Form 150-101-240 - Crop Donation Tax Credit - Oregon Department Of Revenue

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Clear Form

Tax Year

CROP DONATION TAX CREDIT

ORS 315.154 and 315.156

Fiscal Year Ending

Name of Grower

Social Security No. or Federal ID No.

Tele phone No.

(

)

City

Address

State

ZIP Code

I am an individual or corporation making a qualified donation to a gleaning cooperative, food bank, or other charitable organization of

a crop that I have grown. The organization receiving the donation is engaged in the distribution of food without charge and the crop is

usable as food for human consumption. The donation is available because (check one):

I have supplied my contract quota with the wholesale or retail buyer.

I was party to a contingent supply contract. The buyer reduced my crop quota below what I expected to supply.

I have determined that I am making a donation of apparently wholesome food intended for human consumption.

DONATION AND CALCULATION OF CREDIT. To be completed by the grower.

Description of

Date

Quantity

Wholesale

Wholesale Value

Crops Donated

Donated

of Donation

Market Price

(Multiply Column C x Column D)

7. Total wholesale value (column E, lines 1–6) ............................................................................................. 7

× 0.10

8. Credit percentage .................................................................................................................................... 8

9. Credit amount. Multiply line 7 by line 8. Enter result here and on Form 40, 40N, or 40P; Other

Credits (identify as code 708 and enter your credit amount); or enter on Form 20, Other Credits .......... 9

*Determination of Wholesale Market Price

The wholesale market price for each crop being donated is determined by either:

• The amount paid to the grower by the last previous cash buyer, or

• If there is no previous cash buyer, the market price of the nearest wholesale buyer or the regional u-pick market price.

Signature of Grower

Date

VERIFICATION OF DONATION. To be completed by organization receiving the donation.

Name of Organization Receiving Donation

Telephone No.

(