Form 40p - Individual Income Tax Return For Part-Year Residents - 2013 Page 2
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2Page 2 — 2013 Form 40P
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40 Amount from front of form, line 38F (federal amount) ....................................................................................... 40
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41 Itemized deductions from federal Schedule A, line 29 .........................................
41
DEDUCTIONS
AND
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42 State income tax claimed as itemized deduction .................................................
42
MODIFICATIONS
EITHER,
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43 Net Oregon itemized deductions. Line 41 minus line 42 ......................................
43
NOT BOTH
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44 Standard deduction from page 26 ........................................................................
44
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45 2013 federal tax liability ($0–$6,250; see instructions for the correct amount) ....
45
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46y $
46 Other deductions and modifications. Identify:
46x
46z
46
Schedule
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47 Add lines 43, 45, and 46 if itemizing. Otherwise, add lines 44, 45, and 46 ...................................................
47
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48 Taxable income. Line 40 minus line 47 ..........................................................................................................
48
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49 Tax from tax charts. 49a
See instructions, page 29 ......
49
OREGON
TAX
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50 Oregon income tax. Line 49 X Oregon percentage from line 39, or .................
50
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Check if tax is from:
50a
Form FIA-40P or
50b
Worksheet FCG
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51 Interest on certain installment sales ......................................................................
51
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52 Total tax before credits. Add lines 50 and 51 ................................................................... OREGON TAX
52
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53 Exemption credit. See instructions, page 30 ......................................................
53
NONREFUNDABLE
CREDITS
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54 Child and dependent care credit. See instructions, page 30................................
54
ADD TOGETHER
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55 Credit for income taxes paid to another state. State:
55y
55z
55
Schedule
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56y $
56 Other credits. Identify:
56x
56z
56
Schedule included
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57 Total non-refundable credits. Add lines 53 through 56 ..................................................................................
57
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58 Net income tax. Line 52 minus line 57. If line 57 is more than line 52, enter -0- ..........................................
58
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PAYMENTS AND
59 Oregon income tax withheld from income. Include Forms W-2 and 1099 ........
59
REFUNDABLE
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60 Estimated tax payments for 2013 and payments made with your extension ......
60
CREDITS
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60a
Wolf depredation
60b
Claim of right
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61 Tax payments from pass-through entity and real estate transactions ..................
61
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ADD TOGETHER
62 Earned income credit. See instructions, page 32 .................................................
62
Include Schedule
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WFC-N/P if you
63
Working family child care credit
from WFC-N/P, line 21 ..................................
63
claim this credit
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64 Mobile home park closure credit. Include Schedule MPC ....................................
64
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65 Total payments and refundable credits. Add lines 59 through 64 ..................................................................
65
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Overpayment.
Is line 58 less than line 65? If so, line 65 minus line 58 .......................
OVERPAYMENT
66
66
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Is line 58 more than line 65? If so, line 58 minus line 65 ................................
TAX TO PAY
67
Tax to pay.
67
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68 Penalty and interest for filing or paying late. See instructions, page 33 .................. 68
ADD TOGETHER
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69 Interest on underpayment of estimated tax. Include Form 10 and check box
...
69
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Exception # from Form 10, line 1
Check box if you annualized
69a
69b
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70 Total penalty and interest due. Add lines 68 and 69 ......................................................................................... 70
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Amount you owe.
AMOUNT YOU OWE
71
Line 67 plus line 70 ................................................................
71
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Is line 66 more than line 70? If so, line 66 minus line 70 ............................................
REFUND
72
Refund.
72
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73
Estimated tax.
Fill in the part of line 72 you want applied to 2014 estimated tax
73
CHARITABLE
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74
75
American Diabetes Assoc.
Oregon Coast Aquarium
CHECKOFF
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76
77
SMART
SOLV
DONATIONS,
These will
PAGE 34
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78
79
The Nature Conservancy
St. Vincent DePaul Soc. of OR
reduce
I want to donate
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.00
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80
81
your refund
Oregon Humane Society
The Salvation Army
part of my tax
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82
83
Doernbecher Children’s Hosp.
Oregon Veteran’s Home
refund to the
following fund(s)
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84a
84b
85a
85b
Charity code
Charity code
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86 Total Oregon 529 College Savings Plan deposits. See instructions, page 34 ......
86
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87 Total. Add lines 73 through 86. Total can’t be more than your refund on line 72 ..........................................
87
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.........................................NET REFUND
88
88
NET REFUND.
Line 72 minus line 87. This is your net refund
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DIRECT
89 For direct deposit of your refund, see instructions, page 34.
Type of account:
Checking or
Savings
DEPOSIT
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Routing No.
Account No.
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Will this refund go to an account outside the United States?
Yes
Important: Include a copy of your federal Form 1040, 1040A, 1040EZ, or 1040NR.
Under penalty for false swearing, I declare that the information in this return is true, correct, and complete.
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Your signature
Date
Signature of preparer other than taxpayer
Preparer license no.
X
X
Address
Telephone no.
Spouse’s/RDP's signature
Date
(if filing jointly, BOTH must sign)
X
150-101-055 (Rev. 12-13)
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