Form 40n - Oregon Individual Income Tax Return For Nonresidents - 2007 Page 2

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Page 2 — 2007 Form 40N
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40 Amount from front of form, line 38S (Oregon 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 or sales tax claimed as itemized deduction ..............................
42
MODIFICATIONS
EIThER,
.00
43 Net Oregon itemized deductions. Line 41 minus line 42 ......................................
43
NOT BOTh
.00
44 Standard deduction from page 27 ........................................................................
44
.00
45 2007 federal tax liability ($0–$5,500; see instructions for the correct amount) ....
45
.00
46y $
46 Other deductions and modifications. Identify:
46x
46z
46
Schedule
.00
47 Deductions and modifications X Oregon percentage. See page 29 .....................
47
.00
4 8 Deductions and modifications not multiplied by the Oregon percentage. See page 29
48
.00
49 Total deductions and other modifications. Add lines 47 and 48 ....................................................................
49
.00
50 Oregon taxable income. Line 40 minus line 49 ...............................................................................................
50
.00
51 Tax. See page 29 for instructions. Enter tax here ...............................................
51
OREGON
TAX
• 
• 
Check if tax is from: 51a
Tax charts or
51b
Form FIA-40N or
51c
Worksheet FCG
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52 Interest on certain installment sales ......................................................................
52
.00
53 Total tax before credits. Add lines 51 and 52 ................................................................... OREGON TAX
53
.00
54 Exemption credit. See instructions, page 30 ......................................................
54
NONREFUNDABLE
CREDITS
ADD TOGEThER
.00
55 Credit for income taxes paid to another state. State:
55y
55z
55
Schedule
Attach proof
.00
56y $
56 Other credits. Identify:
56x
56z
........
56
Schedule attached
.00
57 Total non-refundable credits. Add lines 54 through 56 ..................................................................................
57
.00
58 Net income tax. Line 53 minus line 57. If line 57 is more than line 53, enter -0- ............................................
58
.00
59 Oregon income tax withheld from income. Attach Forms W-2 and 1099 ..........
59
PAYMENTS AND
REFUNDABLE
.00
60 Estimated tax payments for 2007 and payments made with your extension .......
60
CREDITS
.00
61 Nonresidents. Tax withheld from pass-through entity .........................................
61
.00
ADD TOGEThER
62 Earned income credit. See instructions, page 33 .................................................
62
.00
Attach Schedule
63
Working family child care credit
from WFC-N/P, line 21 ..................................
63
WFC-N/P if you
63b $
63a
Number from WFC-N/P, line 5
Amount from WFC-N/P, line 18
claim this credit
.00
64 Mobile home park closure credit. Attach Schedule MPC .....................................
64
.00
65 Total payments and refundable credits. Add lines 59 through 64 ..................................................................
65
.00
66
Overpayment.
Is line 58 less than line 65? If so, line 65 minus line 58 ...................
OVERPAYMENT
66
.00
Is line 58 more than line 65? If so, line 58 minus line 65 ...............................
TAX TO PAY
Tax to pay.
67
67
.00
68 Penalty and interest for filing or paying late. See instructions, page 33 .................. 68
ADD TOGEThER
.00
69 Interest on underpayment of estimated tax. Attach Form 10 and check box
69
Exception # from Form 10, line 1
69a
.00
70 Total penalty and interest due. Add lines 68 and 69 ......................................................................................... 70
.00
71
Amount you owe.
Line 67 plus line 70
.................................................................AMOUNT YOU OWE
71
.00
Is line 66 more than line 70? If so, line 66 minus line 70 ............................................
REFUND
Refund.
72
72
.00
73
Estimated tax.
Fill in the part of line 72 you want applied to 2008 estimated tax
73
.00
.00
.00
74
75
Oregon Nongame Wildlife
Child Abuse Prevention
ChARITABLE
ChECkOFFS
.00
.00
.00
76
77
Alzheimer’s Disease Research
Stop Dom. & Sexual Violence
PAGE 34
These will
.00
.00
.00
78
79
AIDS/HIV Education & Services
OR Military Financial Assist.
reduce
I want to
.00
.00
.00
80
81
your refund
donate part
Habitat for Humanity
OR Head Start Association
of my tax
.00
.00
.00
82
83
American Diabetes Association
Oregon Coast Aquarium
refund to
.00
.00
.00
the following
84
85
SMART
SOLV
fund(s)
.00
.00
.00
86a
86b
87a
87b
Charity code
Charity code
.00
88 Total. Add lines 73 through 87. Total can’t be more than your refund on line 72 ..........................................
88
.00
89
NET REFUND.
Line 72 minus line 88. This is your net refund
.........................................NET REFUND
89
Type of Account:
Checking or
DIRECT
90 For direct deposit of your refund, see the instructions on page 36.
Savings
DEPOSIT
Routing No.
Account No.
Important: Attach a copy of your federal Form 1040, 1040A, 1040EZ, or 1040NR. Do not attach other federal schedules.
Under penalty for false swearing, I declare that the information in this return and attachments is true, correct, and complete.
Your signature
Date
Signature of preparer other than taxpayer
License No.
X
X
Address
Telephone No.
Spouse’s signature (if filing jointly, BOTH must sign)
Date
X
150-101-048 (Rev. 12-07)

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