Form Oc-V - Oregon Composite Return Payment Voucher Page 6

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Oregon Composite Return Payment Voucher, Form OC-V
See pages 2 and 3 for additional instructions for this voucher.
Complete Form OC-V below using your computer,
print and mail it with your payment to:
Oregon Department of Revenue
PO Box 14555
Salem OR 97309-0940
Note:
If, when typing, you see a solid box instead of letters or numbers,
adjust the view size to 100 percent. If the letters or numbers still are not visible,
press the tab key.
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Oregon Composite Return Payment Voucher
FORM
Department of Revenue Use Only
OC-V
•
150-101-150 (Rev. 11-12)
Balance due:
•
•
Individuals (100)
$
.00
Tax year (check only one):
•
$
Corporations (204)
.00
Calendar year:
Check if:
$
.00
Estates (101)
Estimated Payment
Fiscal year—
New name or address
$
.00
Trusts (199)
Begins:
First-time Oregon filer
Extension
TOTAL PAYMENT $
.00
Amended return
Ends:
(enter total in Total Payment Amount box)
Contact Telephone number:
Enter Total Payment Amount
Contact name
BIN
$
0 0
.
Name of business
FEIN
Current mailing address
City
State
ZIP code

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