Form 40p - Oregon Individual Income Tax Return - 2003 Page 2
ADVERTISEMENT
1
2Page 2 — 2003 Form 40P
Federal column
Oregon column
.00
.00
36 Amount from front of form, line 35 ..........................................................................
36
.00
•
SUBTRACTIONS
37 Social Security and tier 1 railroad retirement income included on line 20 ............
37
•
.00
•
.00
38 Other subtractions. Identify ________________________________________ ..
38a
38b
.00
•
.00
39 Income after subtractions. Line 36 minus lines 37 and 38 ......................................
39a
39b
40 Oregon percentage. Line 39b ÷ line 39a (not more than 100%) ........
__ __ __.__ %
40
.00
41 Amount from line 39a (federal amount) ..................................................................
41
•
.00
42 Itemized deductions from federal Schedule A, line 28 ..........................................
DEDUCTIONS
42
AND
•
.00
43 State income tax claimed as itemized deduction. See instructions, page 24 ..........
43
MODIFICATIONS
EITHER,
.00
44 Net Oregon itemized deductions. Line 42 minus line 43 ..........................................
44
NOT BOTH
.00
•
45 Standard deduction from page 25 .........................................................................
45
•
.00
46 2003 federal tax liability ($0–$3,500; see instructions for the correct amount) .......
46
•
.00
47 Other deductions and modifications. Identify ____________________________
47
.00
48 Add lines 45, 46, and 47 or lines 44, 46, and 47. Fill in the larger amount ......................................................
48
.00
•
•
49 Taxable income. Line 41 minus line 48 ..................................................................
......................................
49
.00
50 Tax on amount shown on line 49. See page 27 .......................
OREGON
50
TAX
•
.00
EITHER,
51 Oregon income tax. Line 50
Oregon percentage from line 40 ........................
51
NOT BOTH
•
.00
52 Or, check if from:
Form FIA or
Worksheet FCG and enter tax here
...............
52
.00
•
53 Interest on certain installment sales .......................................
53
.00
54 Total tax. Add lines 51 and 53 OR add lines 52 and 53 ....................................................... OREGON TAX
54
•
.00
55 Exemption credit. Line 6e
$147
Oregon percentage from line 40 ...............
CREDITS
55
•
.00
56 Earned income credit. See instructions, page 28 .................................................
56
.00
ADD TOGETHER
•
57 Child and dependent care credit. See instructions, page 28 ..................................
57
•
.00
58 Credit for income taxes paid to another state. State:____________. Attach proof
58
•
.00
59 Other credits. Identify_______________________________________________
59
.00
60 Total credits. Add lines 55 through 59 ...............................................................................................................
60
•
•
.00
61 Tax after credits. Line 54 minus line 60. If line 60 is more than line 54, fill in -0- ....
......................................
61
•
.00
62 Surcharge. See instructions, page 30 ....................................................................
SURCHARGE
62
•
•
.00
63 Net income tax. Add lines 61 and 62 ....................................................................
......................................
63
•
.00
TAX
64 Oregon income tax withheld from income. Attach Forms W-2 and 1099 .............
64
PAYMENTS,
ADD TOGETHER
.00
•
65 Estimated tax payments for 2003 and payments made with your extension ..........
65
PENALTY,
.00
•
66 Working family child care credit. Attach Schedule WFC-N/P. See page 31 ...........
66
AND
INTEREST
.00
67 Total payments. Add lines 64, 65, and 66 ..........................................................................................................
67
•
•
.00
68
Overpayment.
Is line 63 less than line 67? If so, line 67 minus line 63 .................
....
OVERPAYMENT
68
.00
•
•
TAX TO PAY
69
Tax to pay.
Is line 63 more than line 67? If so, line 63 minus line 67 ....................
..........
69
.00
70 Penalty and interest for filing or paying late. See instructions, page 31 .....................
70
ADD TOGETHER
•
.00
71 Interest on estimated tax underpayment.
Attach Form 10 and check here
.....
71
.00
72 Total penalty and interest due. Add lines 70 and 71 ..........................................................................................
72
.00
73
Amount you owe.
Line 69 plus line 72 ......................................................................
AMOUNT YOU OWE
73
.00
REFUND
74
Refund.
Is line 68 more than line 72? If so, line 68 minus line 72 ...............................
74
•
.00
75
Estimated tax.
Fill in the part of line 74 you want applied to 2004 estimated tax ......
75
CHARITABLE
•
.00
76 Oregon Nongame Wildlife ..............
$1 ...
$5 ...
$10 ...
76
Other $_____
CHECKOFFS
.00
•
77 Child Abuse Prevention ..................
$1 ...
$5 ...
$10 ...
77
Other $_____
These will
I wish to
•
.00
donate
78 Alzheimer’s Disease Research .......
$1 ...
$5 ...
$10 ...
78
reduce
Other $_____
part of my
your refund
•
.00
79 Stop Domestic & Sexual Violence ..
$1 ...
$5 ...
$10 ...
79
Other $_____
tax refund
to the
•
.00
80 AIDS/HIV Education and Services ..
$1 ...
$5 ...
$10 ...
80
Other $_____
following
.00
•
•
81 Other charity. Enter code
____ ....
$1 ...
$5 ...
$10 ...
81
fund(s)
Other $_____
.00
82 Total. Add lines 75 through 81. Total can’t be more than your refund on line 74 ................................................
82
.00
NET REFUND
83
NET REFUND.
Line 74 minus line 82. This is your net refund ...............................................
83
•
DIRECT
84 For direct deposit of your refund, see the instructions on page 38.
Type of Account:
Checking or
Savings
DEPOSIT
•
•
Routing No.
Account No.
Under penalties for false swearing, I declare that I have examined this return, including accompanying schedules and
I authorize the Department
statements. To the best of my knowledge and belief it is true, correct, and complete. If prepared by a person other than
of Revenue to discuss this
the taxpayer, this declaration is based on all information of which the preparer has any knowledge.
return with this preparer.
Your signature
Date
License No.
Signature of preparer other than taxpayer
X
X
SIGN
HERE
Telephone No.
Address
Spouse’s signature
(if filing jointly, BOTH must sign)
Date
X
150-101-055 (Rev. 12-03)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial