Form 10 - Underpayment Of Oregon Estimated Tax - 2009
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1
2Clear Form
2009
Underpayment of
For Office Use Only
FoRM
10
Date Received
oregon Estimated tax
File with your 2009 Oregon individual income tax return
Name
Social Security Number
–
–
ExcEptIoN to pAyINg INtEREst
1. I am claiming an exception to the imposition of estimated payment interest because I qualified
for relief under ORS 316.573 or 316.587. Write in the exception number you are claiming here
and on Form 40, box 51a; or Form 40N or Form 40P, box 69a ........................................................................ 1
Exception No._______
pARt A—Figure your required annual payment
.00
2. 2009 net income tax from Form 40, line 41; or Form 40N or Form 40P, line 58 ............................................... 2
3. 2009 refundable tax credit amounts you claimed on Form 40, lines 44–46; or
.00
Form 40N or Form 40P, lines 62–64 .........................................................................................................................3
.00
4. Line 2 minus line 3 ............................................................................................................................................. 4
.00
5. Multiply line 4 by 90% (0.90) ............................................................................................5
.00
6. 2009 Oregon income tax withheld from income ................................................................................................ 6
.00
7. Line 4 minus line 6. If less than $1,000, stop here! You do not owe underpayment interest .......................... 7
.00
8. Enter your 2008 tax after nonrefundable and refundable credits (see instructions) .......................................... 8
.00
9. Required annual payment. Enter the smaller of line 5 or line 8 (line 5 if 2008 return not timely filed) ............. 9
Note: If line 6 is equal to or more than line 9, stop here! You do not owe underpayment interest. Attach this form to your return.
pARt B—Figure your required periodic payment
A
B
c
D
10. Payment period due date ............................................................ 10
April 15, 2009
June 15, 2009
Sept. 15, 2009
Jan. 15, 2010
11. Divide the amount on line 9 by four and enter the amount
in each column, or if you use the Annualized Income
Worksheet on the back of this form, enter the amounts
from line 31 here (see instructions), and check box 51b on
Form 40 or 69b on Form 40N or 40P .......................................... 11
pARt c — Figure your interest (
See page 3 of the instructions)
No. of
Monthly
No. of
Daily
Interest
Date
Event
Amount
Running Balance
Months
Rate
Days
Rate
Due
4/15/09
Req. Pymt.
.
.
12.
.
.
.
13. 4/15/09
Withholding
0.005
0.000164
14.
Payment
.
.
0.005
0.000164
.
15.
Payment
.
.
0.005
0.000164
.
.
.
.
16.
Payment
0.005
0.000164
17. 6/15/09
Req. Pymt.
.
.
.
.
.
18. 6/15/09
Withholding
0.005
0.000164
19.
Payment
.
.
0.005
0.000164
.
20.
Payment
.
.
0.005
0.000164
.
.
.
.
21.
Payment
0.005
0.000164
22. 9/15/09
Req. Pymt.
.
.
23. 9/15/09
Withholding
.
.
0.005
0.000164
.
.
.
.
24.
Payment
0.005
0.000164
25.
Payment
.
.
0.005
0.000164
.
.
.
.
26.
Payment
0.005
0.000164
27. 1/15/10
Rate Chg.
.
28. 1/15/10
Req. Pymt.
.
.
.
.
.
29. 1/15/10
Withholding
0.004167
0.000137
30.
Payment
.
.
0.004167
0.000137
.
31.
Payment
.
.
0.004167
0.000137
.
.
.
.
32.
Payment
0.004167
0.000137
33. 4/15/10
— Do not calculate interest after April 15, 2010 —
34. total interest due. Add the amounts in the interest column. Round to the nearest
.00
whole dollar and enter here and on Form 40, line 51; or Form 40N or Form 40P, line 69 .............................. 34
150-101-031 (Rev. 12-09)
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