* 0 2 5 8 1 2 0 1 0 2 0 0 0 0 *
•
14. Net loss deduction and net capital loss deduction if not apportioned (attach schedule)..............
14
•
15. Oregon taxable income (line 13 minus line 14, or amount from Schedule AP-2, line 11) ...........
15
16. Excise tax (6.6% or 7.6%; see instructions) ...................................
16
•
17. Tax adjustments (attach schedule)................................................
17
•
18. Total tax (line 16 plus line 17) .........................................................................................................
18
•
Credits
19. Pollution control facilities credit ....................................................
19
•
20. Renewable energy contribution credit ..........................................
20
•
21. Energy conservation project credit ...............................................
21
•
22. Energy transportation project credit .............................................
22
•
23. Business energy credit (see instructions)......................................
23
•
24. Energy manufacturing facility credit (see instructions) .................
24
•
25. Dependent care credits (form 150-102-032) .................................
25
•
26. Qualified research activities credit (form 150-102-128) ................
26
•
27. Total other credits (from Schedule ASC-CORP, see instructions) ....
27
•
28. Total credits (add lines 19 through 27) ...........................................................................................
28
Excise Tax
29. Excise tax after credits (not less than minimum tax) (see instructions) . ..........................................
29
•
30. LIFO benefit recapture subtraction ................................................................................................
30
•
31. Net excise tax (line 29 minus line 30) (not less than minimum tax) ...............................................
31
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32. 2012 estimated tax payments from Schedule ES line 8. Include payments made with extension .....
32
•
33. Withholding payments made on your behalf from pass-through entity or real estate income ......
33
•
34. Tax due.
..........Tax due
34
Is line 31 more than line 32 plus line 33? If so, line 31 minus lines 32 and 33
•
35. Overpayment.
... Overpayment
35
Is line 31 less than line 32 plus line 33? If so, line 32 plus line 33, minus line 31
36. Penalty due with this return ...............................................................36
37. Interest due with this return ...............................................................37
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38. Interest on underpayment of estimated tax (attach Form 37) .......
38
39. Total penalty and interest (add lines 36, 37, and 38) ......................................................................... 39
40. Total due (line 34 plus line 39) ...................................................................................... Total due
40
41. Refund available (line 35 minus line 39) ............................................................................Refund
41
•
42. Amount of refund to be credited to 2013 estimated tax .............................................2013 Credit
42
43. Net refund (line 41 minus line 42)................................................................................ Net refund
43
Schedule ES—Estimated Tax Payments or Other Prepayments
Name of payer
Payer FEIN
Date of payment
Amount paid
/
/
1. 1st Quarter
1
/
/
2. 2nd Quarter
2
/
/
3. 3rd Quarter
3
/
/
4. 4th Quarter
4
5. Overpayment of last year’s tax elected as a credit against this year’s tax ............................................................... 5
/
/
6. Payments made with extension or other prepayments for this tax year and date paid .......... ..
6
7. Claim of right credit (attach computation and explanation) ...................................................................................... 7
8. Total prepayments (carry to line 32 above) ............................................................................................................... 8
Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and complete.
Signature of officer
Signature of preparer other than taxpayer
License number of preparer
Sign
•
X
X
Here
Date
Date
Telephone number
(
)
Print name of officer
Print name of preparer
Title of officer
Address of preparer
Please attach a complete copy of your federal Form 1120 and schedules
Mail refund returns and no tax due returns to: Mail tax-to-pay returns with payment and payment voucher to:
Refund, PO Box 14777, Salem OR 97309-0960
Oregon Department of Revenue, PO Box 14790, Salem OR 97309-0470
150-102-020 (Rev. 10-12) Form 20, page 2 of 3