Oregon Corporation E-File Signature Form - 2011
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1Clear Form
Oregon Corporation
Tax Year 2011
E-file Signature Form
Sign, scan, and include this form with electronically filed Form 20, Form 20-S, Form 20-I, or Form 20-INS, if:
• You are part of a consolidated federal return and you are not the filer on the federal return; or
• You did not include your federal PIN with your electronically filed return.
Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and
complete. I consent to my ERO, transmitter, and/or ISP sending the corporation’s return, this declaration, and accom-
panying schedules and statements to the Oregon Department of Revenue. I also consent to the Oregon Department
of Revenue sending my ERO, transmitter, and/or ISP an acknowledgment of receipt of transmission and an indication
of whether or not the corporation’s return is accepted or, if rejected, the reason(s) for the rejection.
Signature of officer
X
Date
Print name of officer
Title of officer
150-102-200 (Rev. 07-11)
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