Form 40s - Oregon Individual Income Tax Return - 2006
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1
2Clear Form
Amended Return
OREGON
For office use only
2006
Form
Individual Income Tax Return
40S
A
K
F
P
FULL-YEAR RESIDENTS ONLY
SHORT FORM
Last name
First name and initial
Date of birth (mm/dd/yyyy)
Social Security No. (SSN)
–
–
Deceased
Spouse’s last name if joint return
Spouse’s first name and initial if joint return
Spouse’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
•
•
•
Exemptions
Filing
1
Total
Single
Status
2
6a
6a
Yourself ....
Married filing jointly
Regular
.........Severely disabled
.........
Check
6b
b
Spouse .....
3
Married filing
Regular
.........Severely disabled
...........
Spouse’s name
only
separately
one
•
6c
c
All de pen dents
Spouse’s SSN
First names __________________________________
box
4
•
6d
d
Head of household
Person who qualifies you
Disabled
First names __________________________________
children only
•
5
Qualifying widow(er) with dependent child
Total
6e
(see instructions)
•
•
•
•
•
•
Check
7a
7b
You
7c
You
7d
Someone else
7e
If there is a kicker refund,
all that
You were:
65 or older
Blind
filed an
can claim you as
filed federal
you want to donate your
➛
apply
extension
a dependent
kicker to the State School Fund
Spouse was:
65 or older
Blind
Form 8886
8 Wages (enter in box 8a) + unemployment (enter in box 8b) + interest and dividends (enter in box 8c)
Round to the nearest dollar
➛
.00
•
•
•
•
TOTAL INCOME
8
8a
.00
+
8b
.00
+
8c
.00
=
.00
•
9 2006 federal tax liability ($0–$5,000; see instructions for the correct amount) .......
9
•
.00
10 Standard deduction from the back of this form .........................................................
10
•
.00
11 Add lines 9 and 10 .........................................................................................................................................
11
.00
•
12 Oregon taxable income. Line 8 minus line 11. If line 11 is more than line 8, fill in -0- ...................................
12
.00
•
13 Tax. See pages 21 through 23 for tax tables or charts and enter tax here ..................................................
13
•
.00
14
Exemption credit.
Multiply your total exemptions on line 6e by $159 .....................
14
Staple
•
.00
15 Child and dependent care credit. See instructions, page 10.....................................
15
W-2s,
.00
•
•
16b $
•
•
16d $
•
16 Other credits.
16a
16c
16
payment,
and
•
.00
17 Total non-refundable credits. Add lines 14 through 16 .................................................................................
17
payment
•
.00
18 Net income tax. Line 13 minus line 17. If line 17 is more than line 13, fill in -0- ............................................
18
voucher
•
.00
19 Oregon income tax withheld. Attach your Form(s) W-2 and 1099 .........................
19
here
•
.00
20 Earned income credit. See instructions, page 10 ......................................................
20
Attach Schedule
•
.00
ADD TOGETHER
21
Working family child care credit
from WFC, line 18 ...............................................
21
WFC if you claim
•
•
21b $
21a
Number from WFC, line 5
Amount from WFC, line 16
this credit
•
.00
22 Involuntary mobile home move credit (refundable). Attach Schedule MH.................
22
•
.00
23
23 Total payments and refundable credits. Add lines 19 through 22 .................................................................
➛
•
.00
24
Re fund.
If line 23 is more than line 18, you have a refund. Line 23 minus line 18 .................
RE FUND
24
➛
•
.00
If line 18 is more than line 23, you have tax to pay. Line 18 minus line 23 ....
TAX TO PAY
25
25
Tax to pay.
•
.00
CHARITABLE
26 Oregon Nongame Wildlife ...............
$1 .....
$5 .....
$10 .....
26
Other $______
CHECKOFFS
•
.00
27 Child Abuse Prevention...................
$1 .....
$5 .....
$10 .....
27
Other $______
PAGE 12
•
.00
28 Alzheimer’s Disease Research ........
$1 .....
$5 .....
$10 .....
28
Other $______
I want to
These will
•
.00
donate part
29 Stop Domestic & Sexual Violence ...
$1 .....
$5 .....
$10 .....
29
reduce
Other $______
of my tax
your refund
•
.00
30 AIDS/HIV Education and Services ..
$1 .....
$5 .....
$10 .....
30
Other $______
refund to
•
.00
31 OR Military Financial Assistance .....
$1 .....
$5 .....
$10 .....
31
Other $______
the following
fund(s)
•
•
.00
32 Other charity. Code
32a
....
$1 .....
$5 .....
$10 .....
32
Other $______
•
.00
33 Total. Add lines 26 through 32. Total can’t be more than your refund on line 24..........................................
33
➛
•
.00
34
NET REFUND.
Line 24 minus line 33. This is your net refund .......................................
NET REFUND
34
35 For direct deposit of your refund, see the instructions on page 34.
•
Type of Account:
Checking or
Savings
DIRECT
DE POS IT
•
•
Routing No.
Account No.
Under penalty of false swearing, I declare that the information in this return and attachments is true, correct, and complete.
•
Your signature
Date
Signature of preparer other than taxpayer
License No.
X
X
Address
Telephone No.
Spouse’s signature (if filing jointly, BOTH must sign)
Date
X
150-101-044 (Rev. 12-06) Web
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