Clear Form
2014
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.
In the federal column, enter 100 percent of the federal adjustments to your income. In the Oregon column, enter the amount of the
federal adjustments to your income, other additions, and other subtractions that apply to your Oregon source income.
Federal adjustments to income (codes 002–006)
Other deductions and modifications (codes 600–648)
Code
Amount in federal column
Amount in Oregon column
Code
Amount
•
•
•
•
28a
28b
28c
46a
46b
•
•
•
•
28d
28e
28f
46c
46d
•
•
•
•
28g
28h
28i
46e
46f
•
•
•
•
28j
28k
28l
46g
46h
•
•
•
•
28m
28n
28o
46i
46j
Enter totals on lines 28F
$
$
Enter total on line 46
$
28S
Other additions (codes 102–157)
Credit for taxes paid to another state
Code
Amount in federal column
Amount in Oregon column
Code
Amount
•
•
•
•
33a
33b
33c
55a
55b
•
•
•
•
33d
33e
33f
55c
55d
•
•
•
•
33g
33h
33i
55e
55f
•
•
•
•
33j
33k
33l
55g
55h
•
•
•
•
33m
33n
33o
55i
55j
$
$
$
Enter totals on lines 33F
33S
Enter total on line 55
Other subtractions (codes 300–358)
Other credits (codes 703–753)
Code
Amount in federal column
Amount in Oregon column
Code
Amount
•
•
•
•
37a
37b
37c
56a
56b
•
•
•
•
37d
37e
37f
56c
56d
•
•
•
•
37g
37h
37i
56e
56f
•
•
•
•
37j
37k
37l
56g
56h
•
•
•
•
37m
37n
37o
56i
56j
$
$
$
Enter totals on line 37F
37S
Enter total on line 56
—You must include this schedule with your Oregon income tax return—
150-101-064 (Rev. 12-14)