Form Or-Oc-V - Oregon Composite Return Payment Voucher

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Form OR-OC-V
Page 1 of 1, 150-101-150 (Rev. 12-16)
Oregon Department of Revenue
Oregon Composite Return Payment Voucher
Online payments:
You may make payments directly online at Don’t use this form with online payments.
Form OR-OC-V:
See page 4 of Publication OR-OC for additional instructions for this voucher.
Complete Form OR-OC-V below using your computer. Print and mail it with your payment to:
Oregon Department of Revenue
PO Box 14555
Salem OR 97309-0940
Note: If, when typing, you see a solid box instead of letters or numbers, adjust the view size to 100 percent. If the letters or
numbers still are not visible, press the tab key.
Visit to print more vouchers.
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Form OR-OC-V, Oregon Composite Return Payment Voucher
Office use only
•
•
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Tax year:
Payment type (check only one):
Clear form
/
/
Begins:
/
/
Ends:
Original return.
Estimated payment.
–
•
FEIN:
Extension payment.
Amended return.
Contact name
Name of filer on tax return
Filer address
Enter payment amount
$
0 0
.
City
State
ZIP code
Contact phone
)
(
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150-101-150 (Rev. 12-16)

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