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Oregon Department of Revenue
5 Form OR-18-WC-V 5
6 Nonresident Real Property Conveyance Payment Voucher 6
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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 Tax year begins (MM/DD/YYYY) Tax year ends (MM/DD/YYYY) 9
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11 99/99/9999/ / 99/99/9999/ / 11
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13 Transferor first name Initial 13
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XXXXXXXXXXXXXXXX X
16 Transferor last name 16
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
19 Social Security number (SSN) 19
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999-99-9999
22 Transferor C corporation legal name 22
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
25 Federal employer identification number (FEIN) 25
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99-9999999
28 Authorized agent address 28
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
31 City State ZIP code 31
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33 XXXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX - 33
34 Authorized agent phone 34
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999-999-9999
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47 Want to make your payment online? Find options at www.oregon.gov/dor. 47
48 Use this voucher only if you are sending a payment separate from a return. For 48
49 more information, see Form OR-18-WC-V Instructions. Make your check, money 49
50 order, or cashier’s check payable to the Oregon Department of Revenue. Write 50
51 “Form OR-18-WC-V,” your daytime phone, the transferor’s FEIN or the last four 51
52 digits of their SSN or ITIN, and the tax year on the payment. Don’t mail cash. Mail 52
the payment and voucher to:
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54 Oregon Department of Revenue 54
PO Box 14950
55 Salem OR 97309-0950 55
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57 Enter payment amount 57
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59 150-101-186 59
(Rev. 04-27-23, ver. 03)
60 9999 99 $ , 99,999,999.00, 0 0 60
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63 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 63
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