Form 40s - Oregon Individual Income Tax Return - 2007 (Green)
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1
2Clear Form
OREGON
Form
Amended Return
40S
For office use only
2007
Individual Income Tax Return
A
K
F
P
FULL-YEAR RESIDENTS ONLY
ShORT FORM
Last name
First name and initial
Date of birth (mm/dd/yyyy)
Social Security No. (SSN)
–
–
Deceased
Spouse’s last name if joint return
Spouse’s first name and initial if joint return
Spouse’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
Exemptions
1
Total
Single
Status
2
6a
6a
Yourself ....
Married filing jointly
Regular
.........Severely disabled
.........
Check
6b
b
3
Married filing
Spouse .....
Regular
.........Severely disabled
...........
Spouse’s name
only
separately
one
•
6c
c
All dependents
Spouse’s SSN
First names __________________________________
box
•
4
6d
d
Head of household
Disabled
Person who qualifies you
First names __________________________________
children only
•
5
6e
Qualifying widow(er) with dependent child
Total
(see instructions)
•
•
•
•
•
•
7a
Check
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
you want to donate your
apply
➛
extension
a dependent
Spouse was:
kicker to the State School Fund
65 or older
Blind
REIT, or RIC
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 2007 federal tax liability ($0–$5,500; 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
•
.00
proof of
13 Tax. See instructions, page 12. Enter tax from tax tables or charts here ......................................................
13
withholding
•
.00
14
Exemption credit.
Multiply your total exemptions on line 6e by $165 .....................
14
(W-2s,
•
.00
15 Child and dependent care credit. See instructions, page 12.....................................
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 12 ......................................................
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
If line 18 is more than line 23, you have tax to pay. Line 18 minus line 23 ....
TAX TO PAY
25
25
Tax to pay.
•
•
.00
.00
26
27
ChARITAbLE
Oregon Nongame Wildlife
Child Abuse Prevention
ChECkOFFS
•
•
.00
.00
28
29
Alzheimer’s Disease Research
Stop Dom. & Sexual Violence
PAGE 13
•
•
.00
.00
30
31
AIDS/HIV Education & Services
OR Military Financial Assist.
I want to
These will
•
•
.00
.00
donate part
reduce
32
33
Habitat for Humanity
OR Head Start Association
of my tax
your refund
•
•
.00
.00
34
35
American Diabetes Association
Oregon Coast Aquarium
refund to
•
•
.00
.00
36
37
SMART
SOLV
the following
•
•
•
•
.00
.00
fund(s)
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
Savings
42 For direct deposit of your refund, see the instructions on page 37.
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 signature (if filing jointly, BOTH must sign)
Date
X
150-101-044 (Rev. 12-07)
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