PDF document
- 1 -

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           2024 Schedule OR‑OC‑1                                                                                                           Office use only               5
6           Page 1 of 1, 150-101-152               Oregon Department of Revenue                  18542401010000                                                           6
7           (Rev. 07-30-24, ver. 01)                                                                                                                                      7
8           Oregon Composite Return Tax Calculation for Individual and Fiduciary Owners                                                                                   8
9                                                                                                                                                                         9
10                                                                                                                                                                        10
11                                                               Submit original form—do not submit photocopy.                                                            11
12          Pass-through entity (PTE) name                                                                     Federal employer identification number (FEIN)              12
13          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                99-9999999                                               13
14          Electing nonresident owner information (see instructions)                                                                                                     14
15          1. Owner type                      Nonresident first name          Initial Last name                                       Social Security number (SSN)       15
16          XXXXXXXXXXXXXXX                    XXXXXXXXXXXX               X            XXXXXXXXXXXXXXXXXXXX                            999-99-9999                    16
17          Filing status Fiduciary name                                                                       FEIN                                                       17
18          X        XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                       99-9999999                                               18
19          Ownership percentage           Share of federal income                     Share of Oregon-source distributive income (a) Oregon income tax                   19
20             999.9999.             %     99,999,999,999.00.00                        99,999,999,999.00.00                       99,999,999,999.00.00                    20
21                                                                                                                                                                        21
22          (b)  PTE‑E tax credit                  (c)  Reserved                       (d) Share of estimated tax paid            (e) Interest on underpayment of tax     22
23                                                                                                                                                                        23
            99,999,999,999.00.00                                               .00     99,999,999,999.00.00                       99,999,999,999.00.00
24                                                                                                                                                                        24
25          2. Owner type                      Nonresident first name          Initial Last name                                       SSN                                25
26          XXXXXXXXXXXXXXX                    XXXXXXXXXXXX               X            XXXXXXXXXXXXXXXXXXXX                            999-99-9999                    26
27          Filing status Fiduciary name                                                                       FEIN                                                       27
28          X        XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                       99-9999999                                               28
29          Ownership percentage           Share of federal income                     Share of Oregon-source distributive income (a) Oregon income tax                   29
30             999.9999.             %     99,999,999,999.00.00                        99,999,999,999.00.00                       99,999,999,999.00.00                    30
31                                                                                                                                                                        31
32          (b)  PTE‑E tax credit                  (c)  Reserved                       (d) Share of estimated tax paid            (e) Interest on underpayment of tax     32
33                                                                                                                                                                        33
            99,999,999,999.00.00                                               .00     99,999,999,999.00.00                       99,999,999,999.00.00
34                                                                                                                                                                        34
35          3. Owner type                      Nonresident first name          Initial Last name                                       SSN                                35
36          XXXXXXXXXXXXXXX                    XXXXXXXXXXXX               X            XXXXXXXXXXXXXXXXXXXX                            999-99-9999                    36
37          Filing status Fiduciary name                                                                       FEIN                                                       37
38          X        XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                       99-9999999                                               38
39          Ownership percentage           Share of federal income                     Share of Oregon-source distributive income (a) Oregon income tax                   39
40             999.9999.             %     99,999,999,999.00.00                        99,999,999,999.00.00                       99,999,999,999.00.00                    40
41                                                                                                                                                                        41
42          (b)  PTE‑E tax credit                  (c)  Reserved                       (d) Share of estimated tax paid            (e) Interest on underpayment of tax     42
43                                                                                                                                                                        43
            99,999,999,999.00.00                                               .00     99,999,999,999.00.00                       99,999,999,999.00.00
44                                                                                                                                                                        44
45          4. Owner type                      Nonresident first name          Initial Last name                                       SSN                                45
46          XXXXXXXXXXXXXXX                    XXXXXXXXXXXX               X            XXXXXXXXXXXXXXXXXXXX                            999-99-9999                    46
47          Filing status Fiduciary name                                                                       FEIN                                                       47
48          X        XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                       99-9999999                                               48
49          Ownership percentage           Share of federal income                     Share of Oregon-source distributive income (a) Oregon income tax                   49
50             999.9999.             %     99,999,999,999.00.00                        99,999,999,999.00.00                       99,999,999,999.00.00                    50
51                                                                                                                                                                        51
52          (b)  PTE‑E tax credit                  (c)  Reserved                       (d) Share of estimated tax paid            (e) Interest on underpayment of tax     52
53                                                                                                                                                                        53
            99,999,999,999.00.00                                               .00     99,999,999,999.00.00                       99,999,999,999.00.00
54                                                                                                                                                                        54
55          5. Total for each field: (a), (b), (c), (d), and (e)                                                                                                          55
56          Total for field (a)                    Total for field (b)                 Total for field (c)                        Total for field (d)                     56
57                                                                                                                                                                        57
            99,999,999,999.00.00                   99,999,999,999.00.00                                        .00                99,999,999,999.00.00
58                                                                                                                                                                        58
59          Total for field (e)                                                                                                                                           59
60                                                                                                                                                                        60
            99,999,999,999.00.00
61          Include this schedule with your Form OR‑OC.                                                                                                                   61
62          Use additional copies of this page for additional nonresident owners electing to join the composite filing.                                                   62
63          If using more than one page, total all pages on line 5 of the first page.                                                       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






PDF file checksum: 2050598171

(Plugin #1/10.13/13.0)