Form Oc - Oregon Composite Return - 2015 Page 2
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2015
Oregon Department of Revenue
Composite Return Tax Calculation for Individual and Fiduciary Owners
01371501010000
OC1
Schedule
Use a separate schedule for each type of owner
Name of pass-through entity (PTE)
Federal employer identification number (FEIN)
Name of PTE contact
Phone number of PTE contact
PTE year end
Type of owners on this schedule (select one per schedule):
Individuals
Estates
Trusts. Total number of this owner type included on this return:
Electing nonresident owner information (see instructions)
1.
Nonresident owner name
SSN or FEIN
(a) Filing status
(b) Ownership percentage
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
2.
Nonresident owner name
SSN or FEIN
(a) Filing status
(b) Ownership percentage
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
SSN or FEIN
3.
Nonresident owner name
(a) Filing status
(b) Ownership percentage
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
Nonresident owner name
SSN or FEIN
(a) Filing status
(b) Ownership percentage
4.
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
5.
Nonresident owner name
SSN or FEIN
(a) Filing status
(b) Ownership percentage
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
6.
Nonresident owner name
SSN or FEIN
(a) Filing status
(b) Ownership percentage
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
SSN or FEIN
7.
Nonresident owner name
(a) Filing status
(b) Ownership percentage
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
Nonresident owner name
SSN or FEIN
(a) Filing status
(b) Ownership percentage
8.
(c) Share of federal income
(d) Share of Oregon-source distributive income
(e) Oregon income tax
(f) Oregon surplus credit
(g) Share of estimated tax paid
(h) Interest on underpayment of tax
(g) Total
(h) Total
9. Total for each column: (e), (f), (g), and (h)
(e) Total
(f) Total
Include this schedule with your Form OC, Oregon Composite Return.
Use additional copies of this page for additional nonresident owners electing to join the composite filing.
Use separate schedules for each owner type listed above. If using more than one page, total all pages for that owner type on line 9 of the last page.
Page ______ of ______
150-101-154 (Rev. 4-16)
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