Form 40n - Oregon Individual Income Tax Return For Nonresidents - 2006 Page 2
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2Page 2 — 2006 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 28 .........................................
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 24 ........................................................................
44
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45 2006 federal tax liability ($0–$5,000; see instructions for the correct amount) ....
45
•
•
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46b $
46 Other deductions and modifications. Identify:
46a
46
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47 Deductions and modifications X Oregon percentage. See page 26 ........................ 47
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4 8 Deductions and modifications not multiplied by the Oregon percentage. See page 26
48
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49 Total deductions and other modifications. Add lines 47 and 48 ....................................................................
49
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50 Oregon taxable income. Line 40 minus line 49 ...............................................................................................
50
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51 Tax. See page 27 for instructions. Enter tax here ...............................................
51
OREGON
TAX
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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
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53 Total tax before credits. Add lines 51 and 52 ................................................................... OREGON TAX
53
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54 Exemption credit. Line 6e X $159 X Oregon percentage from line 39 ..............
54
NONREFUNDABLE
CREDITS
•
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55 Child and dependent care credit. See instructions, page 27................................
55
ADD TOGETHER
}
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•
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56 Credit for income taxes paid to another state. State:
56a
........
56
ATTACH PROOF
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•
•
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57 Other credits.
57a
57b $
57c
57d $
57
•
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58 Total non-refundable credits. Add lines 54 through 57 ..................................................................................
58
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59 Net income tax. Line 53 minus line 58. If line 58 is more than line 53, fill in -0- .............................................
59
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60 Oregon income tax withheld from income. Attach Forms W-2 and 1099 ..........
60
PAYMENTS AND
REFUNDABLE
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•
61 Estimated tax payments for 2006 and payments made with your extension .......
61
CREDITS
•
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62 Earned income credit. See instructions, page 30 .................................................
62
ADD TOGETHER
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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
•
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64 Involuntary mobile home move credit (refundable). Attach Schedule MH............
64
•
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65 Total payments and refundable credits. Add lines 60 through 64 ..................................................................
65
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•
66
Overpayment.
Is line 59 less than line 65? If so, line 65 minus line 59 ...................
OVERPAYMENT
66
➛
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Is line 59 more than line 65? If so, line 59 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 30 .................. 68
ADD TOGETHER
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•
69 Interest on underpayment of estimated tax. Attach Form 10 and check box
69
•
Exception # from Form 10, line 1
69a
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70 Total penalty and interest due. Add lines 68 and 69 ......................................................................................
70
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•
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
72
Refund.
72
•
.00
73
Estimated tax.
Fill in the part of line 72 you want applied to 2007 estimated tax
73
•
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74 Oregon Nongame Wildlife ...............
$1 ....
$5 ....
$10 ....
74
Other $_____
CHARITABLE
CHECKOFFS
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•
75 Child Abuse Prevention...................
$1 ....
$5 ....
$10 ....
75
Other $_____
PAGE 31
These will
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76 Alzheimer’s Disease Research ........
$1 ....
$5 ....
$10 ....
76
Other $_____
reduce
I want to
•
.00
your refund
donate part
77 Stop Domestic & Sexual Violence ...
$1 ....
$5 ....
$10 ....
77
Other $_____
of my tax
.00
•
78 AIDS/HIV Education and Services ..
$1 ....
$5 ....
$10 ....
78
Other $_____
refund to
.00
•
the following
79 OR Military Financial Assistance .....
$1 ....
$5 ....
$10 ....
79
Other $_____
fund(s)
•
•
.00
80 Other charity. Code
80a
...
$1 ....
$5 ....
$10 ....
80
Other $_____
•
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81 Total. Add lines 73 through 80. Total can’t be more than your refund on line 72 ..........................................
81
➛
.00
•
82
NET REFUND.
Line 72 minus line 81. This is your net refund
.........................................NET REFUND
82
•
83 For direct deposit of your refund, see the instructions on page 33.
Type of Account:
Checking or
Savings
DIRECT
DE POS IT
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Routing No.
Account No.
Important: Attach a copy of your federal Form 1040, 1040A, 1040EZ, or 1040NR. Do not attach other federal sched ules.
Under penalty of 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. 12-06) Web
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