Form 150-101-154 - Schedule Mnr - Multiple Nonresident Income Tax - 2004

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2004
Oregon Department of Revenue
MNR
Schedule
Multiple Nonresident Income Tax
Name of Entity: __________________________________________________________________________________
Year End: _____________________________________
Business Identification Number (BIN): __________________________________
Federal Employer Identification Number (FEIN): _____________________________________
Credit for
Share of
Share of
Income Taxes
Share of
Share of
Filing
Ownership
Federal
Oregon
Oregon
Paid to
Estimated
Underpayment
Social Security Number
Name and Address of Participating Members
Status
Percentage
Income
Income
Income Tax
Another State
Tax Paid
Interest
Totals
150-101-154 (Rev. 12-04) Web
An example is provided on
Attach this schedule to your Multiple Nonresident Return, Oregon Form 40N.
the other side of this form.
Page _______ of _______
The word “multiple” must be written or stamped—in blue or black ink—at the top of Form 40N

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