Form Sp-2014 (Draft)- Combined Tax Return For Individuals

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COMBINED TAX RETURN
FOR INDIVIDUALS
FORM SP-2014
Multnomah County
2014 CALENDAR YEAR
Business Income Tax
City of Portland
DUE DATE: APRIL 15, 2015
Business License Tax
TAXABLE YEAR
From: 1/1/2014 to 12/31/2014
(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
JOINT VENTURE /
CHECK ALL THAT APPLY
AMENDED RETURN?
CEASED PORTLAND/MULTNOMAH BUSINESS?
1 MEMBER
TENANT-IN-COMMON
SOLE PROPRIETORSHIP
(attach explanation)
MAILING ADDR CHANGE?
LLC
(PARTIAL OWNER)
Multnomah County*
City of Portland*
ATTACH PAGE 1 OF FEDERAL FORM 1040
1.
Net Income or (Loss) from Federal Schedule C (Attach Schedule Cs) .....
1M
1P
2.
Business Income Tax & Business License Tax Add Back .........................
2M
2P
3.
Net Income or (Loss) from Federal Schedule E, D, etc. (Attach E, D, etc.)
3M
3P
4.
Subtract Deductible SE Tax (see instructions for additions & subtractions)
4M
4P
5.
Adjusted Net Income (total lines 1, 2, 3 and 4) ..........................................
5M
5P
(
)
(
)
6.
Compensation Allowance Deduction (see instructions)
.
(# owners______)
6M
6P
7.
Subject Net Income (line 5 minus line 6) ...................................................
7M
7P
Multnomah County Avg. Sum of Multnomah Employees in 2014:
8c = (8a ÷ 8b)
8.
County Gross Income
......
8a.
8c
=
.
(must be 1.0 or less)
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 7M x line 8c) .................................
9
10. Net Operating Loss Deduction (max 75% of line 9) ..................................
Enter as negative sum
(
)
10
11. Income Subject to Tax (line 9 minus line 10) ............................................
11
12. Tax (line 11 x tax rate of 1.45%) MINIMUM $100 .....................................
12
Enter as negative sum
(
)
13. Prepayments .............................................................................................
13
14. Penalty ......................................................................................................
14
15. Interest ......................................................................................................
15
16. Balance Due or (Overpayment)
...............
— Allocate overpayment on line 17
16
17.
REFUND:
CREDIT:
TRANSFER TO PORTLAND:
City of Portland
Avg. Sum of Portland Employees in 2014:
18a.
18c = (18a ÷ 18b)
(must be 1.0 or less)
18. Portland Gross Income
..........
18c
=
.
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 7P x line 18c) .......................................................................
19
20. Net Operating Loss Deduction (max 75% of line 19) ..........................................................................
Enter as negative sum
(
)
20
21. Income Subject to Tax (line 19 minus line 20) ....................................................................................
21
22. Tax (line 21 x tax rate of 2.2%) MINIMUM $100 .................................................................................
22
(
)
23. Prepayments .......................................................................................................................................
Enter as negative sum
23
24. Penalty ................................................................................................................................................
24
25. Interest ................................................................................................................................................
25
26. Balance Due or (Overpayment)
..........................................................
— Allocate overpayment on line 27
26
27.
REFUND:
CREDIT:
TRANSFER TO MULT CO:
DONATE TO “WORK FOR ART”:
COMBINED AMOUNT DUE WITH REPORT
28.
(total lines 16 and 26) Check #___________ ..........
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
____________________________________________________________
(
)__________________
REVENUE BUREAU (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
* For lines 1 through 5 above, the same number will generally be entered in both columns.
SP-2014 DRAFT 11/07/2014

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