Oregon Additional Estate Transfer Tax
Form
OR706-A-V
Payment Voucher and Instructions
Online payments:
You may make payments directly online at Don’t use this form with online payments.
Use this voucher to send a payment for Form OR706-A, Oregon Additional Estate Transfer Tax Return, 150-104-007:
• Tax due when you file your original return. Check the “Original OR706-A” box. Include the voucher with your check
in the same envelope as your return.
• Tax due by the original return due date. If you’re applying for an extension of time to file your return, check the
“Extension payment” box. Include the voucher with your check.
• Prepayment of tax if you are making a payment before the original due date of your return. Check the “Prepayment”
box. Include the voucher with your check.
• Tax due with an amended return. Check the “Amended OR706-A” box. Include the voucher with your check in the
same envelope as your amended return.
Helpful tips:
• Name: Don’t complete both lines.
— Individuals, complete line 1 [first name and initial, last name, and Social Security number (SSN)].
— Non-individuals (for example, a trust), complete line 2 [name of filer on tax return and federal employer identification
number (FEIN)].
• Use blue or black ink. Don’t use gel pens or red ink.
Make your check payable to: Oregon Department of Revenue. To ensure proper credit to your account, write the
following on your check: your name, SSN or FEIN, year of property disposition, and “Form OR706-A.”
Send all payments to: Oregon Department of Revenue
PO Box 14110
Salem OR 97309-0910
Note: Don’t use this voucher as an extension to file. Use IRS Form 4768, Application for Extension of Time to File a
Return and/or Pay U.S. Estate (and Generation-Skipping Transfer) Taxes, and mail to us by the original due date of your
Form OR706-A. Include a copy of the extension with your return.
Visit to print more vouchers.
150-104-173 (Rev. 07-15)
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Oregon Additional Estate Transfer Tax Payment Voucher
Form
Department of Revenue use only
OR706-A-V
•
•
•
Date of
Payment type (check only one):
Clear form
taxable event:
Original OR706-A.
Extension payment.
Prepayment.
Amended OR706-A.
First name and initial
Last name
SSN
Name of filer on tax return
FEIN
Current mailing address
Enter payment amount
$
0 0
.
City
State
ZIP code
Contact phone
150-104-173 (Rev. 07-15)