Form Tm - Self-Employment Tax - 2007
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FORM
TM
2007
Tri-County
Date received
•
Metropolitan Transportation District
•
•
Payment
•
(230)
SELF-EMPLOYMENT TAX
1
2
3
•
•
•
/
/
/
/
If you have previously
Name change
Fiscal Year
Fiscal Year
Mo
Day
Year
Mo
Day
Year
•
•
07
filed a return, indicate if:
Beginning:
Ending:
Address change
First name and initial
Last name (if an individual filing)
Social Security number (SSN)
•
•
–
–
Partnership name (if a partnership filing)
Federal employer identification number (FEIN)
Business address
Oregon business identification number (BIN)
•
City
State
ZIP Code
County
Telephone number
(
)
•
Did you file Form TM for 2006?
An extension has been filed
•
Yes
This is an amended return
•
Utility, telecommunications,
No (if No, give reason) _______________________________________________________
or forest industry
Include your payment with this return.
Round all amounts to the nearest whole dollar.
•
1. Self-employment earnings from federal Schedule SE or Partnership Form 1065 ................................
1
%
2. Apportionment percentage................. ........................................................................................................2
•
3. Net self-employment earnings. Multiply line 1 by line 2 ........................................................................
3
•
4. Less: Exclusion. Not more than $400 per taxpayer ..............................................................................
4
•
5. Net earnings subject to transit district tax. Line 3 minus line 4 ............................................................
5
•
6. Net tax. Multiply the amount on line 5 by 0.006518 ..............................................................................
6
•
7. Prepayments .........................................................................................................................................
7
•
8. TAX TO PAY. Is line 6 more than line 7? If so, line 6 minus line 7 .....................................TAX TO PAY
8
9. Penalty and interest for filing or paying late ................................................................................................9
10. Total amount due. Line 8 plus line 9. .........................................................................................................10
•
11. REFUND. Is line 7 more than line 6? If so, line 7 minus line 6 ............................................... REFUND 11
Individuals: Attach a copy of your federal Schedule SE. Business Activity:
Sales
Services
Other: _____________________
Partnerships: Attach a schedule listing each partner’s name, Social Security number, partnership earnings, and exclusion.
Apportioning? Attach a copy of TSE-AP. Extensions: Attach a copy of federal or state extension form.
Under penalties for false swearing, I declare that I have examined this return, including accompanying
I authorize the Department
schedules and statements. To the best of my knowledge and belief it is true, correct, and complete.
of Revenue to discuss this
If prepared by a person other than the taxpayer, this declaration is based on all information of which
return with this preparer.
the preparer has any knowledge.
Yes
No
Your signature
Date
License No.
Signature of preparer other than taxpayer
•
X
X
SIGN
HERE
Telephone No.
Address
Do NOT attach your TM self-employment tax return to your Oregon income tax return, or any other form.
Make check or money order payable to:
Mail your return to: TMSE
Oregon Department of Revenue
Oregon Department of Revenue
PO Box 14003
Salem OR 97309-2502
150-555-001 (Rev. 10-07) Web
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