Form Or-706 - Oregon Estate Transfer Tax Return - 2016
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2016 Form OR-706
Office use only
17511601010000
Page 1 of 3, 150-104-001 (Rev. 07-16)
Oregon Department of Revenue
Oregon Estate Transfer Tax Return
Submit original form—do not submit photocopy.
Part 1
(Print or type)
Amended
•
Decedent’s first name and initial
Decedent’s last name
Decedent’s Social Security number (SSN)
–
–
Return
•
•
•
, Estate
Decedent’s domicile (legal residence)
City
County
State
Country
•
•
•
•
Date of birth
Date of death
Year domicile established
An extension of time
A separate election
•
•
/
/
•
/
/
•
•
to file is included.
is claimed.
Is the estate being probated in Oregon?
An extension of time
•
•
If Yes— Oregon county:
to pay is included.
•
Oregon probate number:
Executor’s name
Executor’s SSN or FEIN
Executor’s phone
•
•
(
)
–
•
Executor’s mailing address
City
State
ZIP code
•
•
•
•
Executor’s title
•
Include a copy of all required schedules and supporting documents.
Part 2—Tax computation
Round all amounts to the nearest whole dollar.
.00
•
1. Total gross estate (from page 3, part 5, line 512) ..............................................................................................
1.
.00
•
2. Total allowable deductions (from page 3, part 5, line 522) ................................................................................
2.
.00
•
3. Taxable estate (line 1 minus line 2) ....................................................................................................................
3.
.00
•
4. Oregon estate tax (see page 3, part 6) ..............................................................................................................
4.
.00
•
5. Gross value of property located in Oregon (see instructions) ....................
5.
.0000
•
6.
6.
Oregon percentage (line 5 divided by line 1, round to four decimal places, no more than 100%) ....
.00
•
7.
7. Tax payable to Oregon (line 4 multiplied by line 6) ...........................................................................................
.00
•
8. Natural Resource Credit (from Schedule OR-NRC, line 12) ..............................................................................
8.
.00
•
9. Net estate tax (line 7 minus line 8) .....................................................................................................................
9.
.00
•
10. Amount paid by original due date of return (see instructions) ...........................................................................
10.
.00
•
11. Tax due (line 9 minus line 10) .............................................................................................................................
11.
.00
•
12. Overpayment (line 10 minus line 9) ....................................................................................................................
12.
.00
•
13. Penalty for late filing or late payment (see instructions) ....................................................................................
13.
.00
•
14. Interest on late payment (see instructions) ........................................................................................................
14.
.00
•
15. Total due (add lines 11, 13, and 14) ..................................................................................................................
15.
.00
•
16. Refund (line 12 minus lines 13 and 14) .............................................................................................................
16.
Signatures and authorization: Under penalties of false swearing, I declare that I have examined this return, including accompanying schedules and statements. To the best of my
knowledge and belief it is true, correct, and complete. If prepared by a person other than the executor, this declaration is based on all information of which the preparer has any knowledge.
Executor signature
Date
/
/
X
Title
Executor’s phone
Executor’s SSN or FEIN
(
)
–
Executor signature
Date
/
/
X
Title
Executor’s phone
Executor’s SSN or FEIN
(
)
–
•
Check the box to authorize the following individual(s) to receive and provide confidential tax information relating to this return.
Preparer’s name (print)
Title
License number
•
Preparer’s mailing address
City
State
ZIP code
Signature of preparer
Phone
Date
(
)
–
/
/
X
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