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Blank Bin Oregon Form

The Bin Oregon form, officially known as the Oregon Combined Payroll Tax Business Change in Status Form, is used to notify various state departments of changes in a business's status or employment information. This form is essential for businesses that need to update their Oregon Business Identification Number (BIN), Federal Employer Identification Number (FEIN), or other relevant details. Completing this form ensures compliance with state regulations and helps maintain accurate records with the Employment Department, Department of Revenue, and Department of Consumer and Business Services.

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The Bin Oregon form, officially known as the Oregon Combined Payroll Tax Business Change in Status Form, is an essential tool for businesses operating in Oregon. This form allows business owners to report significant changes in their business status and employment information to various state departments, including the Employment Department, Department of Revenue, and Department of Consumer and Business Services. It covers a wide range of updates, such as changes to the business name, ownership details, and employment status. If a business is closing, transferring ownership, or changing its entity type, this form must be completed to ensure compliance with state regulations. Additionally, it addresses specifics like the number of employees affected by these changes and the effective dates of any alterations. The form also provides a section for businesses that are reopening after a closure, outlining the necessary steps for a smooth transition back into operation. By using the Bin Oregon form, businesses can maintain accurate records and ensure that they meet all legal requirements, ultimately supporting their ongoing success in the state.

Form Example

150-211-156 (Rev. 07-08-2024)
Oregon Combined Payroll Tax
Business Change in Status Form
To Update Business Status and Employment Information
Attach additional sheets if needed.
Business name
Other names (ABN/DBA)
BIN (Oregon business identification number)
FEIN (Federal employer identification number)
General updates (check all that apply)
Owner/Officer updates:
To update owner/officer informa-
tion, attach a complete list of
current owners/officers including
position, social security number
(SSN), home address, and phone.
Update/Change FEIN to: Update/Change business name to: Now doing business in TriMet/Lane
Transit District as of:
Closing account (check all that apply)
Closed pension/annuity account as of:
No longer doing business in TriMet/Lane Transit District as of:
All or
Closed No longer doing business in Oregon Sold Leased Transferred
Was business operating at the time it was sold, leased or transferred?
Yes No
How many employees were transferred?
Effective date:
Date of final payroll:
Describe what was transferred
New business name
New owner’s name
New owner’s address
Where are the records of the terminated business? (Include contact name, phone, address, city, state, ZIP code)
New owner’s phone
Changing entity (check all that apply)
Effective date:
Note: A new Combined Employer’s Registration form, 150-211-055, is required when there is an entity change.
Change
from:
Change
to:
Corporation —“C” Corporation—Subchapter “S”
Individual (Sole Proprietor)
Partnership —General Partnership—Limited
LLP (Limited Liability Partnership)
Corporation Sole Proprietor/Single Member Partnership
LLC (Limited Liability Company) Recognized by IRS as:
Employment status updates (check all that apply)
Still in business, but have no paid employees (corporate officers are still subject to payroll taxes).
Effective date:
Only have workers’ compensation insurance
to cover owners, officers or members.
Only LLC members or officers
Courtesy withholding
Only using independent contractors
Employing Oregon residents in another state. State: Now working in Oregon. Effective date:
Using leased employees
Authorization
Name of leasing company
Leasing company contact name
Address City
City
State
State
ZIP code
ZIP code
Phone
Date employees leased
Number of leased employees:
Worker leasing company license number
Number of non-leased employees: Leasing corporate officers/owners?
Yes
No
Fax to: 503-947-1700 or mail to: Employment Department, 875 Union St NE Rm 107, Salem OR 97311-0030
Signature
Print name Title
Date Phone
Corporation —“C” Corporation—Subchapter “S”
Individual (Sole Proprietor)
Partnership —General Partnership—Limited
LLP (Limited Liability Partnership)
Corporation Sole Proprietor/Single Member Partnership
LLC (Limited Liability Company) Recognized by IRS as:
Part
of the business was
Under penalties of false swearing, I declare that the information on this form, including accompanying documents, is true, correct,
and complete to the best of my knowledge and belief. (ORS 305.810)
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Document Characteristics

Fact Name Details
Form Purpose This form is used to notify various Oregon departments of changes in business status or employment information.
Governing Laws The form is governed by regulations from the Oregon Employment Department (OED), Department of Revenue (DOR), and Department of Consumer and Business Services (DCBS).
Business Identification Businesses must provide their Oregon Business Identification Number (BIN) and Federal Employer Identification Number (FEIN) on the form.
Owner/Officer Updates To update owner or officer information, a complete list including position, Social Security Number (SSN), home address, and phone number is required.
Entity Changes Changes in business entity type require the completion of a new Combined Employer’s Registration form, 150-211-055.
Leased Employees If using leased employees, businesses must provide details about the leasing company, including contact information and number of employees leased.
Effective Dates Effective dates must be provided for all changes, including business name changes and employment status updates.
Closing Accounts Businesses must indicate if they are closing accounts, including pension and annuity accounts, and provide effective dates for these closures.
Submission Instructions The completed form can be faxed to 503-947-1700 or mailed to the Employment Department at the specified address in Salem, Oregon.
Re-opening Businesses To re-open a business closed for less than one year, the Business Change in Status Form is required; for one year or more, a new Combined Employer’s Registration form must be filed.
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