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 With grid With grid & data2 84 85 3 4 82 83 3 3 4 4 5 Form OR‑OC‑TR Office use only 5 6 Page 1 of 2, 150-101-158 Oregon Department of Revenue 18530001010000 6 7 (Rev. 07-30-24, ver. 01) Draft-3 7 8 Oregon Composite Return Payment Transfer Request 8 9 9 10 10 For Owners Not Joining Form OR‑OC 11 Submit original form—do not submit photocopy. 11 12 12 13 Tax year 13 9999 14 14 15 Pass-through entity (PTE) name Federal employer identification number (FEIN) Contact phone 15 16 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– (999)( ) 999-9999– 16 17 PTE address City State ZIP code 17 18 18 19 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXPreparer name (see instructions) XXXXXXXXXXXXXXXXXXXXXPreparer phone XX XXXXX-XXXX 19 20 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX (999)( ) 999-9999– 20 21 21 22 22 23 Estimated payments Amount of payment Check date 23 24 (MM/DD/YYYY) 24 25 25 26 Payment 1 99,999,999,999.00.00 99/99/9999/ / 26 27 27 28 28 29 Payment 2 99,999,999,999.00.00 99/99/9999/ / 29 30 30 31 31 32 Payment 3 99,999,999,999.00.00 99/99/9999/ / 32 33 33 34 34 35 Payment 4 99,999,999,999.00.00 99/99/9999/ / 35 36 36 37 Important—Complete page 2 of Form OR‑OC‑TR before signing and mailing form. 37 38 Mail this form prior to filing the Form OR‑OC. Don’t include this form with Form OR‑OC. 38 39 39 40 40 41 Sign below and keep a copy of this form with your tax records. 41 42 Under penalties for false swearing, I certify that I am authorized to request transfer of estimated tax payments from the above- 42 43 named pass-through entity’s tax account to the tax accounts listed on page 2. 43 44 44 45 Signature of general partner, LLC member, or officer Date 45 46 X 99/99/9999/ / 46 47 Print name of general partner, LLC member, or officer Title 47 48 48 49 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXSignature of paid preparer XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXDate 49 50 X 99/99/9999/ / 50 51 Preparer address 51 52 52 53 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXCity State ZIP code 53 54 Mail Form OR-OC-TR to: Oregon Department of Revenue XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX 54 55 PO Box 14999 Preparer license number Paid preparer phone 55 56 Salem OR 97309‑0990 (999)( ) 999-9999– 56 XXXXXXXXXX 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 |
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 2 84 85 3 4 82 83 3 3 4 4 5 Form OR‑OC‑TR 5 6 Page 2 of 2, 150-101-158 Oregon Department of Revenue 18530001020000 6 7 (Rev. 07-30-24, ver. 01) Draft-3 7 8 8 9 Payment amount to remain on PTE account. 9 10 Payment 1 Payment 2 Payment 3 Payment 4 10 11 11 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 12 12 13 Total for PTE 13 14 14 99,999,999,999.00.00 15 15 16 1. Owner first name Initial Last name SSN Owner type 16 17 XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999– – XXXXXXXXXXXXXX 17 18 Entity name FEIN 18 19 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 19 20 Address City State ZIP code 20 21 21 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX 22 (a) Payment 1 (b) Payment 2 (c) Payment 3 (d) Payment 4 22 23 23 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 24 24 25 Total for owner 25 26 26 99,999,999,999.00.00 27 27 28 28 29 2. Owner first name Initial Last name SSN Owner type 29 30 XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999– – XXXXXXXXXXXXXX 30 31 Entity name FEIN 31 32 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 32 33 Address City State ZIP code 33 34 34 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX 35 (a) Payment 1 (b) Payment 2 (c) Payment 3 (d) Payment 4 35 36 36 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 37 37 38 Total for owner 38 39 39 99,999,999,999.00.00 40 40 41 41 42 3. Owner first name Initial Last name SSN Owner type 42 43 XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999– – XXXXXXXXXXXXXX 43 44 Entity name FEIN 44 45 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 45 46 Address City State ZIP code 46 47 47 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX 48 (a) Payment 1 (b) Payment 2 (c) Payment 3 (d) Payment 4 48 49 49 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 50 50 51 Total for owner 51 52 52 99,999,999,999.00.00 53 53 54 54 55 Total payments to remain on account and to transfer to owners (must match estimated payments 1–4 on page 1 of Form OR-OC-TR). 55 56 56 57 4. (a) Total of payment 1 (b) Total of payment 2 (c) Total of payment 3 (d) Total of payment 4 57 58 58 99,999,999,999.00.0099,999,999,999.00.00 99,999,999,999.00.0099,999,999,999.00.00 59 59 60 60 61 61 62 62 63 Page _________999of _________999 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 |