FORM BZT V-  
Page 1 of 1  
(Rev. 2/1/2021) 
CITY OF PORTLAND BUSINESS LICENSE TAX/MULTNOMAH COUNTY BUSINESS INCOME TAX                                                  
Payment Voucher and Instructions 

Instructions 

Online payments:                                                   Required for accurate processing:  
You may make payments directly online at                            •    Fill in the beginning and ending dates of your tax 
Pro.Portland.gov.                                                        year. For most filers, this will be January 1 through 
Don’t use this form with online payments.                                December 31 of the tax year. 
Note:  Payments  sent  with your  return  do     not  require  a    •    Enter  your  FEIN  (Federal  Employer  Identification 
voucher.                                                                 Number) or SSN (Social Security Number). 
                                                                    •    Check the appropriate box for the type of payment 
Use this voucher only for the following payments:                        being made. 
 •    Estimated    quarterly  tax  payments  (this  form  has       
      replaced Form Q).                                            Make  your  check  payable  to: City of Portland (even if 
 •    Tax due by the original return s’      due date if you re’   you  only  owe  for  Multnomah  County  Business  Income 
      filing your return on extension and you have filed           Tax). To ensure proper credit to your account, write the 
      a  federal  extension. If you are filing an extension        filer’s  name,  FEIN  or  SSN,  and  tax  year  beginning  and 
      for  City  of  Portland  and  Multnomah  County  only,       ending dates on your check.  
      please submit Form EXT.                                       
 •    Tax  due     sent  separate  from  an  original  or          Mailing information:  
      amended  return.  If  you  are  mailing  your  payment       For  quarterly  payments,  extension  payments,  and  
      without  a  return,  please  see  the  Mailing               payments made separate from your original or amended  
      Information section.                                         return, mail your check and Form BZT-V to: 
                                                                        City of Portland Revenue Division 
Don’t use this voucher if:                                              PO Box 8038 
 •    Payment is sent electronically.                                   Portland, OR 97207-8038 
 •    Payment is included when you file your original or            
      amended  return. If you’re  mailing  a  payment  with        Note: This voucher isn’t an extension to file. The City of 
      your Combined Tax Return, send the payment and               Portland  and  Multnomah  County  accept  the  federal  
      return  in  the  same  envelope  and  don’      t  use  Form extension.  Include  a  copy  of  the  federal  extension  form 
      BZT-V. See the instructions for the return you are           when  you file  your  Combined  Business  Tax Return  and 
      filing  for  the  mailing  address  to  send  your  return   check the “Federal Extension”box on the Combined Tax 
      and payment.                                                 Return. If you need a City/County only-extension, fill out 
 •    You need to make a payment for the Clean Energy              Form EXT and submit your payment with that form. 
      Surcharge  (CES).  Use  Form  CES V -      for  these       
      account payments. 

                 Cut on dashed line below to detach voucher. Visit www.portland.gov/revenue/forms to print more vouchers.  

                                                                                                     OFFICIAL USE ONLY 
FORM BZT V,-     CITY OF PORTLAND BUSINESS LICENSE TAX/                         
MULTNOMAH COUNTY BUSINESS INCOME TAX PAYMENT VOUCHER                                          
Tax year from: ___________________ to ___________________ 
ACCOUNT #                                        FEIN OR SSN                                       PAYMENT TYPE: (check one) 
BZT-                                                                                                 Quarterly payment 
NAME OF FILER ON TAX RETURN                                                                          Extension payment 
                                                                                                     Original return 

MAILING ADDRESS             Check if changed                                                         Amended return 
                                                                                                   Check No.: _______________ 
CITY                             STATE/PROV ZIP CODE              PHONE                            Payment Amount: 
                                                                                                   $ 
FORM BZT-V (Rev. 2/01/2021)