Enlarge image | 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 2024 Form OR-10 6 Underpayment of Oregon Estimated Tax 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 9 10 10 Instructions: Use this form to report the interest on underpaid estimated tax or to claim an exception to paying estimated tax. Figure 11 your required installment payments and total underpayment interest using the worksheets inside Form OR-10 Instructions. 11 12 If you’re claiming an exception or owe underpayment interest, include this form when you file your Oregon return. 12 13 13 14 Last name 14 15 15 16 16 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 17 17 18 Social Security number (SSN) 18 19 19 20 20 999-99-9999 21 21 22 22 Exception 23 23 24 1. If you qualify for an exception to the imposition of underpayment 24 25 interest, enter the exception number here and on Form OR-40, 25 26 box 44a; Form OR-40-N, box 69a; or Form OR-40-P, box 68a ...............1. 9 26 27 27 28 28 Required annual payment 29 29 30 2. Enter the amount from line 10 of the Required annual payment 30 31 worksheet inside Form OR-10 Instructions. ............................................2. , , 99,999,999,999.00, 0 0 31 32 32 33 Required installment payments 33 34 34 35 3. Enter the amounts for each installment period from lines 2, 7, 12, and 18 35 36 of the Underpayment interest worksheet inside Form OR-10 Instructions. 36 37 37 38 3A. Installment payment 1: due April 15, 2024.....................................3A. , , 99,999,999,999.00, 0 0 38 39 39 40 40 41 3B. Installment payment 2: due June 17, 2024 .................................... 3B. , , 99,999,999,999.00, 0 0 41 42 42 43 43 44 3C. Installment payment 3: due September 16, 2024 .......................... 3C. , , 99,999,999,999.00, 0 0 44 45 45 46 46 47 3D. Installment payment 4: due January 15, 2025 ............................... 3D. , , 99,999,999,999.00, 0 0 47 48 48 49 49 50 Total underpayment interest for tax year 2024 50 51 51 52 4. Enter the amount from line 22 of the Underpayment interest worksheet 52 53 inside Form OR-10 Instructions here and on Form OR-40, line 44; Form 53 54 OR-40-N, line 69; or Form OR-40-P, line 68 ...................................Total 4. , , 99,999,999,999.00, 0 0 54 55 55 56 56 57 57 58 58 59 —You must include this form with your Oregon income tax return— 59 60 60 61 61 62 62 150-101-031 63 (Rev. 08-09-24, ver. 01) 00402401010000 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 |