Pass-Through Entity Owner Payments And Oregon Affidavit - 2015 Page 4
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6Important addresses
Have questions? Need help?
General tax information ......................
Mail the payment voucher (Form TPV-19) with payment by
each payment due date to:
Salem ................................................................. 503-378-4988
Toll-free from an Oregon prefix .................. 1-800-356-4222
Oregon Department of Revenue
Asistencia en español:
PO Box 14950
Salem, OR 97309-0950
En Salem o fuera de Oregon .......................... 503-378-4988
Gratis de prefijo de Oregon ......................... 1-800-356-4222
Mail the Annual Report (Form OR-19) by the end of the
TTY (hearing or speech impaired; machine only):
second month after the end of the entity’s tax year to:
Salem area or outside Oregon ....................... 503-945-8617
Oregon Department of Revenue
Toll-free from an Oregon prefix .................. 1-800-886-7204
PO Box 14950
Americans with Disabilities Act (ADA): Call one of the help
Salem, OR 97309-0950
numbers above for information in alternative formats. Gratis
de prefijo de Oregon ..................................1-800-356-4222
Mail the Oregon Affidavit to:
TTY (hearing or speech impaired; machine only):
Oregon Department of Revenue
Salem area or outside Oregon ....................... 503-945-8617
ATTN: Processing Center
Toll-free from an Oregon prefix .................. 1-800-886-7204
955 Center Street NE
Americans with Disabilities Act (ADA): Call one of the help
Salem, OR 97301-2555
numbers above for information in alternative formats.
Send voucher TPV-19 and the payment to:
Oregon Department of Revenue
P.O. Box 14950
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Salem OR 97309-0950
✁
Payment of Tax for Nonresident Owners
FORM
Department of Revenue use only
Fiscal year begins
TPV-19
•
Or
Calendar tax year 2015
Ends
(205)
Check if:
Pass-through entity is:
LLP
LLC
S Corporation
First time Oregon filer
150-101-182 (Rev. 12-14)
LP
Partnership
Contact name
Phone number
Payment amount
Name of pass-through entity
BIN
$
0 0
.
Current mailing address
FEIN
State
ZIP code
City
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