Schedule Or-Asc-N/p - Oregon Adjustments For Form 40n And Form 40p Filers - 2012
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1
2Clear Form
2012
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 600–608)
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 300–350)
Other credits (codes 700–751)
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 $
Oregon 529 College Savings Plan direct deposit
If you would like to deposit all or a portion of your refund into an Oregon 529 College Savings Plan account, follow the instructions on
page 2 of this schedule.
—YOU MUST INCLUDE THIS SCHEDULE WITH YOUR OREGON INCOME TAX RETURN—
150-101-064 (Rev. 12-12)
Page 1 of 2
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