Form 40s - Oregon Individual Income Tax Return - 2008

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Clear Form
OREGON
2008
Amended Return
For office use only
Form
40S
Individual Income Tax Return
FULL-YEAR RESIDENTS ONLY
SHORT FORM
A
K
F
P
Last name
First name and initial
Date of birth (mm/dd/yyyy)
Social Security No. (SSN)
Deceased
Spouse’s/RDP’s last name if joint return
Spouse’s/RDP’s first name and initial if joint return Spouse’s/RDP’s SSN if joint return
Date of birth (mm/dd/yyyy)
Deceased
Current mailing address
Telephone number
(
)
City
State
ZIP code
Country
If you filed a return last year, and your
name or address is different, check here
Filing
1
Single
Exemptions
Status
2a
Married filing jointly
Total
2b
Registered domestic partners (RDP) filing jointly
Check
6a
6a
Yourself ...........
Regular
...... Severely disabled
....
only
3a
Married filing separately:
one
6b
b
Spouse/RDP ...
Regular
...... Severely disabled
......
Spouse’s name _____________________________ Spouse’s SSN ___________________
box
3b
Registered domestic partner filing separately:
6c
c
All dependents
First names __________________________________
Partner’s name _____________________________ Partner’s SSN ___________________
6d
d
Disabled
First names __________________________________
4
Head of household:
Person who qualifies you ________________________________
children only
Total
6e
5
Qualifying widow(er) with dependent child
(see instructions)
Check
7a
7b
You
7c
You have
7d
Someone else
7e
If there is a kicker refund,
all that
You were:
65 or older
Blind
filed an
federal Form 8886,
can claim you as
I want to donate mine to the
apply
Spouse/RDP was:
65 or older
Blind
extension
REIT, or RIC
a dependent
State School Fund
8 Wages (enter in box 8a) + unemployment (enter in box 8b) + interest and dividends (enter in box 8c)
Round to the nearest dollar
.00
= TOTAL INCOME
8
8a
.00
+
8b
.00
+
8c
.00
.00
9 2008 federal tax liability ($0–$5,600; see instructions for the correct amount) .......
9
.00
10 Standard deduction from the back of this form .........................................................
10
.00
11 Add lines 9 and 10 .........................................................................................................................................
11
.00
12 Oregon taxable income. Line 8 minus line 11. If line 11 is more than line 8, enter -0- ..................................
12
Staple
proof of
.00
13 Tax. See instructions, page 16. Enter tax from tax tables or charts here ......................................................
13
withholding
.00
14 Exemption credit. Multiply your total exemptions on line 6e by $169 .....................
14
(W-2s,
.00
15 Child and dependent care credit. See instructions, page 16.....................................
15
1099s),
payment,
.00
16b $
16d $
16 Other credits. Identify:
16a
16c
16
and payment
.00
17 Total non-refundable credits. Add lines 14 through 16 .................................................................................
17
voucher
.00
18 Net income tax. Line 13 minus line 17. If line 17 is more than line 13, enter -0- ...........................................
18
here
.00
19 Oregon income tax withheld. Attach your Form(s) W-2 and 1099 .........................
19
.00
20 Earned income credit. See instructions, page 17 ......................................................
20
Attach Schedule
.00
ADD TOGETHER
21 Working family child care credit from WFC, line 18 ...............................................
21
WFC if you claim
21b $
21a
Number from WFC, line 5
Amount from WFC, line 16
this credit
.00
22 Mobile home park closure credit. Attach Schedule MPC ..........................................
22
.00
23
23 Total payments and refundable credits. Add lines 19 through 22 .................................................................
.00
24 Refund. If line 23 is more than line 18, you have a refund. Line 23 minus line 18 ................. REFUND
24
.00
25 Tax to pay. If line 18 is more than line 23, you have tax to pay. Line 18 minus line 23 .... TAX TO PAY
25
.00
.00
CHARITAbLE
26
27
Oregon Nongame Wildlife
Child Abuse Prevention
CHECkOFF
.00
.00
28
29
Alzheimer’s Disease Research
Stop Dom. & Sexual Violence
DONATIONS,
.00
.00
30
31
AIDS/HIV Education & Services
OR Military Financial Assist.
These will
PAGE 17
.00
.00
32
33
reduce
Habitat for Humanity
OR Head Start Association
I want to donate
your refund
.00
.00
34
35
American Diabetes Association
Oregon Coast Aquarium
part of my tax
.00
.00
36
37
refund to the
SMART
SOLV
following fund(s)
.00
.00
38a
38b
39a
39b
Charity code
Charity code
.00
40 Total. Add lines 26 through 39. Total can’t be more than your refund on line 24..........................................
40
.00
41 NET REFUND. Line 24 minus line 40. This is your net refund ....................................... NET REFUND
41
Type of Account:
Checking or
42 For direct deposit of your refund, see the instructions on page 34.
Savings
DIRECT
DEPOSIT
Routing No.
Account No.
Under penalty for false swearing, I declare that the information in this return and attachments is true, correct, and complete.
License No.
Your signature
Date
Signature of preparer other than taxpayer
X
X
Address
Telephone No.
Spouse’s/RDP’s signature (if filing jointly, BOTH must sign)
Date
X
150-101-044 (Rev. 12-08)

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