Clear Form
For Revenue use only
Annual Certification for
Date received
Natural Resource Credit Property
Payment
or Commercial Fishing Business Credit Property
For use with Form OR706
Qualified use period starting
ending
Date (MM/DD/YYYY)
Date (MM/DD/YYYY)
As the owner of inherited Natural Resource Property or Commercial Fishing Business Property, on which the decedent’s estate elected and
claimed the Oregon Natural Resource Credit (NRC), you’re required to complete this certification form each year to maintain your eligibility
for the Natural Resource Credit.
Part 1—Taxpayer information
Name of property owner (first name, middle initial, and last name) or trust
Property owner’s Social Security number
Name of Trustee (if applicable)
Federal employer identification number (FEIN) for trust
Current mailing address
Telephone number
Name of decedent
Decedent’s date of death
Decedent’s Social Security number
Part 2—Description of property (see instructions)
A. Description of the disqualified natural resource property or
B. Value of natural resource
C. Natural Resource
D. Enter the
commercial fishing business property (attach copy of Oregon Natural
property on which the
Credit (NRC) related
Natural Resource
Resource or Commercial Fishing Business Property Credit for Form
credit was claimed (see
to the value in
Asset code. See
OR706, 150-104-003).
Schedule NRC, column D).
column B.
instructions.
B.
C.
Totals
Part 3—Signature
To the best of my knowledge and belief the information contained on this form is true, correct, and complete. In accordance with Oregon
Revised Statute (ORS) 118.140, I certify all Natural Resource or Commercial Fishing Business property identified in Part 2, remains in
qualified use for the natural resource credit.
Signature of property owner
Date
X
This form is due on April 15th each year. Mail this form to:
Oregon Department of Revenue, PO Box 14110, Salem OR 97309-0910
If you stopped using the property for qualified natural resource use before you met the 5 out of 8 year requirement
see instructions to file Form OR706-A.
150-104-008 (Rev. 06-12)