Form 40s - Oregon Individual Income Tax Return - 2007 (Blue)
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Paper
2-D with Header Only
2-D with Grid & Data
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OREGON
Amended Return
Form
For office use only
4
40S
4
OREGON
Form
Amended Return
2007
40S
For office use only
Individual Income Tax Return
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2007
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Individual Income Tax Return
FULL-YEAR RESIDENTS ONLY
FULL-YEAR RESIDENTS ONLY
ShORT FORM
ShORT FORM
A
K
F
P
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7
P s s n x x - x x x x
s s s n x x - x x x x
8
A
K
F
P
8
FULL-YEAR RESIDENTS ONLY
ShORT FORM
P L A s T n A M E x x x x x x x x x x x P F I R s T n A M E x x I
D o b
x x / x x / x x x x
D E C E A s E D
9
9
s L A s T n A M E x x x x x x x x x x x s F I R s T n A M E x x I
D o b
x x / x x / x x x x
D E C E A s E D
Last name
First name and initial
Date of birth (mm/dd/yyyy)
Social Security No. (SSN)
10
10
A D D R E s s 1 x x x x x x x x x x x x x x x x x x x x x x x x x x x
P h o n E
x x x - x x x - x x x x
–
–
E x T E n s I o n F I L E D
Deceased
11
11
A D D R E s s 2 x x x x x x x x x x x x x x x x x x x x x x x x x x x
Spouse’s last name if joint return
Spouse’s first name and initial if joint return
Spouse’s SSN if joint return
8 8 8 6 / R E I T / R I C
Date of birth (mm/dd/yyyy)
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12
–
–
C L A I M E D / D E P E n D E n T
C I T Y x x x x x x x x x x x x x x x x x s T Z I P x x x x x x x
n E W n A M E / A D D R E s s
Deceased
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13
C o u n T R Y x x x x x x x x x x x x x x x
F o R C o M P u T E R u s E o n L Y
Current mailing address
Telephone number
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14
(
)
F I L I n g s T A T u s :
x x x x x x x x x x x x x x x x x x x x
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s P o u s E :
x x x x x x x x x x x x x x x s s n - x x - x x x x
City
State
ZIP code
Country
If you filed a return last year, and your
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16
q u A L I F Y I n g n A M E :
x x x x x x x x x x x x x x x x x x
name or address is different, check here
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17
PRINT 2-D bARCODE hERE
•
•
E x E M P T I o n s :
•
Filing
Exemptions
1
Total
Single
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18
6 A s E L F
Status
:
R E g u L A R
D I s A b L E D
x
2
6a
6a
Married filing jointly
Yourself ....
Regular
.........Severely disabled
.........
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19
6 b s P o u s E :
Check
R E g u L A R
D I s A b L E D
x
6b
b
3
Spouse .....
Married filing
Regular
.........Severely disabled
...........
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20
Spouse’s name
only
6 C A L L D E P E n D E n T s :
x x x x x x x x x x x x x x x x
separately
•
one
6c
c
All dependents
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Spouse’s SSN
21
First names __________________________________
⁄
1
Minimum
" white space
box
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6 D D I s A b L E D C h I L D R E n o n L Y :
x x
•
4
Head of household
6d
d
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Disabled
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Person who qualifies you
First names __________________________________
around all four sides of barcode
x x x x x x x x x x x x x x x x x x x x x x x x x x x x x
children only
•
5
6e
Qualifying widow(er) with dependent child
Total
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23
(see instructions)
6 E T o T A L E x E M P T I o n s :
x x
24
•
•
24
•
•
•
•
Check
7a
7b
You
7c
8886/REIT/RIC
7d
Someone else
7e
If there is a kicker refund,
7 A s E L F
:
6 5 o R o L D E R
b L I n D
all that
You were:
65 or older
Blind
filed an
can claim you as
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you want to donate your
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s P o u s E :
6 5 o R o L D E R
b L I n D
apply
➛
extension
Spouse was:
a dependent
kicker to the State School Fund
65 or older
Blind
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8 Wages (enter in box 8a) + unemployment (enter in box 8b) + interest and dividends (enter in box 8c)
Round to the nearest dollar
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➛
•
•
•
•
.00
TOTAL INCOME
8
8a
.00
+
8b
.00
+
8c
.00
=
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•
.00
9 2007 federal tax liability ($0–$5,500; see instructions for the correct amount) .......
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•
.00
10 Standard deduction from the back of this form .........................................................
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•
.00
11 Add lines 9 and 10 .........................................................................................................................................
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•
.00
12 Oregon taxable income. Line 8 minus line 11. If line 11 is more than line 8, enter -0- ..................................
12
Staple
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•
proof of
.00
13 Tax. See instructions, page 11. Enter tax from tax tables or charts here ......................................................
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withholding
•
.00
14
Exemption credit.
Multiply your total exemptions on line 6e by $165 .....................
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(W-2s,
•
.00
15 Child and dependent care credit. See instructions, page 11.....................................
15
1099s),
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•
•
•
•
•
payment,
.00
16b $
16d $
16 Other credits. Identify:
16a
16c
16
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36
and payment
•
.00
17 Total non-refundable credits. Add lines 14 through 16 .................................................................................
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37
voucher
•
.00
18 Net income tax. Line 13 minus line 17. If line 17 is more than line 13, enter -0- ...........................................
18
here
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•
.00
19 Oregon income tax withheld. Attach your Form(s) W-2 and 1099 .........................
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•
.00
20 Earned income credit. See instructions, page 11 ......................................................
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Attach Schedule
•
.00
ADD TOGEThER
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Working family child care credit
from WFC, line 18 ...............................................
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WFC if you claim
•
•
21b $
21a
Number from WFC, line 5
Amount from WFC, line 16
this credit
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•
.00
22 Mobile home park closure credit. Attach Schedule MPC ..........................................
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•
.00
23
23 Total payments and refundable credits. Add lines 19 through 22 .................................................................
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44
➛
•
.00
24
Refund.
If line 23 is more than line 18, you have a refund. Line 23 minus line 18 .................
REFUND
24
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45
➛
•
.00
If line 18 is more than line 23, you have tax to pay. Line 18 minus line 23 ....
TAX TO PAY
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Tax to pay.
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•
•
.00
.00
ChARITAbLE
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Oregon Nongame Wildlife
Child Abuse Prevention
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ChECkOFFS
•
•
.00
.00
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Alzheimer’s Disease Research
Stop Dom. & Sexual Violence
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PAGE 12
•
•
.00
.00
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AIDS/HIV Education & Services
OR Military Financial Assist.
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I want to
These will
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•
•
.00
.00
donate part
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reduce
Habitat for Humanity
OR Head Start Association
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50
of my tax
your refund
•
•
.00
.00
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35
American Diabetes Association
Oregon Coast Aquarium
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51
refund to
•
•
.00
.00
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37
SMART
SOLV
the following
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•
•
•
•
.00
.00
fund(s)
38a
38b
39a
39b
Charity code
Charity code
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•
.00
40 Total. Add lines 26 through 39. Total can’t be more than your refund on line 24..........................................
40
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➛
•
.00
41
NET REFUND.
Line 24 minus line 40. This is your net refund .......................................
NET REFUND
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•
Type of Account:
Checking or
42 For direct deposit of your refund, see the instructions on page 36.
Savings
DIRECT
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•
•
DEPOSIT
Routing No.
Account No.
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Under penalty for false swearing, I declare that the information in this return and attachments is true, correct, and complete.
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•
License No.
Your signature
Date
Signature of preparer other than taxpayer
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X
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X
Address
Telephone No.
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Spouse’s signature (if filing jointly, BOTH must sign)
Date
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X
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150-101-044-2 (Rev. 12-07) DRAFT 09/04/2007
150-101-044 (Rev. 12-07) DRAFT 09/04/2007
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