1 1
1 2 2 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 Form All layers With grid &2 data 84 85
3 4 82 83
3 3
4 4
5 Oregon Department of Revenue 5
2023 Schedule OR-AF
6 Schedule of Affiliates for Corporations 6
7 7
8 Page 1 of 1 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples. 8
9 Corporation legal name (as shown on your Oregon return) 9
10 10
11 11
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
12 Federal employer identification number (FEIN) 12
13 13
14 14
99-9999999
15 15
16 1a. FEIN 16
17 17
18 18
99-9999999
19 1b. Business name 19
20 20
21 21
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
22 1c. Address 22
23 23
24 24
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
25 1d. City 1e. State 1f. ZIP code 25
26 26
27 XXXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX - 27
28 1g. If new affiliate during this year, enter date affiliate 1h. If affiliate ceased to be part of the unitary group during this 28
29 became part of the unitary group. Date (MM/DD/YYYY) year, indicate date affiliate left group. Date (MM/DD/YYYY) 29
30 30
31 99/99/9999/ / 99/99/9999/ / 31
32 32
33 2a. FEIN 33
34 34
35 35
99-9999999
36 2b. Business name 36
37 37
38 38
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
39 2c. Address 39
40 40
41 41
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
42 2d. City 2e. State 2f. ZIP code 42
43 43
44 XXXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX - 44
45 2g. If new affiliate during this year, enter date affiliate 2h. If affiliate ceased to be part of the unitary group during this 45
46 became part of the unitary group. Date (MM/DD/YYYY) year, indicate date affiliate left group. Date (MM/DD/YYYY) 46
47 47
48 99/99/9999/ / 99/99/9999/ / 48
49 49
50 Include additional schedules if needed. You must include this schedule with your Oregon corporation or insurance tax return. 50
51 51
52 Page number 52
53 53
54 999 of 999 54
55 55
56 56
57 57
58 58
59 59
60 60
61 61
62 62
150-102-034
63 (Rev. 07-18-23, ver. 01) 18352301010000 63
64 64
1 2 65 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 65 84 85
3 4 82 83
66 66