Form Oc - Oregon Composite Return - 2014 Page 10

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Form
For office use only
Oregon Composite Return
OC
2014
Page 1
F
B
E
T
Name of pass-through entity (PTE)
Oregon business identification number (BIN)
Street address
PO Box
Federal employer identification number (FEIN)
State
ZIP code
City
Contact phone
Contact email
PTE contact name
Type of PTE filing this return (check box):
If amending,
If extension was filed, check here
check here
S corporation
Partnership
LLC
Trust
LLP
Extended due date (MM/DD/YYYY)
____________________
Fiscal year end of owners, if applicable:
Number of owners included in this composite return that are:
Individuals __________
C corporations __________
Estates _________
Trusts __________
Complete lines 1-11 on page 1 of this form for qualified electing nonresident individuals and corporate owners who are subject to
personal income or corporate income or excise tax. Complete lines 1-9 on page 2 of this form for owners of the pass-through entity
who are estates or trusts. Use blue or black ink only.
Individual
Corporate income
income tax (100)
or excise tax (204)
1. Tax [from Schedule OC1 for individuals, line 9(e); or
OC2, line 6(g)] ...................................................................................
1a
1b
2. Estimated tax paid [from Schedule OC1 for individuals,
line 9(f); or OC2 for corporations, line 6(h)] or amount paid
with extension (if any) .......................................................................
2a
2b
3. Overpayment. Is line 1 less than line 2? If so, line 2 minus line 1 ....
3a
3b
4. Tax to pay. Is line 1 more than line 2? If so, line 1 minus line 2 .......
4a
4b
5. Penalty and interest (see instructions, page 5) ................................... 5a
5b
6. Interest on underpayment of estimated tax [Schedule OC1 for
individuals, line 9(g); or OC2 for corporations, line 6(i)] ...................
6a
6b
7. Amount you owe. Add lines 4 through 6. This is the amount
you owe ............................................................................................... 7a
7b
8. Balance due. Is line 7 more than line 3? If so, line 7 minus line 3 ....... 8a
8b
9. Refund. Is line 3 more than line 7? If so, line 3 minus line 7 ............... 9a
9b
10. Fill in the part of line 9 you want applied to your 2015
estimated tax ..................................................................................
10a
10b
11. Net refund. Line 9 minus line 10. This is your net refund .................. 11a
11b
Under penalty of false swearing, I declare that the information in this return and any attachments is true, correct, and complete.
Sign here. Keep a copy of this return for your tax records.
Signature of general partner, LLC member, or officer
Signature of paid preparer
License number of preparer
X
X
Date
Date
Phone number of preparer
Print name of general partner, LLC member, or officer
Print name of preparer
Title of general partner, LLC member, or officer
Address of preparer
If making a payment, include voucher, Form OC-V, and make check or money order payable to: Oregon Department of Revenue.
Write the pass-through entity’s FEIN or BIN and “2014 Oregon Form OC” on your payment.
Mail returns with no payment to:
Mail returns with a payment to:
Oregon Department of Revenue
Oregon Department of Revenue
PO Box 14700
PO Box 14555
Salem OR 97309-0930
Salem OR 97309-0940
150-101-154 (Rev. 12-14)

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