Form 150-101-687 - Exempt Income Schedule For Enrolled Members Of A Federally Recognized American Indian Tribe Page 2
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1
2General information
You must file a completed copy of the Exempt Income
Schedule for Enrolled Members of a Federally Recognized
[Subtraction code 300]
American Indian Tribe with your Oregon return. Go
to our website to download the schedule or call us.
Are you an American Indian? If so, you might not have
You must include the following information on the
to pay Oregon income tax on your income. You may be
schedule:
able to subtract all or part of your income if all the fol-
lowing are true:
• The street address of the place you worked, and
• The street address of the place you lived, and
• You are an enrolled member of a federally recognized
• The tribe you are enrolled with and your member-
American Indian tribe, and
ship number.
• Your income is derived from sources within federally
recognized Indian country in Oregon, and
You must use the street address of your residence on
• You live in federally recognized Indian country in
the schedule so we can verify that you live in Indian
Oregon at the time the income is earned.
country. However, you may use your post office box
address on your tax return.
“Indian country” is defined as any land within a cur-
rent federal Indian reservation boundary and other
If you meet all of the requirements, you may claim
lands held in trust by the United States government for
“exempt” on your Form W-4 for Oregon purposes
a tribe.
only.
For enrolled members of federally recognized Ameri-
Remember, generally only income derived from sources
can Indian tribes who live on Indian country in Oregon,
within Indian country in Oregon, by an enrolled tribal
income exempt from Oregon income tax includes:
member while living in Indian country in Oregon, is eli-
• Wages earned for work performed on Indian country in
gible for the American Indian subtraction. Income earned
Oregon.
in Oregon, outside of Indian country, will be taxed by
• Income from businesses or real estate located on Indian
Oregon. Also, any income earned by a member in Oregon
country in Oregon.
not living on Indian country will be taxed by Oregon.
• Retirement income, if the contributions to the plan
Each member of a household with income must meet
came from or were connected with services per-
these qualifications in order to claim the subtraction of
formed on Indian country.
their income.
• Unemployment compensation if the benefits were
If you are an enrolled member of a federally recognized
received as a result of work performed on Indian
tribe and a member of the U.S. Armed Forces, stationed in
country.
Oregon, you may be entitled to an additional subtraction.
• Interest, dividends, and capital gains from the sale of
stocks and other intangibles, regardless of where the
Have questions? Need help?
accounts are located.
• Gambling winnings from Indian gaming centers
General tax information ............
(casinos).
Salem .......................................................... 503-378-4988
• Indian tribal disbursements from casino earnings.
Toll-free from an Oregon prefix ...........1-800-356-4222
Remember: You must live on and have income derived
Asistencia en español:
from sources within Indian country in Oregon and be
En Salem o fuera de Oregon ................... 503-378-4988
an enrolled member of a federally recognized tribe to
Gratis de prefijo de Oregon ..................1-800-356-4222
subtract the income listed above. You do not have to
TTY (hearing or speech impaired; machine only):
live on and have income from the same Indian coun-
Salem area or outside Oregon ................ 503-945-8617
try. But the areas where you live and have income from
Toll-free from an Oregon prefix ...........1-800-886-7204
must both qualify as “Indian country” to claim the
subtraction.
Americans with Disabilities Act (ADA): Call one of
Also, to claim the subtraction, you must report your total
the help numbers above for information in alternative
income on both the federal and Oregon tax returns.
formats.
150-101-687 (Rev. 07-10)
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