Form 40n - Oregon Individual Incometax Return - 1999 Page 2
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1
2Form 40N
Page 2 –
1999
Federal column
Oregon column
36
36 Amount from front of form, line 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SUBTRACTIONS
•
37
37 Social Security and Tier 1 Railroad retirement income included on line 19 . . . . . . . . .
•
•
38a
38b
38 Other subtractions. Identify ____________________________________________
•
39a
39b
39 Income after subtractions. Line 36 minus lines 37 and 38 . . . . . . . . . . . . . . . . . . . . .
%
40
40 Oregon percentage. Line 39b divided by line 39a (not more than 100%)
DEDUCTIONS AND MODIFICATIONS
•
41
41 Itemized deductions from federal Schedule A, line 28 . . . . . . . . . . . . . . . . . . . . . . .
EITHER,
•
42
42 State income tax claimed as itemized deduction. See instructions, page 17 . . . . . . .
NOT BOTH
43
43 Net Oregon itemized deductions. Line 41 minus line 42 . . . . . . . . . . . . . . . . . . . . . .
}
44
44 Standard deduction from page 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
45
45 1999 federal tax ($0 – $3,000, see instructions for the correct amount) . . . . . . . . . .
•
46
46 Other deductions and modifications. Identify ______________________________
47
47 Add lines 44, 45, and 46 or lines 43, 45, and 46. Fill in the larger amount . . . . . . . .
48 Allowable deductions and modifications. Line 47 ✕ line 40 . . . . . . . . . . . . . . . . . . . .
48
•
49
49 Deductions and modifications NOT multiplied by the Oregon percentage. See page 19 . . . . . . . . . .
50
50 Total deductions and other modifications. Add lines 48 and 49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
•
51
51 Oregon taxable income. Line 39b minus line 50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
OREGON TAX
•
52
52 Tax on amount shown on line 51. See page 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADD TOGETHER
•
53
53 Interest on certain installment sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
54
54 TOTAL TAX. Add lines 52 and 53 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CREDITS
55 Exemption credit. Line 6e ✕ $134 ✕ Oregon percentage from line 40 . . . . . . . . .
55
•
56
56 Earned income credit. See instructions, page 19 . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
57
57 Working family credit. See instructions, page 19 . . . . . . . . . . . . . . . . . . . . . . . . . . .
ADD TOGETHER
•
58
58 Credit for income taxes paid to another state (AZ, CA, IN, VA). Attach proof . . . . . .
•
59
59 Child and dependent care credit. See instructions, page 20 . . . . . . . . . . . . . . . . . . .
•
60
60 Other credits. Identify ________________________________________________
61
61 Total credits. Add lines 55 through 60 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
•
L
62
62 Net income tax. Line 54 minus line 61. If line 61 is more than line 54 fill in -0- . . . . . . . . . . . . . . . . . . . . . . . . . . .
TAX PAYMENTS, PENALTY & INTEREST
•
63
63 Oregon income tax withheld from income. Attach Forms W-2 and 1099 . . . . . . . .
ADD TOGETHER
•
64
64 Estimated tax payments for 1999 and payments made with your extension . . . . . .
65
65 Total payments. Add lines 63 and 64 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
•
L
66
66 Overpayment. Is line 62 less than line 65? If so, line 65 minus line 62 . . . . . . . . . . . . . . . . . . OVERPAYMENT
•
•
L
67
67 Tax-to-pay. Is line 62 more than line 65? If so, line 62 minus line 65 . . . . . . . . . . . . . . . . . . . . . . TAX-TO-PAY
•
68 Penalty and interest for filing or paying late. See instructions on page 21 . . . . . . . .
68
L
ADD TOGETHER
➝
•
69 Interest on estimated tax underpayment. If Form 10 is attached, check
. . . . . .
69
L
70
70 Total penalty and interest due. Add lines 68 and 69 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
71
71 Amount-you-owe. Add lines 67 and 70 . . . . . . . . . . . . . . . . . . . . . . . . . Stop here! . . . . AMOUNT-YOU-OWE
72
72 Refund. Is line 66 more than line 70? If so, line 66 minus line 70 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REFUND
•
73
L
73 Estimated tax. Fill in the part of line 72 you want applied to your 2000 estimated tax . . . . . . . .
I wish to donate part of my refund, line 72, to the following fund(s):
•
$1,
$5,
$10,
Other $ _____
74
L
74 Oregon Nongame Wildlife . . . . . .
These will reduce
•
•
$1,
$5,
$10,
Other $ _____
75
L
75 Child Abuse Prevention . . . . . . . .
your refund
•
$1,
$5,
$10,
Other $ _____
76
L
76 Alzheimer’s Disease Research . . .
•
77
L
$1,
$5,
$10,
Other $ _____
Stop Domestic & Sexual Violence
77
. . .
•
78
L
$1,
$5,
$10,
Other $ _____
78 AIDS/HIV Education & Services . .
79
79 Total. Add lines 73 through 78. Total can’t be more than the refund on line 72 . . . . . . . . . . . . . . . . . . . . . . . .
80
80 Net refund. Line 72 minus line 79. This is your net refund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NET REFUND
Attach copy of federal Form 1040, 1040A, 1040EZ or 1040PC. Don’t include Schedules A, B, C or 2441 etc.
Under penalties for false swearing, I declare that I have examined this return, including accompanying schedules and statements. To the best of my knowledge and be-
lief it is true, correct and complete. If prepared by a person other than the taxpayer, this declaration is based on all information of which the preparer has any knowledge.
➨
SIGN
Your signature
Date
Signature of preparer other than taxpayer
License No.
HERE
➨
Spouse’s signature (If filing jointly, BOTH must sign even if only one had income)
Address
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