Form 40 - Individual Income Tax Return - 2006 Page 2
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2Page 2 — 2006 Form 40
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32 Total tax before credits from front of form, line 31 .......................................................................................... 32
.00
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NONREFUNDABLE
33 Exemption credit. Multiply your total exemptions on line 6e by $159 ...................
33
CREDITS
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•
34 Retirement income credit. See instructions, page 29 ..............................................
34
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•
35 Child and dependent care credit. See instructions, page 30 ...................................
35
.00
•
36 Credit for the elderly or the disabled. See instructions, page 30 .............................
36
ADD TOGETHER
.00
•
37 Political contribution credit. See limits, page 31 ......................................................
37
.00
•
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38 Credit for income taxes paid to another state. State:
38a
.....................
38
Attach proof
•
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39b $
39 Other credits. Identify:
39a
39d $
39f $
.00
•
•
•
•
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39c
39e
.....
39
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40 Total non-refundable credits. Add lines 33 through 39 ................................................................................
40
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•
41 Net income tax. Line 32 minus line 40. If line 40 is more than line 32, fill in -0- ..........................................
41
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42 Oregon income tax withheld. Attach Form(s) W-2 and 1099 ................................
42
PAYMENTS AND
REFUNDABLE
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•
43 Estimated tax payments for 2006. Include payments made with your extension ...
43
CREDITS
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•
44 Earned income credit. See instructions, page 33 ....................................................
44
ADD TOGETHER
.00
•
Attach Schedule
45
Working family child care credit
from WFC, line 18 ..............................................
45
WFC if you claim
•
•
45b $
45a
Number from WFC, line 5
Amount from WFC, line 16
this credit
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•
46 Involuntary mobile home move credit (refundable). Attach Schedule MH ...............
46
.00
•
47 Total payments and refundable credits. Add lines 42 through 46 ................................................................
47
➛
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•
48
Overpayment.
If line 41 is less than line 47, you overpaid. Line 47 minus line 41 ....
OVERPAYMENT
48
➛
.00
•
TAX TO PAY
49
49
Tax to pay.
If line 41 is more than line 47, you have tax to pay. Line 41 minus line 47 ....
.00
50 Penalty and interest for filing or paying late. See instructions, page 33 ..................... 50
.00
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51 Interest on underpayment of estimated tax. Attach Form 10 and check box
51
•
Exception # from Form 10, line 1
51a
•
.00
52 Total penalty and interest due. Add lines 50 and 51 ....................................................................................
52
➛
•
.00
53
Amount you owe.
Line 49 plus line 52 ...............................................................
AMOUNT YOU OWE
53
➛
.00
•
REFUND
54
54
Refund.
Is line 48 more than line 52? If so, line 48 minus line 52 ..........................................
•
.00
55
Estimated tax.
Fill in the part of line 54 you want applied to 2007 estimated tax ...
55
CHARITABLE
.00
•
56 Oregon Nongame Wildlife ...............
$1 .....
$5 .....
$10 .....
56
Other $______
CHECKOFFS
.00
•
57 Child Abuse Prevention ...................
$1 .....
$5 .....
$10 .....
57
Other $______
PAGE 12
These will
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•
58 Alzheimer’s Disease Research ........
$1 .....
$5 .....
$10 .....
58
reduce
Other $______
I want to
your refund
.00
•
donate part
59 Stop Domestic & Sexual Violence ...
$1 .....
$5 .....
$10 .....
59
Other $______
of my tax
.00
•
60 AIDS/HIV Education and Services ...
$1 .....
$5 .....
$10 .....
60
Other $______
refund to
.00
•
61 OR Military Financial Assistance .....
$1 .....
$5 .....
$10 .....
61
Other $______
the following
.00
fund(s)
•
•
62 Other charity. Code
62a
.....
$1 .....
$5 .....
$10 .....
62
Other $______
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•
63 Total. Add lines 55 through 62. Total can’t be more than your refund on line 54 .........................................
63
➛
.00
•
64
NET REFUND.
Line 54 minus line 63. This is your net refund .....................................
NET REFUND
64
•
65 For direct deposit of your refund, see the instructions on page 34.
Type of Account:
Checking or
Savings
DIRECT
DE POS IT
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Routing No.
Account No.
Important: Attach a copy of your federal Form 1040, 1040A, 1040EZ, 1040NR, or 1040NR-EZ.
Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and complete.
•
License No.
Your signature
Date
Signature of preparer other than taxpayer
X
X
Address
Telephone No.
Spouse’s signature (if filing jointly, BOTH must sign)
Date
X
If you owe, make your check or money order payable to the
Oregon De part ment of Rev e nue.
Write your daytime telephone number and “2006 Oregon Form 40” on your check or money order.
Attach your payment, along with the payment voucher
on page 11, to this return.
Mail
Oregon Department of Rev e nue
Mail
REFUND
returns
REFUND
TAX-TO-PAY
PO Box 14555
and
NO-TAX-DUE
PO Box 14700
returns to
Salem OR 97309-0940
returns to
Salem OR 97309-0930
150-101-040 (Rev. 12-06)
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