Form Oq - 2008 - Oregon Quarterly Tax Report
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1
2FORM OQ – 2008
OREGON QUARTERLY TAX REPORT
Form Code
BUSINESS NAME:
11111
Business Identification Number
Qtr./Yr.
This return is due by:
Date Received
North American Industry
Federal EIN
Classification System
If mailing address, name or Federal EIN is wrong, complete “Change
in Status Report” found in the Oregon Combined Payroll Tax Booklet.
For each month, report the number
of workers covered for Unemploy-
FIRST MONTH (M1)
THIRD MONTH (M3)
TOTAL (M1+M2+M3)
SECOND MONTH (M2)
ment Insurance who worked during
or received pay for the period
which includes the 12th of the
month. (See instruction booklet.)
Place a -0- in the “subject wages”
Unemployment Insurance
State Withholding
TriMet Transit District
Lane Transit District
box for any program the employer is
Column B
Column C
Column A
Column D
subject to but for which there was no
payroll this quarter.
1. Subject wages .
.
.
.
.
2. Excess wages ($30,200 per
employee, see instructions) .
3. Taxable wages .
.
.
.
.
(Box 1A minus Box 2A)
4. Tax rate
.
.
.
.
.
.
.
Box 3A times Box 4A
Must enter tax for quarter
Box 1D times Box 4D
Box 1C times Box 4C
5. Tax
.
.
.
.
.
.
. .
6. Less: Oregon tax pre-paid this
quarter .
.
.
.
. . . .
7. Plus: UI penalty and interest
owed .
.
.
.
.
.
.
.
8. Total tax due .
.
.
.
.
.
(Box 5 less Box 6, plus Box 7)
Put -0- in Boxes 9 & 11 if there
WORKERS’ BENEFIT FUND
TOTAL PAYMENT DUE
14.
were no subject hours worked
(WBF) ASSESSMENT
Add boxes 8A, 8B, 8C, 8D and 13.
in the quarter.
Make payments to the Department of Revenue
using electronic funds transfer (EFT), or
.
9
Number of hours worked . .
Make checks payable to “Oregon Department
(Only add amounts due. DO
(whole hours only)*
of Revenue.” Mail your checks, including
NOT add credits in one program
10. WBF assessment rate . . .
a payment coupon (Form OTC).
to offset taxes owed in another
program.)
11. Total assessment
.
. . .
SPECIAL PAYROLL TAX OFFSET
(Box 9 times Box 10)
(To be calculated every quarter )
12. Less: Assessment prepaid
16. Special Payroll Tax offset
(instructions on page15)
this quarter
.
.
. . . .
17. Amount Applied to UI Trust Fund
13. Total assessment due . . .
(Box 5A minus line 16)
Use line 16 to calculate the amount of “contributions paid to the state” on Federal Form 940. Do not
* Report only hours subject to WBF assessment. Hours do not need
add or subtract this amount from the total in Box 14.
to equal hours reported on Form 132.
MONTHLY SUMMARY OF STATE WITHHOLDING TAX LIABILITY.
15.
Enter amount of state withholding tax withheld by month. Do not complete
if you are a quarterly, semi-weekly or one-banking day depositor.
TOTAL (M1+M2+M3)
FIRST MONTH (M1)
SECOND MONTH (M2)
THIRD MONTH (M3)
Must equal item 5B
I certify this report is true and correct and is filed under penalty of false swearing.
Date
Preparer Telephone Number
Prepared by:
Signature
X
(
)
Required
MAIL TO: OREGON DEPARTMENT OF REVENUE; PO BOX 14800; SALEM OR 97309-0920
Form OQ (Rev. 07-07)
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