Estimated Multnomah County Business Income Tax - City Of Portland Business License Fee - 2004

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2004
Estimated Multnomah County Business Income Tax
2004
Estimated Multnomah County Business Income Tax
City of Portland Business License Fee
City of Portland Business License Fee
Form Q-2004 Quarter 1
Form Q-2004 Quarter 3
Calendar Year payment due April 15, 2004
Calendar Year payment due September 15, 2004
th
th
th
th
Fiscal Year - Payment due 15
day of 4
month
Fiscal Year - Payment due 15
day of 9
month
Fiscal Year ___/___/2004 to ___/___/___
Fiscal Year ___/___/2004 to ___/___/___
Mailing
Location Address Change
Apply Amount by Program
Mailing
Location Address Change
Apply Amount by Program
Account #
Federal Employer ID/SS #
MCBIT $
Account #
Federal Employer ID/SS #
MCBIT $
PBL
$
PBL
$
Business Name
Check (Payment) Total:
Business Name
Check (Payment) Total:
Mailing Address
Mailing Address
City, State, Zip Code
Telephone #
City, State, Zip Code
Telephone #
(
)
(
)
Make check payable to: City of Portland
Make check payable to: City of Portland
Bureau of Licenses, 111 SW Columbia, Suite 600, Portland OR 97201-5814
Bureau of Licenses, 111 SW Columbia, Suite 600, Portland OR 97201-5814
2004
2004
Estimated Multnomah County Business Income Tax
Estimated Multnomah County Business Income Tax
City of Portland Business License Fee
City of Portland Business License Fee
Form Q-2004 Quarter 2
Form Q-2004 Quarter 4
Calendar Year payment due June 15, 2004
Calendar Year payment due December 15, 2004
th
th
th
th
Fiscal Year - Payment due 15
day of 6
month
Fiscal Year - Payment due 15
day of 12
month
Fiscal Year ___/___/2004 to ___/___/___
Fiscal Year ___/___/2004 to ___/___/___
Mailing
Location Address Change
Apply Amount by Program
Mailing
Location Address Change
Apply Amount by Program
Account #
Federal Employer ID/SS #
MCBIT $
Account #
Federal Employer ID/SS #
MCBIT $
PBL
$
PBL
$
Business Name
Check (Payment) Total:
Business Name
Check (Payment) Total:
Mailing Address
Mailing Address
City, State, Zip Code
Telephone #
City, State, Zip Code
Telephone #
(
)
(
)
Make check payable to: City of Portland
Make check payable to: City of Portland
Bureau of Licenses, 111 SW Columbia, Suite 600, Portland OR 97201-5814
Bureau of Licenses, 111 SW Columbia, Suite 600, Portland OR 97201-5814

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