Form C-2012 Draft - Combined Tax Return For Corporations
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1
2COMBINED TAX RETURN
FORM C-2012
FOR CORPORATIONS
Multnomah County
DUE DATE: 15th day of 4th
Business Income Tax
month after taxable year end
City of Portland
(Calendar Year Filers: 4/15/2013)
Business License Tax
TAXABLE YEAR
From:
to
ACCOUNT #
FEIN #
FEDERAL BUSINESS CODE
OFFICIAL USE ONLY
NAME
MAILING ADDRESS (Notify the Revenue Bureau if business location address changes)
STATE/PROV ZIP CODE
CITY
CEASED PORTLAND/MULTNOMAH BUSINESS? (attach explanation)
AMENDED RETURN?
MAILING ADDRESS CHANGE?
ATTACH OREGON FORM 20, FEDERAL FORM 1120 (& FORM 1125-E, IF FILED)
1.
Net Income or (Loss) ...........................................................................................................................
1
2.
Business Income Tax & Business License Tax Add Back....................................................................
2
3.
Compensation (# of controlling shareholders ______) ...................................................................
3
4.
Other additions or subtractions ...........................................................................................................
4
5.
Adjusted Net Income (total lines 1, 2, 3 and 4).....................................................................................
5
(
)
6.
Compensation Allowance Deduction (see instructions) ......................................................................
6
Enter as negative sum
7.
Subject Net Income (line 5 minus line 6) .............................................................................................
7
Multnomah County Business Income Tax
Average Sum of Multnomah Employees in 2012:
8.
County Gross Income
.........
8a.
8c = (8a ÷ 8b) Cannot be more than 1.0
8c
.
=
Total Gross Income*
8b.
* *If less than $50,000, the taxpayer is exempt and should complete the Annual Exemption Request (Form AER)
9.
County Apportioned Net Income (line 7 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
(
)
13. Prepayments .......................................................................................................................................
Enter as negative sum
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 Business License Tax
Average Sum of Portland Employees in 2012:
18a.
18. Portland Gross Income
.........
18c = (18a ÷ 18b) Cannot be more than 1.0
18c
=
.
18b.
Total Gross Income*
*If less than $50,000, the taxpayer is exempt and should complete the Annual Exemption Request (Form AER)
19. Portland Apportioned Net Income (line 7 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 .......................................................................................................................................
23
Enter as negative sum
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
C-2012 DRAFT 11/26/2012
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