Form 10 - Underpayment Of Oregon Estimated Tax - 2005
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UNDERPAYMENT OF
FORM
Date Received
2005
10
Clear Form
OREGON ESTIMATED TAX
File with your 2005 Oregon individual income tax re turn
Name
Social Security Number
–
–
EXCEPTION TO PAYING INTEREST
1. I am claiming an exception to the imposition of estimated payment interest because I qualifi ed
for relief under ORS 316.573 or 316.587. See instructions and write in the exception number
Exception No._______
you are claiming here and on Form 40, box 50a; or Form 40N or Form 40P, box 68a ..................................... 1
PART A—Figure your required annual payment
.00
2. 2005 net income tax from Form 40, line 42; or Forms 40N or 40P, line 60 ....................................................... 2
.00
3. 2005 working family credit amount you claimed on Form 40, line 45; or Forms 40N or 40P, line 63................. 3
.00
4. Line 2 minus line 3 ............................................................................................................................................. 4
.00
5. Mul ti ply line 4 by 90% (.90) ..............................................................................................5
.00
6. 2005 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 2004 tax after credits, including the working family child care credit (see instructions) ................... 8
.00
9. Required annual payment. Enter the smaller of line 5 or line 8....................................................................... 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—Fig ure your required periodic payment
A
B
C
D
10. Payment period due date ............................................................ 10
April 15, 2005
June 15, 2005
Sept. 15, 2005
Jan. 17, 2006
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)............................................. 11
PART C — Figure your interest (
See instructions on page 2)
No. of
Monthly
No. of
Daily
Interest
Date
Event
Amount
Running Balance
Months
Rate
Days
Rate
Due
4/15/05
Req. Pymt.
.
.
12.
13. 4/15/05
Withholding
.
.
0.004167
0.000137
.
14.
Payment
.
.
0.004167
0.000137
.
15.
Payment
.
.
0.004167
0.000137
.
16.
Payment
.
.
0.004167
0.000137
.
17. 6/15/05
Req. Pymt.
.
.
18. 6/15/05
Withholding
.
.
0.004167
0.000137
.
19.
Payment
.
.
0.004167
0.000137
.
20.
Payment
.
.
0.004167
0.000137
.
21.
Payment
.
.
0.004167
0.000137
.
22. 9/15/05
Req. Pymt.
.
.
23. 9/15/05
Withholding
.
.
0.004167
0.000137
.
24.
Payment
.
.
0.004167
0.000137
.
25.
Payment
.
.
0.004167
0.000137
.
26.
Payment
.
.
0.004167
0.000137
.
27. 1/17/06
Rate Chg.
.
28. 1/17/06
Req. Pymt.
.
.
29. 1/17/06
Withholding
.
.
0.005833
0.000192
.
30.
Payment
.
.
0.005833
0.000192
.
31.
Payment
.
.
0.005833
0.000192
.
32.
Payment
.
.
0.005833
0.000192
.
33. 4/17/06
— Do not calculate interest after April 17, 2006 —
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 50; or Form 40N or Form 40P, line 68 .............................. 34
150-101-028 (Rev. 12-05) Web
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