Schedule Or-Asc-N/p - Oregon Adjustments For Form 40n And Form 40p Filers - 2013

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2013
Schedule
Oregon Adjustments for
OR-ASC-N/P
Form 40N and Form 40P Filers
Last name
First name and initial
Social Security number (SSN)
Spouse’s/RDP’s last name
Spouse’s/RDP’s first name and initial
Spouse’s/RDP’s SSN
Instructions: Use this form to claim more than one of the following on your return:
• Federal adjustments to income.
• Other additions.
• Other subtractions.
• Other deductions and modifications.
• Credit for income taxes paid to another state.
• Other credits.
Identify the code and amount for each item you are claiming. If you are not claiming more than one of each item, do not use this form;
instead identify the item on your return. If you have more items than will fit on a single schedule, provide the codes and amounts on
additional schedules and add the total to your tax return. Include this schedule with your Form 40N or Form 40P.
Remember: Check the “Schedule Included” box on your Form 40N or 40P for federal adjustments to income, other additions, other
subtractions, other deductions and modifications, credit for income taxes paid to another state, or other credits you claim below.
Federal adjustments to income (codes 002–006)
Other deductions and modifications (codes 600–609)
Code
Amount in federal column
Code
Amount
28a
28b
46a
46b
28c
28d
46c
46d
28e
28f
46e
46f
28g
28h
46g
46h
28i
28j
46i
46j
Enter total on Form 40N/P, line 28F $
Enter total on Form 40N/P, line 46 $
Other additions (codes 100–131)
Credit for income taxes paid to another state
Code
Amount in federal column
State abbreviation
Amount
33a
33b
55a
55b
33c
33d
55c
55d
33e
33f
55e
55f
33g
33h
55g
55h
33i
33j
55i
55j
Enter total on Form 40N/P, line 33F $
Enter total on Form 40N/P, line 55 $
Other subtractions (codes 300–352)
Other credits (codes 700–753)
Code
Amount in federal column
Code
Amount
37a
37b
56a
56b
37c
37d
56c
56d
37e
37f
56e
56f
37g
37h
56g
56h
37i
37j
56i
56j
Enter total on Form 40N/P, line 37F $
Enter total on Form 40N/P, line 56 $
—YOU MUST INCLUDE THIS SCHEDULE WITH YOUR OREGON INCOME TAX RETURN—
150-101-064 (Rev. 12-13)
Page 1 of 2

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