For Revenue use only
FORM
Date received
OR706-A
Oregon Additional Estate Transfer
Tax Return
Payment
BIN
This form should be used to report and pay additional estate transfer tax imposed by Oregon Revised Statute (ORS) 118.140 for an
early disposition or an early cessation of use of qualified natural resource property or commercial fishing property. You’ll need your copy
of the Schedule NRC to complete this form. Note: For recapture of the natural resource credit taken on Form IT-1, Oregon Inheritance
tax return (for deaths prior to January 1, 2012), use Form IT-1A, Oregon Additional Inheritance Tax.
Part 1
Extension of time to file is attached.
Extension of time to pay is attached.
Name of property owner
Property owner’s SSN or FEIN
Property owner’s current mailing address
Property owner’s telephone number
Name of decedent
Decedent’s date of death
Decedent’s Social Security number
Part 2—Description of property (see instructions)
C. Value of
property listed
D. Proceeds
on column A
from sale /
F. Disqualified
B. Date of
exchange /
E. Proceeds
percentage
G. Disqualified
(see Schedule
A. Property Description
disposition
NRC, column D)
conversion
not reinvested
(E/D)
property (F*C)
Total
Part 3— Property replacement & involuntary conversion of property (see instructions)
A. Date of acquisition.
B. Property Description of newly acquired property and the property that was replaced.
150-104-007 (Rev. 01-13)
Form OR706-A page 1 of 2