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Report of Tax Payments
Form
Tax year
OR-18
2017
on Real Property Conveyances
15951701010000
The authorized agent is required to complete Form OR-18 and Form OR-18-V to send a payment.
Mail Form OR-18-V within 20 days from disbursal to:
The authorized agent must prepare two copies of Form OR-18 and Form OR-18-V for each
Oregon Department of Revenue
transferor and distribute as follows:
PO Box 14950
• To the transferor for their records.
Salem OR 97309-0950
• To be retained for the authorized agent’s records.
PART A—Authorized agent
Name of authorized agent
Agent daytime phone
Federal employer ID number (FEIN)
(
)
Street address
City
State
ZIP code
Type of authorized agent
Escrow agent
Attorney
Other:
PART B—Transferor’s information
Transferor first name, middle initial, and last name
Social Security number (SSN)/FEIN of transferor
Transferor spouse first name, middle initial, and last name
Spouse Social Security number (SSN)
Street address
City
State
ZIP code
Taxpayer tax year end date
Type of taxpayer:
Individual
C corporation
/
/
PART C—Transferor’s Oregon income and ownership information
(1) Percent of ownership in real property
(2) Nonresident owner’s share of consideration from conveyance
Address of property conveyed
PART D—Payment information
• Individuals: Claim as tax payments from real estate transactions on your Oregon Form OR-40-N or OR-40-P.
• Corporations: Claim as payments made on your behalf from real estate income on your Oregon Form OR-20 or OR-20-INC.
Payment amount
/
/
2017
Date paid:
$
Tax year
150-101-183 (Rev. 12-16)
✂
Don’t include this form with your Oregon return. Keep it with your records.
Form OR-18-V, Tax for Nonresidents Payment Voucher
Office use only
•
•
Tax year:
/
/
Begins:
/
/
Ends:
First name and initial
Last name
SSN
–
–
Legal name of filer on tax return
FEIN
–
Filer address
Enter payment amount
$
0 0
.
City
State
ZIP code
Contact phone
(
)
–
150-101-186 (Rev. 12-16)