Form Ob - Out Of Business Notification Form - City Of Portland Business License Tax
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FORM OB
OUT OF BUSINESS NOTIFICATION FORM
REV 11/30/2016
CITY OF PORTLAND BUSINESS LICENSE TAX
& MULTNOMAH COUNTY BUSINESS INCOME TAX
111 SW COLUMBIA, SUITE 600, PORTLAND OR 97201
Office: 503-823-5157 ~ TDD: 503-823-6868 ~ FAX: 503-823-5192
Additional Forms & Information:
Form closes a City of Portland Business License Tax and/or Multnomah County Business Income Tax account.
BUSINESS INFORMATION
BUSINESS/TAXPAYER NAME
BUSINESS TAX ACCOUNT #
BUSINESS ADDRESS
CITY
STATE/PROV ZIP/POSTAL CODE
OR
CHECK JURISDICTION(S) AFFECTED BY CLOSURE
TAX ID #
DATE BUSINESS CEASED OPERATION
BOTH PORTLAND &
PORTLAND ONLY
MULTNOMAH CO. ONLY
MULTNOMAH COUNTY
REASON(S) FOR CLOSURE
Select all applicable reasons for closure:
Sold business
If the business is sold, is there continuing income from the sale? Income from the sale of a business is
considered business income and must be reported. Contract (installment) sales are also considered
continuing business income.
If you own the real property and intend to rent or lease to others, check here
Sold property
Did you sell some or all real property on contract (installment) sale?
YES
NO
Provide New Owner information:
NEW OWNER NAME
NEW OWNER ADDRESS
CITY
STATE/PROV ZIP/POSTAL CODE
OR
Changed tax entity / incorporated (Attach new business registration form (Form REG))
Ceased all business activity — no longer conduct any business activity anywhere
Ceased business activity in the City and Multnomah County only
Other
SPECIFY “OTHER” REASON (ATTACH ADDITIONAL INFORMATION IF NEEDED)
MAIL or FAX completed form to:
City of Portland Revenue Division, 111 SW Columbia St., Suite #600, Portland, OR 97201-5840
FAX: 503-823-5192
SIGNATURE
Upon notification that the business is no longer operating the Revenue Division will make the necessary notations on
your account, however, you are still required to file a final Combined Tax Return for the year you ceased business.
Printed Name: _______________________________________ Date: _______________________
Signature: __________________________________________ Telephone: __________________
FORM OB (Rev 11/30/2016)
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