Form Oc - Oregon Composite Return - 2015 Page 5
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01371501050000
OC-TR
Oregon Composite Return Payment Transfer Request
Page 2
For owners not joining Form OC
Important: It takes 8–12 weeks to process your request to move tax payments from one account to another.
Payment amount to remain on PTE account
(d) Payment 1
(e) Payment 2
(f) Payment 3
(g) Payment 4
(h) Total for PTE
.00
.00
.00
.00
.00
1.
(a) FEIN or SSN
(b) Revoking owner’s name
(c) Owner type
Address
City
State
ZIP code
(d) Payment 1
(e) Payment 2
(f) Payment 3
(g) Payment 4
(h) Total for owner
.00
.00
.00
.00
.00
(a) FEIN or SSN
(b) Revoking owner’s name
2.
(c) Owner type
Address
City
State
ZIP code
(d) Payment 1
(e) Payment 2
(f) Payment 3
(g) Payment 4
(h) Total for owner
.00
.00
.00
.00
.00
(a) FEIN or SSN
(b) Revoking owner’s name
3.
(c) Owner type
Address
City
State
ZIP code
(d) Payment 1
(e) Payment 2
(f) Payment 3
(g) Payment 4
(h) Total for owner
.00
.00
.00
.00
.00
(a) FEIN or SSN
(b) Revoking owner’s name
4.
(c) Owner type
Address
City
State
ZIP code
(d) Payment 1
(e) Payment 2
(f) Payment 3
(g) Payment 4
(h) Total for owner
.00
.00
.00
.00
.00
Total payments to remain on account and to transfer to revoking owners (must match estimated payments 1–4 on page 1 of Form OC-TR)
Total of payment 4
Total of payment 1
Total of payment 2
Total of payment 3
.00
.00
.00
.00
Page ______ of ______
150-101-154 (Rev. 4-16)
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