Blank Oregon 40N Form Open Editor Now

Blank Oregon 40N Form

The Oregon 40N form is the Individual Income Tax Return specifically designed for nonresidents of Oregon. This form allows individuals who earn income in Oregon but reside elsewhere to report their income and calculate their tax obligations. Understanding how to accurately complete this form is crucial for compliance and ensuring that all eligible deductions and credits are claimed.

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The Oregon 40N form serves as the official tax return for nonresidents who earn income in Oregon. Designed by the Oregon Department of Revenue, this form is essential for individuals who do not reside in the state but have tax obligations due to income sourced from Oregon. Key components of the form include personal information, such as names, Social Security numbers, and filing status options, which range from single to married filing jointly. Additionally, the form requires detailed income reporting, encompassing wages, dividends, and various other income sources. Adjustments to income, such as IRA contributions and education deductions, are also accounted for, providing a clearer picture of taxable income. The form further includes sections for calculating deductions, tax liabilities, and any potential refunds. Nonresidents must ensure that they accurately report their Oregon-sourced income and comply with the state’s tax regulations. Completing the Oregon 40N form correctly is crucial to fulfilling tax responsibilities and avoiding penalties.

Form Example

Fiscal year ending date (MM/DD/YYYY)

2022 Form OR-40-N

Oregon Individual Income Tax Return for Nonresidents

Oregon Department of Revenue

Page 1 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Space for 2-D barcode—do not write in box below

 

 

/

 

 

/

 

 

 

 

 

 

 

Extension filed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form OR-24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amended return.

 

 

 

 

 

If amending for an NOL tax year (YYYY)

 

Form OR-243

 

NOL, tax year the

 

 

 

 

 

 

Federal Form 8379

 

 

 

 

 

 

 

 

NOL was generated:

 

 

 

 

 

 

Calculated with “as if” federal return

Federal Form 8886

Short-year tax election

Disaster relief

Employment exception

Military

First name

Initial

Date of birth (MM/DD/YYYY)

/

/

Last name

Social Security number (SSN)

First time using this SSN (see instructions)

Applied for ITIN

Deceased

Spouse first name

Initial

Spouse date of birth (MM/DD/YYYY)

/

/

Spouse last name

Spouse SSN

First time using this SSN (see instructions)

Applied for ITIN

Deceased

Current address

City

State

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filing Status (check only one box)

1.

Single 2.

Married filing jointly

3.

Married filing separately (enter spouse’s information above)

4.

Head of household (with qualifying dependent)

5.

Qualifying surviving spouse

150-101-048

(Rev. 09-12-22, ver. 01)

00542201010000

 

2022 Form OR-40-N

Oregon Department of Revenue

Page 2 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Exemptions

6a. Credits for yourself

 

 

 

 

 

6a.

Check boxes that apply:

 

Regular

 

Severely disabled

 

Someone else can claim you as a dependent

 

 

 

 

 

 

 

 

 

 

6b. Credits for your spouse

 

 

 

 

 

6b.

 

Check boxes that apply:

 

Regular

 

Severely disabled

 

Someone else can claim you as a dependent

 

 

 

 

 

 

 

 

 

 

 

Dependents. List your dependents in order from youngest to oldest.

Dependent 1: First name

 

Initial

Dependent 1: Last name

 

 

 

 

 

 

 

 

 

 

Dependent 1: Date of birth (MM/DD/YYYY)

Dependent 1: SSN

 

 

 

 

/

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code *

Dependent 1: Check if child has a qualifying disability

Dependent 2: First name

 

Initial

Dependent 2: Last name

 

 

 

 

 

 

 

 

 

 

Dependent 2: Date of birth (MM/DD/YYYY)

Dependent 2: SSN

 

 

 

 

/

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code *

Dependent 2: Check if child has a qualifying disability

Dependent 3: First name

 

Initial

Dependent 3: Last name

 

 

 

 

 

 

 

 

 

 

Dependent 3: Date of birth (MM/DD/YYYY)

Dependent 3: SSN

 

 

 

 

/

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Code *

Dependent 3: Check if child has a qualifying disability

*Dependent relationship code (see instructions).

6c. Total number of dependents

6c.

 

 

 

 

 

 

6d. Total number of dependent children with a qualifying disability (see instructions)

6d.

 

 

 

 

 

 

 

6e. Total exemptions. Add lines 6a through 6d

Total 6e.

 

 

 

 

 

 

 

 

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201020000

2022 Form OR-40-N

Oregon Department of Revenue

Page 3 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Income

Federal column (F)

Oregon column (S)

7.Wages, salaries, and other pay for work from federal Form 1040 or 1040-SR, line 1z. Include all Forms W-2.

7F. , ,

8.Interest income from Form 1040 or 1040-SR, line 2b.

0 0

7S.

,

,

0 0

8F. , ,

9.Dividend income from Form 1040 or 1040-SR, line 3b.

0 0

8S.

,

,

0 0

9F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.State and local income tax refunds from federal Schedule 1, line 1.

9S.

,

,

0 0

10F. , ,

11.Alimony received from federal Schedule 1, line 2a.

0 0

10S.

,

,

0 0

11F. , ,

12.Business income or loss from federal Schedule 1, line 3.

0 0

11S.

,

,

0 0

12F. , ,

13.Capital gain or loss from Form 1040 or 1040-SR, line 7.

0 0

12S.

,

,

0 0

13F. , ,

14.Other gains or losses from federal Schedule 1, line 4.

0 0

13S.

,

,

0 0

14F. , ,

15.IRA distributions from Form 1040 or 1040-SR, line 4b.

0 0

14S.

,

,

0 0

15F.

,

,

0 0

15S.

,

,

0 0

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201030000

2022 Form OR-40-N

Oregon Department of Revenue

Page 4 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Federal column (F)

Oregon column (S)

16.Pensions and annuities from Form 1040 or 1040-SR, line 5b.

16F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.Schedule E income or loss from federal Schedule 1, line 5.

16S.

,

,

0 0

17F. , ,

18.Farm income or loss from federal Schedule 1, line 6.

0 0

17S.

,

,

0 0

18F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

18S.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.Social Security benefits from Form 1040 or 1040-SR, line 6b; and unemployment and other income from federal Schedule 1, lines 7 and 9.

19F.

 

 

 

,

 

 

 

 

 

 

 

 

 

 

20.Total income. Add lines 7 through 19.

,

0 0

19S.

,

,

0 0

20F.

,

,

0 0

20S.

,

,

0 0

Adjustments

21.IRA or SEP and SIMPLE contributions, from federal Schedule 1, lines 16 and 20.

21F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

21S.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22.Education deductions from federal Schedule 1, lines 11 and 21.

22F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

22S.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.Moving expenses from federal Schedule 1, line 14.

,

,

,

,

0 0

0 0

23F.

,

,

0 0

23S.

,

,

0 0

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201040000

2022 Form OR-40-N

Oregon Department of Revenue

Page 5 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Federal column (F)

Oregon column (S)

24.Deduction for self-employment tax from federal Schedule 1, line 15.

24F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

24S.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25.Self-employed health insurance deduction from federal Schedule 1, line 17.

,

,

0 0

25F. , ,

26.Alimony paid from federal Schedule 1, line 19a.

0 0

25S.

,

,

0 0

26F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

26S.

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.Total adjustments from Schedule OR-ASC-NP, line A7 for the federal column and line A8 for the Oregon column.

,

0 0

27F.

 

 

 

,

 

 

 

 

 

 

 

 

 

 

28.Total adjustments. Add lines 21 through 27.

,

0 0

27S.

,

,

0 0

28F. , ,

29.Income after adjustments. Line 20 minus line 28.

0 0

28S.

,

,

0 0

29F.

,

,

0 0

29S.

,

,

0 0

Additions

30.Total additions from Schedule OR-ASC-NP, line B7 for the federal column and line B8 for the Oregon column.

30F. , ,

31.Income after additions. Add lines 29 and 30.

31F. , ,

0 0

0 0

30S.

31S.

,

,

,

,

0 0

0 0

150-101-048

00542201050000

 

(Rev. 09-12-22, ver. 01)

 

2022 Form OR-40-N

Oregon Department of Revenue

Page 6 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Subtractions

Federal column (F)

Oregon column (S)

32.Social Security and tier 1 Railroad Retirement Board benefits included on line 19F.

32F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33.Total subtractions from Schedule OR-ASC-NP, line C7 for the federal column and line C8 for the Oregon column.

33F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34.Income after subtractions. Line 31 minus lines 32 and 33.

33S.

,

,

0 0

34F.

 

 

 

,

 

 

 

,

 

 

 

 

0

0

34S.

 

 

 

,

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35. Oregon percentage (see instructions; not more than 100.0%)

 

 

 

 

 

 

 

 

 

35.

 

0 0

%

Deductions and modifications

36.

...............................................................................................Amount from line 34S

 

 

 

 

36.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37.

Oregon itemized deductions. Enter your Oregon itemized deductions from

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule OR-A, line 23. If you are not itemizing your deductions, enter 0

37.

 

 

 

 

 

 

 

 

 

 

 

38.

Standard deduction. Enter your standard deduction

 

38.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You were:

38a.

 

 

65 or older 38b.

 

Blind Your spouse was:

38c.

 

 

 

 

 

 

 

 

 

, ,

, ,

, ,

65 or older 38d.

0 0

0 0

0 0

Blind

Standard deductions

Single

Married filing jointly

Married filing separately

Qualifying surviving spouse

Head of Household

 

 

 

 

 

$2,420

$4,840

$2,420 or $0

$4,840

$3,895

See instructions if you are age 65 or older, blind, or if someone can claim you as a dependent. See instructions if you are married filing separately.

39.

Enter the larger of line 37 or 38

39.

40.

2022 federal tax liability (see instructions)

40.

41.

Total modifications from Schedule OR-ASC-NP, line D7

41.

42.

Deductions and modifications multiplied by the Oregon percentage

 

 

(see instructions)

42.

,

,

,

,

,

,

,

,

0 0

0 0

0 0

0 0

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201060000

2022 Form OR-40-N

Oregon Department of Revenue

Page 7 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Deductions and modifications (continued)

43.

Charitable art donation (see instructions)

43.

44.

Total deductions and modifications. Add lines 42 and 43

44.

45.

Oregon taxable income. Line 36 minus line 44. If line 44 is more than

 

 

line 36, enter 0

45.

,

,

,

,

,

,

0 0

0 0

0 0

Oregon tax

46.

Tax. Check the appropriate box if you’re using an alternative method to

 

 

 

calculate your tax (see instructions)

 

 

46.

 

46a.

 

Schedule OR-FIA-40-N

46b.

 

Worksheet FCG

46c.

 

 

 

 

 

47.

Interest on certain installment sales

 

 

47.

48.

Total tax before credits. Add lines 46 and 47

 

 

48.

,

Schedule OR-PTE-NR

,

,

,

,

,

0 0

0 0

0 0

Standard and carryforward credits

49.

Exemption credit (see instructions)

49.

50.

Total standard credits from Schedule OR-ASC-NP, line E16

50.

51.

Total standard credits. Add lines 49 and 50

51.

52.

Tax minus standard credits. Line 48 minus line 51. If line 51 is more than

 

 

line 48, enter 0

52.

53.Total carryforward credits used this year from Schedule OR-ASC-NP, line F9. Line 53 can’t be more than line 52 (see Schedule OR-ASC and

 

OR-ASC-NP Instructions)

53.

54.

Tax after standard and carryforward credits. Line 52 minus line 53

54.

55.

Total tax recaptures reported this year from Schedule OR-ASC-NP, line G5

55.

,

,

,

,

,

,

,

,

,

,

,

,

,

,

0 0

0 0

0 0

0 0

0 0

0 0

0 0

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201070000

2022 Form OR-40-N

Oregon Department of Revenue

Page 8 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Standard and carryforward credits (continued)

56. Tax including tax recaptures. Line 54 plus line 55

56.

,

,

0 0

Payments and refundable credits

57.

Oregon income tax withheld. Include a copy of your Forms W-2 and 1099

57.

58.

Amount applied from your prior year’s tax refund

58.

59.Estimated tax payments for 2022. Include all payments you made prior to the filing date of this return, including real estate transactions. Do not include the

 

amount you already reported on line 58

59.

60.

Tax payments from a pass-through entity

60.

61.

Earned income credit (see instructions)

61.

Reserved

62. Kicker (Oregon surplus credit). Enter your kicker credit amount (see instructions).

 

If you elect to donate your kicker to the State School Fund, enter 0 and

 

 

see line 78

62.

63.

Total refundable credits from Schedule OR-ASC-NP, line H7

63.

64.

Total payments and refundable credits. Add lines 57 through 63

64.

,

,

,

,

,

,

,

,

,

,

,

,

,

,

,

,

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

Tax to pay or refund

65.

Overpayment of tax. If line 56 is less than line 64, you overpaid.

 

 

Line 64 minus line 56

65.

66.

Net tax. If line 56 is more than line 64, you have tax to pay.

 

 

Line 56 minus line 64

66.

67.

Penalty and interest for filing or paying late (see instructions)

67.

,

,

,

,

,

,

0 0

0 0

0 0

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201080000

2022 Form OR-40-N

Oregon Department of Revenue

Page 9 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

68.

Interest on underpayment of estimated tax. Include Form OR-10

68.

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

Exception number from Form OR-10, line 1: 68a.

 

 

Check box if you annualized: 68b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

69.

Total penalty and interest due. Add lines 67 and 68

 

 

69.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

70.

Net tax including penalty and interest.

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 66 plus line 69

This is the amount you owe. 70.

 

 

 

 

 

 

 

71.

 

 

 

 

 

 

 

 

Overpayment less penalty and interest.

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Line 65 minus line 69

 

This is your refund. 71.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

72.

Estimated tax. Fill in the portion of line 71 you want applied to your open

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

estimated tax account

 

 

72.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

73.

Charitable checkoff donations from Schedule OR-DONATE, line 30

73.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

74.

Oregon 529 college savings plan deposits from Schedule OR-529, line 5

74.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

75.

Total. Add lines 72 through 74. The total can’t be more than your refund

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

on line 71

 

 

75.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

76.

Net refund. Line 71 minus line 75

 

This is your net refund. 76.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

,

,

,

,

,

,

,

,

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

Direct deposit

77. For direct deposit of your refund, see instructions. Check the box if the final deposit destination is outside the United States:

Type of account:

Account information:

 

 

Checking or

Routing number

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reserved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kicker donation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

78. If you elect to donate your kicker to the State School Fund, check this box

 

78a.

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete the kicker worksheet, located in the instructions, and enter the

 

 

 

 

,

,

0 0

amount here

 

 

 

 

This election is irrevocable. 78b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201090000

2022 Form OR-40-N

Oregon Department of Revenue

Page 10 of 11 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.

Last name

SSN

 

 

 

 

 

 

 

 

 

 

Note: Reprint page 1 if you make changes to this page.

Sign here. Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and complete.

Your signature

X

Date (MM/DD/YYYY)

/

/

Spouse signature

X

Date (MM/DD/YYYY)

/

/

Signature of preparer other than taxpayer

X

Date (MM/DD/YYYY)

Preparer phone

Preparer license number

/

/

Preparer first name

 

Initial

Preparer last name

 

 

 

 

 

 

 

 

 

 

Preparer address

City

 

State

 

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signing this return does not grant your preparer the right to represent you or make decisions on your behalf. For more information, see the instructions for the Tax Information Authorization and Power of Attorney for Representation form on our website.

Important: Include a copy of your federal Form 1040, 1040-SR, 1040-X, or 1040-NR. We may adjust your return without it.

Pay the amount due (shown on line 70)

Online: www.oregon.gov/dor.

By mail: Payable to the Oregon Department of Revenue. Write “2022 Oregon Form OR-40-N” and the last four digits of your SSN or ITIN on your check or money order. If you include payment with your return, don’t include Form OR-40-V payment voucher.

Mail your return

Non-2-D barcode. If the large 2-D barcode box on the first page of this form is blank:

Mail tax-due returns to: Oregon Department of Revenue, PO Box 14555, Salem OR 97309-0940.

Mail refund and no-tax-due returns to: Oregon Department of Revenue, PO Box 14700, Salem OR 97309-0930.

2-D barcode. If the large 2-D barcode box on the first page of this form is filled in:

Mail tax-due returns to: Oregon Department of Revenue, PO Box 14720, Salem OR 97309-0463.

Mail refund and no-tax-due returns to: Oregon Department of Revenue, PO Box 14710, Salem OR 97309-0460.

150-101-048

 

(Rev. 09-12-22, ver. 01)

00542201100000

Document Characteristics

Fact Name Description
Purpose of the Form The Oregon 40N form is used by nonresidents to file their individual income tax returns in Oregon.
Filing Requirements Taxpayers must submit the original form and cannot submit photocopies. It is essential to include a copy of the federal Form 1040 or 1040-SR.
Governing Laws The form is governed by the Oregon Revised Statutes, specifically ORS 316.037 and ORS 316.113, which outline the tax obligations for nonresidents.
Amendments If a taxpayer needs to amend their return, they must indicate this on the form and provide an explanation for the changes made.
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