FORM CES V-  
Page 1 of 1  
(Rev. 2/1/2021) 
CITY OF PORTLAND BUSINESS LICENSE TAX | CLEAN ENERGY SURCHARGE                                       
Payment Voucher and Instructions 

Instructions 
Online payments:                                                        year. For most filers, this will be January 1 through 
You     may      make      payments     directly online     at          December 31 of the tax year. 
Pro.Portland.gov.                                                  •    Enter  your  FEIN  (Federal  Employer  Identification 
Don’t use this form with online payments.                               Number). 
Note:  Payments  sent  with your  return  do    not  require  a    •    Check the appropriate box for the type of payment 
voucher.                                                                being made. 
                                                                   
Use this voucher only for the following payments:                 Make your check payable to: City of Portland. You may 
 •    Estimated  quarterly  tax  payments  (this  form  has       write one check if you are making a payment for the busi-
      replaced Form CES Q).                                       ness taxes and CES, even if you mail in two vouchers. To 
 •    Tax due by the original return s’     due date if you re’   ensure  proper  credit  to  your  account,  write  the  filer’s 
      filing your return on extension and you have filed          name, FEIN or SSN, and tax year beginning and ending 
      a  federal  extension. If you are filing an extension       dates on your check.   
      for CES only, 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  tax  return,  please  see  the  Mailing         payments made separate from your original or amended  
      Information section.                                        return, mail your check and Form CES-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  Clean  Energy  Surcharge  Return,  send  the          Portland accepts the federal extension. Include a copy of 
      payment  and  return  in  the  same  envelope  and          the federal extension form when you file Form CES, and 
      don’t use Form CES-V. See the instructions for the          check the “Federal Extension box”  on the Clean Energy 
      return you are filing for the mailing address to send       Surcharge Return. If you need a CES only-   extension, fill 
      your return and payment.                                    out Form EXT and submit your payment with that form. If 
                                                                  you are submitting an extension request for the business 
Required for accurate processing:                                 taxes, you do not need to send a separate extension for 
                                                                  CES. 
 •    Fill in the beginning and ending dates of your tax 

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

                                                                                                     OFFICIAL USE ONLY 
FORM CES V,-     CITY OF PORTLAND BUSINESS LICENSE TAX                     
CLEAN ENERGY SURCHARGE PAYMENT VOUCHER 

Tax year from: ___________________ to ___________________ 
ACCOUNT #                                        FEIN                                          PAYMENT TYPE: (check one) 
CES -                                                                                                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 CES-V (Rev. 2/1/2021)