Form 40p - Oregon Individual Income Tax Return For Part-Year Residents - 2006 Page 2

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Page 2 — 2006 Form 40P
.00
40 Amount from front of form, line 38F (federal amount) ....................................................................................... 40
.00
41 Item ized deductions from federal Schedule A, line 28 .........................................
41
DEDUCTIONS
AND
.00
42 State income tax claimed as itemized deduction .................................................
42
MODIFICATIONS
EITHER,
.00
43 Net Oregon itemized deductions. Line 41 minus line 42 ......................................
43
NOT BOTH
.00
44 Standard deduction from page 24 ........................................................................
44
.00
45 2006 federal tax liability ($0–$5,000; see instructions for the correct amount) ....
45
.00
46b $
46 Other deductions and modifications. Identify:
46a
46
.00
47 Add lines 44, 45, and 46 or lines 43, 45, and 46. Fill in the larger amount ....................................................
47
.00
48 Taxable income. Line 40 minus line 47 ..........................................................................................................
48
.00
49 Tax from tax charts. See instructions, page 27 ..................
49
OREGON
TAX
.00
50 Oregon income tax. Line 49 X Oregon percentage from line 39, or .................
50
Check if tax is from:
50a
Form FIA-40P or
50b
Worksheet FCG
.00
51 Interest on certain installment sales ......................................................................
51
.00
52 Total tax before credits. Add lines 50 and 51 ................................................................... OREGON TAX
52
.00
53 Exemption credit. Line 6e X $159 X Oregon percentage from line 39 ..............
53
NONREFUNDABLE
CREDITS
.00
54 Child and dependent care credit. See instructions, page 27................................
54
ADD TOGETHER
}
.00
55 Credit for income taxes paid to another state. State:
55a
........
55
ATTACH PROOF
.00
56 Other credits.
56a
56b $
56c
56d $
56
.00
57 Total non-refundable credits. Add lines 53 through 56 ..................................................................................
57
.00
58 Net income tax. Line 52 minus line 57. If line 57 is more than line 52, fill in -0- ............................................
58
.00
PAYMENTS AND
59 Oregon income tax withheld from income. Attach Forms W-2 and 1099 .........
59
REFUNDABLE
.00
60 Estimated tax payments for 2006 and payments made with your extension ......
60
CREDITS
.00
61 Earned income credit. See instructions, page 30 .................................................
61
ADD TOGETHER
.00
Attach Schedule
62
Working family child care credit
from WFC-N/P, line 21 ..................................
62
WFC-N/P if you
$
Number from WFC-N/P, line 5
62a
Amount from WFC-N/P, line 18
62b
claim this credit
.00
63 Involuntary mobile home move credit (refundable). Attach Schedule MH............
63
.00
64 Total payments and refundable credits. Add lines 59 through 63 ..................................................................
64
.00
65
Overpayment.
Is line 58 less than line 64? If so, line 64 minus line 58 .......................
OVERPAYMENT
65
.00
Is line 58 more than line 64? If so, line 58 minus line 64 ...............................
TAX TO PAY
66
Tax to pay.
66
.00
67 Penalty and interest for filing or paying late. See instructions, page 30 .................. 67
ADD TOGETHER
.00
68 Interest on underpayment of estimated tax. Attach Form 10 and check box
68
Exception # from Form 10, line 1
68a
.00
69 Total penalty and interest due. Add lines 67 and 68 ......................................................................................
69
.00
70
Amount you owe.
Line 66 plus line 69 ................................................................
AMOUNT YOU OWE
70
.00
Is line 65 more than line 69? If so, line 65 minus line 69 ............................................
REFUND
71
Refund.
71
.00
72
Estimated tax.
Fill in the part of line 71 you want applied to 2007 estimated tax
72
.00
73 Oregon Nongame Wildlife ...............
$1 ....
$5 ....
$10 ....
73
Other $_____
CHARITABLE
CHECKOFFS
.00
74 Child Abuse Prevention...................
$1 ....
$5 ....
$10 ....
74
These will
Other $_____
PAGE 31
reduce
.00
75 Alzheimer’s Disease Research ........
$1 ....
$5 ....
$10 ....
75
Other $_____
I want to
your refund
.00
donate part
76 Stop Domestic & Sexual Violence ...
$1 ....
$5 ....
$10 ....
76
Other $_____
of my tax
.00
77 AIDS/HIV Education and Services ..
$1 ....
$5 ....
$10 ....
77
Other $_____
refund to
.00
the following
78 OR Military Financial Assistance .....
$1 ....
$5 ....
$10 ....
78
Other $_____
fund(s)
.00
79 Other charity. Code
79a
...
$1 ....
$5 ....
$10 ....
79
Other $_____
.00
80 Total. Add lines 72 through 79. Total can’t be more than your refund on line 71 ..........................................
80
.00
.........................................NET REFUND
81
81
NET REFUND.
Line 71 minus line 80. This is your net refund
82 For direct deposit of your refund, see the instructions on page 33.
Type of Account:
Checking or
Savings
DIRECT
DE POS IT
Routing No.
Account No.
Important: Attach a copy of your federal Form 1040, 1040A, 1040EZ, or 1040NR. Do not attach other federal sched ules.
Under penalty of false swearing, I declare that the information in this return and attachments is true, correct, and complete.
Your signature
Date
Signature of preparer other than taxpayer
License No.
X
X
Address
Telephone No.
Spouse’s signature
(if fi ling jointly, BOTH must sign)
Date
X
150-101-055 (Rev. 12-06) Web

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