2015 Form 40
Name
SSN
00461501020000
Taxable income 7 Federal adjusted gross income. Federal Form 1040, line 37; 1040A, line 21; 1040EZ, line 4;
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1040NR, line 36; or 1040NR-EZ, line 10. See instructions ............................................................
7
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.00
8 Total additions from Schedule OR-ASC, section 1 ........................................................................
8
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.00
9 Income after additions. Add lines 7 and 8......................................................................................
9
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.00
Subtractions
10 2015 federal tax liability ($0–$6,450; see instructions for the correct amount) ...........................
10
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.00
11 Social Security included on federal Form 1040, line 20b; or Form 1040A, line 14b ......................
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.00
12 Oregon income tax refund included in federal income ..................................................................
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.00
13 Total subtractions from Schedule OR-ASC, section 2 ...................................................................
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.00
14 Total subtractions. Add lines 10 through 13 ...................................................................................
14
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.00
15 Income after subtractions. Line 9 minus line 14 ............................................................................
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.00
Deductions
16 Itemized deductions from federal Schedule A, line 29 ...................................................................
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.00
17 State income tax claimed as an itemized deduction .....................................................................
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.00
18 Net Oregon itemized deductions. Line 16 minus line 17................................................................
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.00
19 Standard deduction ......................................................................................................................
19
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19a You were:
65 or older;
Blind. Your spouse was:
65 or older;
Blind.
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20 Enter the larger of line 18 or line 19 ...............................................................................................
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21 Oregon taxable income. Line 15 minus line 20. If line 20 is more than line 15, enter -0- ..............
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Tax
22 Tax. See instructions. Enter tax on line 22. Check box if tax is calculated using: .........................
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22a
Form FIA-40;
22b
Worksheet FCG;
22c
Schedule OR-PTE.
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23 Interest on certain installment sales ...............................................................................................
23
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24 Total tax before credits; add lines 22 and 23 .................................................................................
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Nonrefundable 25 Exemption credit. If the amount on line 7 is less than $100,000, multiply your total
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credits
exemptions on line 6e by $194. Otherwise, see instructions .........................................................
25
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.00
26 Political contribution credit. See limits ...........................................................................................
26
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.00
27 Total standard credits from Schedule OR-ASC, section 3 .............................................................
27
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.00
28 Total carryforward credits from Schedule OR-ASC, section 4 .......................................................
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.00
29 Total nonrefundable credits. Add lines 25 through 28 ....................................................................
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30 Tax after nonrefundable credits. Line 24 minus line 29. If line 29 is more than line 24, enter -0- ..
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150-101-040 (Rev. 12-15)