalty of false swearing, I declare the information in this document and any attachments is true, correct, and complete.
Signature
Date
X
/
/
PRINT name signed above
Title
Daytime telephone number
(
)
150-604-001 (Rev. 03-13)
Continue to page 2
Mail your completed registration form to:
State of Oregon Lodging Tax
Or fax to:
503-947-2255
Oregon Department of Revenue
Include return fax number
PO Box 14110
Salem OR 97309-0910
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial