Blank Oregon 40P Form Open Editor Now

Blank Oregon 40P Form

The Oregon 40P form is an amended return for individual income tax specifically designed for part-year residents of Oregon. This form allows taxpayers to report their income and calculate their tax liability for the portion of the year they lived in the state. Understanding how to accurately complete the 40P form is essential for ensuring compliance with Oregon tax laws.

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The Oregon 40P form serves as an essential document for individuals who have lived in Oregon for part of the tax year. It is specifically designed for part-year residents, allowing them to accurately report their income and determine their tax liability based on the time they spent in the state. The form collects various personal details, including names, Social Security numbers, and addresses, which help establish the taxpayer's identity and residency status. It also includes sections for reporting different types of income, such as wages, interest, dividends, and business income. In addition to income reporting, the form allows taxpayers to claim adjustments, deductions, and credits that may apply to their situation. This includes provisions for itemized deductions versus standard deductions, as well as specific credits that can reduce overall tax liability. By completing the Oregon 40P, individuals ensure compliance with state tax laws while accurately reflecting their financial circumstances during the period they resided in Oregon.

Form Example

Form

OREGON

 

Amended Return

Individual Income Tax Return 2012

 

40P

For office use only

 

 

 

 

 

FOR PART-YEAR RESIDENTS

 

Oregon resident:

mm

dd

yyyy

mm

dd

yyyy

Fiscal year ending

F

P

J

From

 

 

 

To

 

 

K

 

 

 

 

 

 

 

 

 

Last name

 

 

First name and initial

 

 

Social Security No. (SSN)

 

 

Date of birth (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Deceased

 

–

–

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse’s/RDP’s last name if joint return

Spouse’s/RDP’s irst name and initial if joint return Spouse’s/RDP’s SSN if joint return

 

 

Date of birth (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Deceased

 

–

–

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

State

 

ZIP code

 

Country

 

 

If you filed a return last year, and your

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

name or address is different, check here

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

•Filing

1

Single

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exemptions

 

 

 

•

 

 

 

•

 

 

 

 

Status 2a

Married iling jointly

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

Check

2b

Registered domestic partners (RDP) iling jointly

 

 

 

 

 

 

 

6a Yourself

Regular

 

 

...... Severely disabled

 

....6a

 

 

 

only

3a

Married iling separately:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

one

 

Spouse’s name _____________________________ Spouse’s SSN___________________

6b Spouse/RDP ...

Regular

 

 

...... Severely disabled

 

......b

 

 

 

box

3b

Registered domestic partner iling separately:

 

 

 

 

 

 

 

6c All dependents First names __________________________________• c

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partner’s name _____________________________ Partner’s SSN ___________________

6d Disabled

First names __________________________________• d

 

 

 

 

4

Head of household: Person who qualiies you ________________________________

 

 

 

 

children only

 

 

 

 

 

 

 

 

 

Total •6e

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Qualifying widow(er) with dependent child

 

 

 

 

 

 

 

 

(see instructions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7a

 

 

 

 

 

 

 

 

•

•

 

 

 

7b

• You

 

7c • You have

7d

You filed

 

Check all that apply ➛

You were:

 

 

 

65 or older

 

Blind

 

filed an

 

 

federal

 

 

 

 

Oregon

 

 

 

 

Spouse/RDP was:

65 or older

 

Blind

 

extension

 

 

Form 8886

 

Form 24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Federal column (F)

 

 

 

Oregon column (S)

INCOME

 

8

Wages, salaries, and other pay for work. Include all Forms W-2

8F

 

 

 

 

.00

• 8S

 

 

 

.00

 

 

9

Taxable interest income from federal Form 1040, line 8a

 

 

 

 

 

 

 

 

9F

 

 

 

 

.00

• 9S

 

 

 

.00

 

 

10

Dividend income from federal Form 1040, line 9a

 

 

 

 

 

 

 

 

10F

 

 

 

 

.00

•10S

 

 

 

.00

 

 

11

State and local income tax refunds from federal Form 1040, line 10

11F

 

 

 

 

.00

•11S

 

 

 

.00

 

 

12

Alimony received from federal Form 1040, line 11

 

 

 

 

 

 

 

 

12F

 

 

 

 

.00

•12S

 

 

 

.00

Include

 

13

Business income or loss from federal Form 1040, line 12

 

 

 

 

 

 

 

 

13F

 

 

 

 

.00

•13S

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

proof of

 

14

Capital gain or loss from federal Form 1040, line 13

 

 

 

 

 

 

 

 

14F

 

 

 

 

.00

•14S

 

 

 

.00

withholding

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

Other gains or losses from federal Form 1040, line 14

 

 

 

 

 

 

 

 

15F

 

 

 

 

.00

•15S

 

 

 

.00

(W-2s,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1099s),

 

16

IRA distributions from federal Form 1040, line 15b

 

 

 

 

 

 

 

 

16F

 

 

 

 

.00

•16S

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

payment,

 

17

Pensions and annuities from federal Form 1040, line 16b

 

 

 

 

 

 

 

 

17F

 

 

 

 

.00

•17S

 

 

 

.00

and payment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

Rents, royalties, partnerships, etc., from federal Form 1040, line 17

18F

 

 

 

 

.00

•18S

 

 

 

.00

voucher

 

 

 

 

 

 

 

 

 

 

19

Farm income or loss from federal Form 1040, line 18

 

 

 

 

 

 

 

 

19F

 

 

 

 

.00

•19S

 

 

 

.00

 

 

20

Unemployment and other income from federal Form 1040, lines 19 through 21 ...

20F

 

 

 

 

.00

•20S

 

 

 

.00

 

 

21

Total income. Add lines 8 through 20

 

 

 

 

 

 

 

 

 

 

 

 

 

• 21F

 

 

 

 

.00

•21S

 

 

 

.00

ADJUSTMENTS

22

IRA or SEP and SIMPLE contributions, federal Form 1040, lines 28 and 32

22F

 

 

 

 

.00

•22S

 

 

 

.00

TO INCOME

23

Education deductions from federal Form 1040, lines 23, 33, and 34

23F

 

 

 

 

.00

•23S

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

24

Moving expenses from federal Form 1040, line 26

 

 

 

 

 

 

 

 

24F

 

 

 

 

.00

•24S

 

 

 

.00

 

 

25

Deduction for self-employment tax from federal Form 1040, line 27

25F

 

 

 

 

.00

•25S

 

 

 

.00

 

 

26

Self-employed health insurance deduction from federal Form 1040, line 29

26F

 

 

 

 

.00

•26S

 

 

 

.00

 

 

27

Alimony paid from federal Form 1040, line 31a

 

 

 

 

 

 

 

 

27F

 

 

 

 

.00

•27S

 

 

 

.00

 

 

28

Other adjustments to income. Identify:

•28x

 

 

 

 

 

•28y

$

 

 

 

Schedule28z

• 28F

 

 

 

 

.00

•28S

 

 

 

.00

 

 

29

Total adjustments to income. Add lines 22 through 28

 

 

 

 

 

 

 

 

• 29F

 

 

 

 

.00

•29S

 

 

 

.00

 

 

30

Income after adjustments. Line 21 minus line 29

 

 

 

 

 

 

 

 

• 30F

 

 

 

 

.00

•30S

 

 

 

.00

ADDITIONS

31

Interest on state and local government bonds outside of Oregon

• 31F

 

 

 

 

.00

•31S

 

 

 

.00

 

 

32

Federal election on interest and dividends of a minor child

 

 

 

 

 

 

 

• 32F

 

 

 

 

.00

•32S

 

 

 

.00

 

 

33

Other additions. Identify: •33x

 

 

 

•33y

 

$

 

 

 

Schedule included 33z

• 33F

 

 

 

 

.00

•33S

 

 

 

.00

 

 

34

Total additions. Add lines 31 through 33

 

 

 

 

 

 

 

 

 

 

• 34F

 

 

 

 

.00

•34S

 

 

 

.00

 

 

35

Income after additions. Add lines 30 and 34

 

 

 

 

 

 

 

 

• 35F

 

 

 

 

.00

•35S

 

 

 

.00

SUBTRACTIONS

36

Social Security and tier 1 Railroad Retirement Board benefits included on line 20F ..

• 36F

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

37

Other subtractions. Identify: •37x

 

 

 

•37y

$

 

 

 

Schedule included

37z

• 37F

 

 

 

 

.00

•37S

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• 38F

 

 

 

 

 

•38S

 

 

 

 

 

 

 

38

Income after subtractions. Line 35 minus lines 36 and 37

.................................

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

.00

 

 

39

Oregon percentage. Line 38S ÷ line 38F (not more than 100.0%) •39

 

__ __ __.__ %

 

➤ Carry this ➤

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

amount to line 40

 

 

 

 

 

 

 

 

150-101-055 (Rev. 12-12)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOW GO TO THE BACK OF THE FORM ➛

Page 2 — 2012 Form 40P

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40

Amount from front of form, line 38F (federal amount)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40

 

 

 

 

 

.00

DEDUCTIONS

41

Itemized deductions from federal Schedule A, line 29

.........................................

 

 

 

 

 

 

 

 

 

 

• 41

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

AND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.................................................

 

 

 

 

 

 

 

 

 

 

 

 

• 42

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42

State income tax claimed as itemized deduction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

MODIFICATIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EITHER,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

......................................

 

 

 

 

 

 

 

 

 

 

• 43

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

43

Net Oregon itemized deductions. Line 41 minus line 42

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOT BOTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

........................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• 44

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

44

Standard deduction from page 25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

....

• 45

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45

2012 federal tax liability ($0–$6,100; see instructions for the correct amount)

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

46

Other deductions and modifications. Identify: •46x

 

 

 

 

•46y

$

 

 

 

 

 

 

 

Schedule 46z

• 46

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

47

Add lines 43, 45, and 46 if itemizing. Otherwise, add lines 44, 45, and 46

 

 

 

 

 

 

 

 

 

 

• 47

 

 

 

 

 

.00

 

48

Taxable income. Line 40 minus line 47

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• 48

 

 

 

 

 

.00

OREGON

49

Tax from tax charts. 49a

 

 

See instructions, page 27

• 49

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TAX

50

Oregon income tax. Line 49 X Oregon percentage from line 39, or

• 50

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check if tax is from: • 50a

 

Form FIA-40P or • 50b

Worksheet FCG

• 51

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

51

Interest on certain installment sales

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

• 52

 

 

 

 

 

 

 

 

 

52

Total tax before credits. Add lines 50 and 51

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OREGON TAX➛

 

 

 

 

 

.00

NONREFUNDABLE 53

Exemption credit. See instructions, page 28

 

 

 

 

 

 

 

 

 

 

 

 

 

• 53

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

CREDITS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

................................

 

 

 

 

 

 

 

 

• 54

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

54

Child and dependent care credit. See instructions, page

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADD TOGETHER

INCLUDE PROOF}55

Credit for income taxes paid to another state. State: •55y

 

 

 

 

Schedule 55z

• 55

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

Other credits. Identify: • 56x

 

 

 

•56y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• 56

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

56

 

 

 

$

 

 

 

 

 

 

Schedule included 56z

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

..................................................................................

 

 

 

 

 

 

• 57

 

 

 

 

 

 

 

 

 

57

Total non-refundable credits. Add lines 53 through 56

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

58

Net income tax. Line 52 minus line 57. If line 57 is more than line 52, enter -0-

 

 

• 58

 

 

 

 

 

.00

PAYMENTS AND 59

Oregon income tax withheld from income. Include Forms W-2 and 1099

• 59

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

REFUNDABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

......

 

• 60

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

60

Estimated tax payments for 2012 and payments made with your extension

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

CREDITS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

•60a Wolf depredation •60b Claim of right

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

..................

 

 

 

• 61

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

61

Tax payments from pass-through entity and real estate transactions

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.................................................

 

 

 

 

 

 

 

 

 

 

 

 

• 62

 

 

 

 

 

 

 

 

 

ADD TOGETHER

Include Schedule

62

Earned income credit. See instructions, page 34

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WFC-N/P if you

63

Working family child care credit from WFC-N/P, line 21

 

 

 

 

 

 

 

 

• 63

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

claim this credit

 

 

 

 

 

 

 

 

 

 

 

 

 

....................................

 

 

 

 

 

 

 

 

 

• 64

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

64

Mobile home park closure credit. Include Schedule MPC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

..................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

• 65

 

 

 

 

 

 

 

 

 

65

Total payments and refundable credits. Add lines 59 through 64

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

66

Overpayment. Is line 58 less than line 65? If so, line 65 minus line 58

 

 

OVERPAYMENT➛• 66

 

 

 

 

 

.00

 

67

Tax to pay. Is line 58 more than line 65? If so, line 58 minus line 65

 

TAX TO PAY➛

• 67

 

 

 

 

 

.00

 

68

Penalty and interest for filing or paying late. See instructions, page 34

68

 

 

 

 

 

.00

 

 

ADD TOGETHER

 

69

Interest on underpayment of estimated tax. Include Form 10 and check box ...• 69

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exception # from Form 10, line 1 •69a

 

 

 

 

Check box if you annualized •69b

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

70

Total penalty and interest due. Add lines 68 and 69

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

70

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AMOUNT YOU OWE➛ • 71

 

 

 

 

 

 

 

 

 

71

Amount you owe. Line 67 plus line 70

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

72

Refund. Is line 66 more than line 70? If so, line 66 minus line 70

............................................

 

 

REFUND➛

• 72

 

 

 

 

 

.00

 

73

Estimated tax. Fill in the part of

line 72 you want applied to 2013 estimated tax

• 73

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

CHARITABLE

 

Prevent Child Abuse •74

 

 

 

 

 

 

 

.00

Alzheimer’s Disease Research • 75

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

CHECKOFF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stop Dom. & Sexual Violence •76

 

 

 

 

 

 

 

.00

 

 

Habitat for Humanity • 77

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

DONATIONS,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

These will

 

 

 

 

PAGE 35

 

OR Head Start Association •78

 

 

 

 

 

 

 

.00

OR Military Financial Assist. • 79

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

reduce

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I want to donate

 

Oregon Historical Society •80

 

 

 

 

 

 

 

.00

 

 

 

Oregon Food Bank • 81

 

 

 

 

 

.00

 

 

 

 

your refund

part of my tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Albertina Kerr Kid’s Crisis Care •82

 

 

 

 

 

 

 

.00

 

 

American Red Cross • 83

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

refund to the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

following fund(s)

 

Charity code •84a

 

 

 

•84b

 

 

 

 

 

 

 

.00

Charity code

 

•85a

 

 

 

•85b

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

......

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

86

Total Oregon 529 College Savings Plan deposits. See instructions, page 35

• 86

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• 87

 

 

 

 

 

 

 

 

 

87

Total. Add lines 73 through 86. Total can’t be more than your refund on line 72

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.........................................

 

 

 

 

 

 

 

 

 

NET REFUND➛ • 88

 

 

 

 

 

 

 

 

 

88

NET REFUND. Line 72 minus line 87. This is your net refund

 

 

 

 

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DIRECT

89

For direct deposit of your refund, see instructions, page 35.

 

 

 

 

 

 

• Type of account:

 

 

Checking or

Savings

DEPOSIT

 

 

 

 

 

 

 

 

• Routing No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Account No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will this refund go to an account outside the

United States? •

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Important: Include a copy of your federal Form 1040, 1040A, 1040EZ, or 1040NR.

 

 

 

 

 

 

 

 

Under penalty for false swearing, I declare that the information in this return is true, correct, and complete.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

Signature of preparer other than taxpayer

 

• License No.

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

Telephone No.

 

 

 

 

 

 

 

 

Spouse’s/RDP's signature (if iling jointly, BOTH must sign)

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

150-101-055 (Rev. 12-12)

Document Characteristics

Fact Name Description
Purpose The Oregon 40P form is used for filing an amended individual income tax return for part-year residents of Oregon.
Governing Law This form is governed by the Oregon Revised Statutes, specifically ORS 316.037 and ORS 316.695.
Eligibility Part-year residents who need to amend their previously filed Oregon tax returns can utilize this form to correct errors or make changes.
Filing Deadline Amended returns must typically be filed within three years from the original return due date or within one year from the date the tax was paid, whichever is later.
Required Documentation Taxpayers must include supporting documentation, such as W-2s and 1099s, to substantiate any changes made on the amended return.
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