PDF document
- 1 -
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 With grid With grid & data2   84 85
3 4                                                                                                                                                              82 83
3                                                                                                                                                                3
4                                                                                                                                                                4
5           2022 Schedule OR-ASC-FID                                                                                          Office use only                    5
6           Page 1 of 1, 150-101-067                  Oregon Department of Revenue       18062201010000                                                          6
7           (Rev. 08-01-22, ver. 01)                                                                                                                             7
8           Oregon Adjustments for Form OR-41 Filers                                                                                                             8
9                                                                                                                                                                9
10                                                                                                                                                               10
11                                                    Submit original form—do not submit photocopy.                                                              11
12          • Trust or estate name as shown on return                                          •       Federal employer identification number (FEIN)             12
13                                                                                                                                                               13
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                99-9999999-
14                                                                                                                                                               14
15          Use this form to claim additions, subtractions, or credits that aren’t specifically included on your Oregon fiduciary income tax return.             15
16          See instructions for more information.                                                                                                               16
17                                                                                                                                                               17
18                Section 1: Other additions                                             Section 2: Other subtractions                                           18
19                      Code                          Amount                                   Code                           Amount                             19
20                • 1a. 999                • 1b.      99,999,999,999.00.00               • 2a. 999          • 2b.   99,999,999,999.00.00                         20
21                • 1c. 999                • 1d.      99,999,999,999.00.00               • 2c. 999          • 2d.   99,999,999,999.00.00                         21
22                • 1e. 999                • 1f.      99,999,999,999.00.00               • 2e. 999          • 2f.   99,999,999,999.00.00                         22
23                • 1g. 999                • 1h.      99,999,999,999.00.00               • 2g. 999          • 2h.   99,999,999,999.00.00                         23
24                Enter total on Form OR-41,          99,999,999,999.00.00               Enter total on Form OR-41, 99,999,999,999.00.00                         24
25                      Schedule 2, line 17                                                    Schedule 2, line 11                                               25
26                                                                                                                                                               26
27                                                                                                                                                               27
28                Section 3: Standard credits                                                                                                                    28
                                                                                     State abbreviation
29                      Code                          Amount                         (if claiming code 802)                                                      2930                3a.   999                • 3b.      99,999,999,999.00.00         • 3c. XX                                                                      3031                3d.   999                • 3e.      99,999,999,999.00.00         • 3f. XX                                                                      3132                3g.   999                • 3h.      99,999,999,999.00.00         • 3i. XX                                                                      3233                3j.   999                • 3k.      99,999,999,999.00.00         • 3l. XX                                                                      33
34            Enter total on Form OR-41, line 11      99,999,999,999.00.00                                                                                       34
35                                                                                                                                                               35
36                                                                                                                                                               36
37          Section 4: Carryforward credits                                                                                                                      37
38                Code                       Amount from prior year                Amount awarded this year              Total used this year                    38
39          • 4a. 999   • 4b.          99,999,999,999.00.00         • 4c. 99,999,999,999.00.00              • 4d.       99,999,999,999.00.00                     39
40          • 4e. 999   • 4f.          99,999,999,999.00.00         • 4g. 99,999,999,999.00.00              • 4h.       99,999,999,999.00.00                     40
41          • 4i. 999   • 4j.          99,999,999,999.00.00         • 4k. 99,999,999,999.00.00              • 4l.       99,999,999,999.00.00                     41
42          • 4m. 999   • 4n.          99,999,999,999.00.00         • 4o. 99,999,999,999.00.00              • 4p.       99,999,999,999.00.00                     42
43                                                                                   Enter total on Form OR-41, line 13 99,999,999,999.00.00                     43
44                                                                                                                                                               44
45          Section 5: Refundable credits                                                                                                                        45
46                Code                                Amount                                                                                                     46
47          • 5a. 999                • 5b.   99,999,999,999.00.00                                                                                                47
48          • 5c. 999                • 5d.   99,999,999,999.00.00                                                                                                48
49          • 5e. 999                • 5f.   99,999,999,999.00.00                                                                                                49
50          • 5g. 999                • 5h.   99,999,999,999.00.00                                                                                                50
51            Enter total on Form OR-41,     99,999,999,999.00.00                                                                                                51
52                                   line 19                                                                                                                     52
53                                                                                                                                                               53
54                                                    Include this schedule with your Oregon Form OR-41.                                                         54
55                                                                                                                                                               55
56                                                                                                                                                               56
57                                                                                                                                                               57
58                                                                                                                                                               58
59                                                                                                                                                               59
60                                                                                                                                                               60
61                                                                                                                                                               61
62                                                                                                                                                               62
63                                                                                                                                                               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






PDF file checksum: 1235959674

(Plugin #1/9.12/13.0)