Tax Payments On Real Property Conveyances - 2015 Page 5

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Tax Year
Form
OR-18
2015
Report of Tax Payments on Real Property Conveyances
The authorized agent is required to complete Form OR-18 and Form TPV-18 to send a payment.
The authorized agent must prepare two copies of Form OR-18 and Form TPV-18 for each
Mail Form TPV-18 within 20 days from disbursal to:
transferor and distribute as follows:
Oregon Department of Revenue
PO Box 14950
• To the transferor for their records.
Salem OR 97309-0950
• To be retained for the authorized agent’s records.
PART A—Authorized agent
Name of authorized agent
Agent daytime phone number
Federal employer ID number (FEIN)
(
)
Street address
City
State
ZIP code
Type of authorized agent
Escrow agent
Attorney
Other:
PART B—Transferor’s information
Transferor name
Social Security number (SSN)/BIN/FEIN of transferor
Street address
City
State
ZIP code
Taxpayer tax year end date
/
/
Type of taxpayer:
Individual
C corporation
PART C—Transferor’s Oregon income and ownership information
(1) Percent of ownership in real property
(2) Nonresident owner’s share of consideration from conveyance
Address of property conveyed
PART D—Payment information
• Individuals: Claim as tax payments from real estate transactions on your Oregon Form 40N or 40P.
• Corporations: Claim as payments made on your behalf from real estate income on your Oregon Form 20 or 20-I.
Payment amount
/
/
2015
Date paid:
Tax year
$
150-101-183 (Rev. 12-14)
Keep the above portion with your records. Do not mail it to the department unless asked to do so.
Detach Here
Detach Here
For tax year
Payment of Tax for Nonresidents
2015
Department of Revenue use only
FORM
TPV-18
150-101-183 (Rev. 12-14)
or Fiscal year ending
Taxpayer is:
Individual
Corporate excise
Corporate income
(100)
(200)
(202)
Taxpayer name
SSN/BIN/FEIN
Enter Payment Amount
$
0 0
.
Spouse’s/RDP’s name (if applicable)
Secondary tax I.D. number
Current mailing address
City
State
ZIP code
Name of authorized agent (escrow agent or attorney)
Authorized agent’s business name

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