Form P-99 - Combined Report Form - Portland City Business License Multnomah County Business Income Tax

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COMBINED REPORT FORM
P-99
PORTLAND CITY BUSINESS LICENSE
MULTNOMAH COUNTY BUSINESS INCOME TAX
Taxable Year ____/____/____ to ____/____/____
Name/Address:
Account #:
Please b if address change: U Mailing U Location
FEIN #
_________________________
Attach form 1065 and Schedule K
PARTNERSHIP ¨, LP ¨, LLC ¨, LLP ¨, OTHER ¨ (Check one)
1. Ordinary Income or (Loss)
_________________________
2. Multnomah County Business Income Tax add back
_________________________
3. Schedule K (lines 2-4, 6-11) and Oregon modifications
_________________________
4. Owner’ s compensation (# of partners_______)
_________________________
5. Adjusted Net Income (total lines 1,2,3 and 4)
_________________________
6. Compensation allowance deduction (see instructions)
(________________________)
7. Subject Net Income (line 5 minus line 6)
_____________________
Multnomah County Business Income Tax
8. County Gross Income = ______________________________ =______________. _____
Total Gross Income
9. County Apportioned Net Income (line 7 x line 8)
____________________
10. Net Operating Loss Deduction (max 75% of line 9)
(___________________)
11. Income subject to tax (line 9 minus line 10)
____________________
12. Tax (line 11 x tax rate of 1.45%)
____________________
13. Prepayments
(___________________)
14. Penalty
____________________
15. Interest
____________________
16. Balance Due or (Overpayment)
_____________________
17. Refund _______________
or Credit ________________
City of Portland Business License Fee
18. Portland Gross Income = _____________________________ =______________. _____
Total Gross Income
19. Portland Apportioned Net Income (line 7 x line 18)
____________________
20. Net Operating Loss Deduction (max 75% of line 19)
(___________________)
21. Income subject to fee (line 19 minus line 20)
____________________
22. Fee (line 21 x rate of 2.2%) MINIMUM $100
____________________
a. Application Year Adjustment Fee (see instructions)
____________________
23. Prepayments
(___________________)
24. Penalty
____________________
25. Interest
____________________
26. Balance Due or (Overpayment)
_____________________
Refund _______________
or Credit ________________
27.
28. Combined amount due with report (total lines 16 and 26)
_____________________
th
Make check payable to City of Portland, 1900 SW 4
Ave., Suite #3500, Portland, OR 97201-5350.
The undersigned declares that the information given on this report is true. The undersigned is authorized to act as a representative of the filer.
Signature of Filer _______________________________________________________________Telephone (
) _______________________________
Date __________________________ Address ____________________________________________________________________________________________
Signature of Paid Preparer _______________________________________________________Telephone (
) _______________________________
Rev. 11/99

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