Form Oc - Oregon Composite Return - 2011 Page 7
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2011
Oregon Department of Revenue
OC1
Schedule
Composite Return Tax Calculation For Individual and Fiduciary Owners
Name of pass-through entity (PTE)
Federal employer identification number (FEIN)
Name of PTE contact
Telephone number of PTE contact
Entity year end
Oregon business identification number (BIN)
Total number of owners included in this group return:
Electing nonresident owner information (see instructions)
(c)
(d) Share of
(g)
(e)
(a)
(b)
Share of
Oregon-source
(f) Share of
Interest on
Social Security number
Filing
Ownership
federal
distributive
Oregon
estimated
underpayment
Nonresident owner name
or FEIN
income tax
status
percentage
income
income
tax paid
of tax
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21. Total for each column: (e), (f), and (g)
Attach this schedule to your Form OC, Oregon Composite Return.
Page
of
Make copies of this page for additional nonresident owners electing to join the composite filing.
If using more than one page, total all pages on line 21 of the first page.
150-101-154 (Rev. 12-11)
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