Form C-2016 - Combined Tax Return For Corporations
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COMBINED TAX RETURN
FORM C-2016
FOR CORPORATIONS
Multnomah County
DUE DATE: 15th day of 4th
Business Income Tax
month after taxable year end
City of Portland
(Calendar Year Filers: 4/18/2017)
Business License Tax
TAXABLE YEAR
From:
01/01/2016
to
12/31/2016
ACCOUNT #
FEIN #
FEDERAL BUSINESS CODE
OFFICIAL USE ONLY
NAME
MAILING ADDRESS (Notify the Revenue Division if business location address changes)
CITY
STATE/PROV ZIP CODE
OR
No
No
CEASED PORTLAND/MULTNOMAH BUSINESS? (attach explanation)
No
AMENDED RETURN?
MAILING ADDRESS CHANGE?
Multnomah County*
City of Portland*
ATTACH OREGON FORM 20, FEDERAL FORM 1120, & 1125-E, IF FILED
1.
Net Income or (Loss) ................................................................................
$0
$0
1P
1M
2.
Business Income Tax & Business License Tax Add Back .........................
$0
$0
2M
2P
3.
Compensation (# of controlling shareholders: _____________) ..............
$0
$0
3M
3P
4.
Other additions or subtractions .................................................................
$0
4P
$0
4M
5.
Adjusted Net Income (total lines 1, 2, 3 and 4) ..........................................
5M
5P
$0
$0
Enter as negative sum
(
)
(
)
6.
Compensation Allowance Deduction (see instructions)
$0
6P
$0
6M
7.
Subject Net Income (line 5 minus line 6) ...................................................
7M
$0
7P
$0
MC Not Liable
Multnomah County
Avg. Sum of Multnomah Employees in 2016:
8c = (8a ÷ 8b) .
8a.
County Gross Income
.........
8c
100.0000%
=
(must be 1.0 or less)
Total Gross Income*
8b.
**If less than $50,000, the taxpayer is exempt and should complete Form AER
9.
County Apportioned Net Income (line 7M x line 8c) .................................
9
$0
Enter as negative sum
(
)
10. Net Operating Loss Deduction (max 75% of line 9) ...................................
$0
10
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
Enter as negative sum
(
)
13. Prepayments .............................................................................................
13
$0
14. Penalty ......................................................................................................
14
$0
15. Interest ......................................................................................................
$0
15
16. Balance Due or (Overpayment) .................................................................
$100
16
17.
REFUND:
CREDIT:
TRANSFER TO PORTLAND:
$0
$0
$0
PDX Not Liable
City of Portland
Avg. Sum of Portland Employees in 2016:
18c = (18a ÷ 18b) (must be 1.0 or less)
18a.
Portland Gross Income
..........
18c
100.0000%
=
18b.
Total Gross Income*
*If less than $50,000, the taxpayer is exempt and should complete Form AER
$0
19
19. Portland Apportioned Net Income (line 7P x line 18c) ........................................................................
Enter as negative sum
(
)
$0
20
20. Net Operating Loss Deduction (max 75% of line 19) ..........................................................................
$0
21
21. Income Subject to Tax (line 19 minus line 20) ....................................................................................
22
$100
22. Tax (line 21 x tax rate of 2.2%) MINIMUM $100 .................................................................................
22a
$0
22a.Heavy Vehicle Use Tax (HVT) (see HVT Schedule) ............................................................................
Enter as negative sum
(
)
$0
23
23. Prepayments .......................................................................................................................................
$0
24. Penalty ................................................................................................................................................
24
25
25. Interest ................................................................................................................................................
$0
26
$100
26. Balance Due or (Overpayment) ...........................................................................................................
REFUND:
27.
$0
$0
CREDIT:
$0
TRANSFER TO MULT CO:
$0
DONATE TO “WORK FOR ART”:
COMBINED AMOUNT DUE WITH REPORT
28.
(total lines 16 and 26) Check #___________ ..........
$200
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
_______________________________________
__________________
___________________________
Reset
Preparer’s Name/Address
Preparer Phone
____________________________________________________________
(
)__________________
REVENUE DIVISION (503) 823-5157
FAX (503) 823-5192
TDD (503) 823-6868
* For lines 1 through 7 above, the same number will generally be entered in both columns.
C-2016_FP Rev. 1/31/2017
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