Form Sp-2013 - Combined Tax Return For Individuals
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COMBINED TAX RETURN
FORM SP-2013
FOR INDIVIDUALS
Multnomah County
2013 CALENDAR YEAR
Business Income Tax
DUE DATE: APRIL 15, 2014
City of Portland
Business License Tax
TAXABLE YEAR
From: 1/1/2013 to 12/31/2013
(Attach explanation if not a calendar year filer.)
ACCOUNT #
SOCIAL SECURITY #
FEIN #
FEDERAL BUSINESS CODE
OFFICIAL USE ONLY
NAME
MAILING ADDRESS (Notify the Revenue Bureau if business location address changes)
STATE/PROV ZIP CODE
CITY
OR
JOINT VENTURE /
CHECK ALL THAT APPLY
AMENDED RETURN?
No
CEASED PORTLAND/MULTNOMAH BUSINESS?
No
1 MEMBER
TENANT-IN-COMMON
SOLE PROPRIETORSHIP
(attach explanation)
MAILING ADDR CHANGE?
No
LLC
(PARTIAL OWNER)
ATTACH PAGE 1 OF FEDERAL FORM 1040
1.
Net Income or (Loss) from Federal Schedule C (Attach Schedule Cs) ...............................................
1
$0
2.
Business Income Tax & Business License Tax Add Back ...................................................................
2
$0
3.
Net Income or (Loss) from Federal Schedule E, D, etc. (Attach E, D, etc.) ........................................
3
$0
4.
Subtract Deductible SE Tax (see instructions for additions & subtractions) ........................................
4
$0
5.
Adjusted Net Income (total lines 1, 2, 3 and 4) ....................................................................................
5
$0
(
)
6.
Compensation Allowance Deduction (see instructions)
...........................................
1
Enter as negative sum
6
(# owners______)
$0
7.
Subject Net Income (line 5 minus line 6) .............................................................................................
7
$0
Multnomah County Avg. Sum of Multnomah Employees in 2013:
MC Not Liable
8.
County Gross Income
......
8a.
8c = (8a ÷ 8b)
(must be 1.0 or less)
8c
0.0000%
=
Total Gross Income*
8b.
* *If less than $50,000, the taxpayer should complete Form AER (see instructions if tenant-in-common)
9.
County Apportioned Net Income (line 7 x line 8c) ..............................................................................
9
$0
→
(
)
10. Net Operating Loss Deduction (max 75% of line 9) ............................................................................
Enter as negative sum
10
$0
Must be entered as negative sum
11. Income Subject to Tax (line 9 minus line 10) ......................................................................................
11
$0
12. Tax (line 11 x tax rate of 1.45%) MINIMUM $100 ...............................................................................
12
$100
→
13. Prepayments .......................................................................................................................................
(
)
Enter as negative sum
13
$0
Must be entered as negative sum
14. Penalty ................................................................................................................................................
14
$0
15. Interest ................................................................................................................................................
15
$0
16. Balance Due or (Overpayment)
.........................................................
— Allocate overpayment on line 17
$0
16
Allocate on Line 17:
$100
17.
REFUND:
CREDIT:
$0
$0
$0
TRANSFER TO PORTLAND:
City of Portland
Avg. Sum of Portland Employees in 2013:
PDX Not Liable
18a.
18. Portland Gross Income
..........
18c = (18a ÷ 18b)
(must be 1.0 or less)
18c
0.0000%
=
18b.
Total Gross Income*
*If less than $50,000, the taxpayer should complete Form AER (see instructions if tenant-in-common)
19. Portland Apportioned Net Income (line 7 x line 18c) ..........................................................................
19
$0
→
(
)
20. Net Operating Loss Deduction (max 75% of line 19) ..........................................................................
Enter as negative sum
20
$0
Must be entered as negative sum
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
→
(
)
23. Prepayments .......................................................................................................................................
Enter as negative sum
23
$0
Must be entered as negative sum
24. Penalty ................................................................................................................................................
24
$0
25. Interest ................................................................................................................................................
25
$0
26. Balance Due or (Overpayment)
$0
..........................................................
— Allocate overpayment on line 27
26
Allocate on Line 27:
$100
27.
REFUND:
$0
CREDIT:
$0
TRANSFER TO MULT CO:
$0
DONATE TO “WORK FOR ART”:
$0
COMBINED AMOUNT DUE WITH REPORT
28.
(total lines 16 and 26) Check #___________ ..........
28
$200
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
REVENUE BUREAU (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
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SP-2013 Rev. 1/13/2014
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