"Business License Application Form" - City of Portland, Oregon

Business License Application Form is a legal document that was released by the Management and Finance Department - City of Portland, Oregon - a government authority operating within Oregon. The form may be used strictly within City of Portland.

Form Details:

  • The latest edition currently provided by the Management and Finance Department - City of Portland, Oregon;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Management and Finance Department - City of Portland, Oregon.

ADVERTISEMENT
ADVERTISEMENT

Download "Business License Application Form" - City of Portland, Oregon

158 times
Rate (4.4 / 5) 8 votes
PLEASE RETURN THIS FORM TO:
BUSINESS LICENSE
City of Portland
OMF - Revenue Bureau, License and Tax Division
APPLICATION
111 SW Columbia St, Suite 600
Portland, OR 97201
CITY OF PORTLAND OREGON
(503)823-5157
Attention: Unlicensed Compliance Team
Visit us on the web at: www.pdxbl.org
License and Tax Division
Most information provided on this form is subject to disclosure under Public Record Law.
Account Number:
This form is to be used by businesses doing business in the Cit y of Portland Oregon and Multnomah
Reset Form
County If you conduct business within Multnomah County limits ONLY, but not in Portland, then
please complete the Multnomah County Business Income Tax Information Form ONLY.
BUSINESS NAME: ____________________________________________________________________________________
(Last Name, First Name - if Sole Proprietorship and Single Member LLC)
CONTACT NAME: __________________________________________ CONTACT PHONE: ________________________
DOING BUSINESS AS (DBA): ___________________________________________________________________________
(if different from BUSINESS NAME above)
Sole Proprietorship/ Single-
-
-
*
BUSINESS ENTITY TYPE:
S.S. #
Member LLC
S-Corporation
Partnership
Corporation
*
-
FEIN:
Ltd. Liability
Trust
Estate
Ltd. Partnership
Company
Non-Profit Corporation
*
(501c3)
This information i s not subject to public disclosure
BUSINESS FISCAL/TAX YEAR END
________________
(Sole Proprietorship and Single Member LLC is always a December Year-End):
DATE PORTLAND BUSINESS ACTIVITY BEGAN: ___________________ NUMBER OF OWNERS: __________________
(List Owners Names on back)
PRIMARY BUSINESS LOCATION ADDRESS - No PMB or P.O. Box Numbers (list additional business location addresses on back:
______________________________________________________________________________________________
BUSINESS ACTIVITY : __________________________________________________________________________________
Commercial
BUSINESS PHONE: ___________________________ BUSINESS PROPERTY TYPE:
Residential
MAILING ADDRESS - PMB or P.O. Box Numbers accepted:
(if different from PRIMARY BUSINESS LOCATION ADDRESS above):
_________________________________ __________________________________
This Section for Office Use Only - Application continued on back
DATE RECEIVED:
FOR OFFICE USE ONLY:
DATE ENTERED:
ACCOUNT #: ______________________ NAICS: ________________________
AMT RECEIVED: ____________________________
CASH/RECEIPT #: ___________________ CHECK # : ______________________
ATTENTION:
PLEASE RETURN THIS FORM TO:
BUSINESS LICENSE
City of Portland
OMF - Revenue Bureau, License and Tax Division
APPLICATION
111 SW Columbia St, Suite 600
Portland, OR 97201
CITY OF PORTLAND OREGON
(503)823-5157
Attention: Unlicensed Compliance Team
Visit us on the web at: www.pdxbl.org
License and Tax Division
Most information provided on this form is subject to disclosure under Public Record Law.
Account Number:
This form is to be used by businesses doing business in the Cit y of Portland Oregon and Multnomah
Reset Form
County If you conduct business within Multnomah County limits ONLY, but not in Portland, then
please complete the Multnomah County Business Income Tax Information Form ONLY.
BUSINESS NAME: ____________________________________________________________________________________
(Last Name, First Name - if Sole Proprietorship and Single Member LLC)
CONTACT NAME: __________________________________________ CONTACT PHONE: ________________________
DOING BUSINESS AS (DBA): ___________________________________________________________________________
(if different from BUSINESS NAME above)
Sole Proprietorship/ Single-
-
-
*
BUSINESS ENTITY TYPE:
S.S. #
Member LLC
S-Corporation
Partnership
Corporation
*
-
FEIN:
Ltd. Liability
Trust
Estate
Ltd. Partnership
Company
Non-Profit Corporation
*
(501c3)
This information i s not subject to public disclosure
BUSINESS FISCAL/TAX YEAR END
________________
(Sole Proprietorship and Single Member LLC is always a December Year-End):
DATE PORTLAND BUSINESS ACTIVITY BEGAN: ___________________ NUMBER OF OWNERS: __________________
(List Owners Names on back)
PRIMARY BUSINESS LOCATION ADDRESS - No PMB or P.O. Box Numbers (list additional business location addresses on back:
______________________________________________________________________________________________
BUSINESS ACTIVITY : __________________________________________________________________________________
Commercial
BUSINESS PHONE: ___________________________ BUSINESS PROPERTY TYPE:
Residential
MAILING ADDRESS - PMB or P.O. Box Numbers accepted:
(if different from PRIMARY BUSINESS LOCATION ADDRESS above):
_________________________________ __________________________________
This Section for Office Use Only - Application continued on back
DATE RECEIVED:
FOR OFFICE USE ONLY:
DATE ENTERED:
ACCOUNT #: ______________________ NAICS: ________________________
AMT RECEIVED: ____________________________
CASH/RECEIPT #: ___________________ CHECK # : ______________________
ATTENTION:
Page 2
ADDITIONAL LOCATION ADDRESSES and/or ADDRESSES OF RENTAL PROPERTY OWNED (use add’l sheet if needed):
Business Name and Address
Business Description
Check All That Apply
This is an Add’l Bus Location
Rental Property Owned
If Rental Property is owned, is it:
Commercial
or Residential
Number of Units _____
_____________________________________________________________________________________________________
This is an Add’l Bus Location
Rental Property Owned
If Rental Property is owned, is it:
Commercial
or Residential
Number of Units _____
____________________________________________________________________________________________________
This is an Add’l Bus Location
Rental Property Owned
If Rental Property is owned, is it:
Commercial
or Residential
Number of Units _______
OWNERS OF CORPORATION or PARTNERS (List Corporate Owners that hold more that 5% of the voting stock of the corporation;
List all partners, including ltd partners, if any) and all LLC members. Use add’l sheets if needed.
Owner Name and Address
Social Security Number
% of Stock
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
A Business License is required of all those doing business within the City of Portland, Oregon. Exemptions include most non-profit
agencies and businesses whose total gross receipts for all busine ss everywhere is less than $50,000 annually. License fees are based upon
net apportioned income; the minimum annual fee is $100. Complete this application and return it with $100. You will receive a license
which expires at the end of the current business year.
Annual Business License Renewal Process:
1. In the first month of your next fiscal/tax year, you will receive a reminder to renew.
2. You will have 3.5 months after your expiration date to renew your license without penalty
(for example, if your business fiscal year goes from January 1 - December 31,
then your business license will expire on Dec 31 each year,
and you will have until April 15th of the following year to renew).
3. The renewal fee will be de termined by the income figures filed on the renewal form.
4. The initial $1 00 payment is the minimum fee which will be applied toward your first year license fee.
Renewal Forms may be found at: www.pdxbl.org
Notice of Confidentiality: All tax returns, reports and related financial information, includ ing a Taxpayer ID #, filed with the City of Portland
are confidential. Except as provided by PCC 7.02.230, .240 and .250, it is unlawful to divulge or release any financial in formation submitted
or disclosed to the City.
The term “license” as used in the ordinance is not to be construed to mean “permit”. The Business License fee is for revenue
purposes, and is not a regulatory permit fee. The payment of a license fee and the acceptance of such a fee and issuance of a
license by the City does not entitle a licensee to carry on a business not in compliance with all applicable requirements of state,
federal, municipal or other laws. The undersigned declares under penalty of making a false certificate that the information given in
this form is true.
______________________________________________________________
_____________________
________________________
Signature of Licensee or Authorized Representative
Title
Date
Page of 2