Clear This Page
Oregon Composite Return Payment Transfer Request
Form
For office use only
OC-TR
Tax Year____________
Date received
Use this form for nonresident owners when tax payments need to be transferred from the entity to the owners because the owners are not joining in the composite filing
and estimated payments have already been paid in the pass-through entity’s name.
Name of pass-through entity (PTE)
Federal employer identification number (FEIN)
Estimated
Check Date
payments
Amount of payment
(MM/DD/YYYY)
Street address
Oregon business identification number (BIN)
Payment 1
.00
City
State
ZIP code
Payment 2
.00
Name of contact person
Office use only
Payment 3
.00
Contact telephone
Contact e-mail
Payment 4
.00
Important: It takes 8‑12 weeks to process your request to move tax payments from one account to another.
Total for owner
FEIN/SSN (a)
Name and Address (b)
Owner type (c)
Payment 1 (d)
Payment 2 (e)
Payment 3 (f)
Payment 4 (g)
(h)
Payment amount to remain on PTE account
$
.00 $
.00 $
.00 $
.00 $
.00
1.
$
.00 $
.00 $
.00 $
.00 $
.00
2.
$
.00 $
.00 $
.00 $
.00 $
.00
3.
$
.00 $
.00 $
.00 $
.00 $
.00
4.
$
.00 $
.00 $
.00 $
.00 $
.00
5.
$
.00 $
.00 $
.00 $
.00 $
.00
Total payments (Must match estimated payments 1–4 listed above.)
$
.00 $
.00 $
.00 $
.00
Under penalties for false swearing, I certify that I am authorized to request transfer of estimated tax payments from the above-named pass-through entity’s tax account to the tax accounts listed above.
Signature of general partner, LLC member, or officer
Date
Signature of paid preparer
License number of preparer
Date
Sign here
Keep a copy
X
X
of this return
Print name of general partner, LLC member, or officer
Title
Print name & address of preparer
Telephone number
for your tax
(
)
records
Mail to: Oregon Department of Revenue
Mail a copy of this form to each owner listed above.
PO Box 14999
Page_____ of______
Salem OR 97309
150-101-154 (Rev. 12-12)