Form 40 - Schedule Or-Asc - Oregon Adjustments For Form 40 Filers - 2012
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1
2Clear Form
2012
Schedule
Oregon Adjustments
OR-ASC
for Form 40 Filers
Last name
First name and initial
Social Security number (SSN)
–
–
Spouse’s/RDP’s last name
Spouse’s/RDP’s first name and initial
Spouse’s/RDP’s SSN
–
–
Instructions: Use this form to claim more than one of the following on your return:
• Other additions.
• Other subtractions.
• Credits for income taxes paid to another state.
• Other credits.
Identify the code and amount for each item you are claiming. If you are not claiming more than one of each item, do not use this form;
instead identify the item on your return. If you have more items than will fit on a single schedule, provide the codes and amounts on
additional schedules and add the total to your tax return. Include this schedule with your Form 40.
Remember: Check the “Schedule Included” box on your Form 40 for other additions, other subtractions, credit for income taxes paid
to another state, or other credits you claim below.
Other additions (codes 100–131)
Credit for income taxes paid to another state
Code
Amount
State abbreviation
Amount
•
•
•
•
10a
10b
38a
38b
•
•
•
•
10c
10d
38c
38d
•
•
•
•
10e
10f
38e
38f
•
•
•
•
10g
10h
38g
38h
•
•
•
•
10i
10j
38i
38j
Enter total on Form 40, line 10 $
Enter total on Form 40, line 38 $
Other subtractions (codes 300–350)
Other credits (codes 700–751)
Code
Amount
Code
Amount
•
•
•
•
18a
18b
39a
39b
•
•
•
•
18c
18d
39c
39d
•
•
•
•
18e
18f
39e
39f
•
•
•
•
18g
18h
39g
39h
•
•
•
•
18i
18j
39i
39j
Enter total on Form 40, line 18 $
Enter total on Form 40, line 39 $
Oregon 529 College Savings Plan direct deposit
If you would like to deposit all or a portion of your refund into an Oregon 529 College Savings Plan account, follow the instructions on
page 2 of this schedule.
—YOU MUST INCLUDE THIS SCHEDULE WITH YOUR OREGON INCOME TAX RETURN—
150-101-063 (Rev. 12-12)
Page 1 of 2
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