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 2023 Form OR-CROP Office use only 5 6 Page 1 of 2, 150-101-240 Oregon Department of Revenue 01582301010000 6 7 (Rev. 08-18-23, ver. 01) 7 8 Crop Donation Tax Credit 8 9 Oregon Revised Statutes (ORS) 315.154 and 315.156 9 10 10 11 11 12 Grower name Social Security number (SSN) Fed. emp. id. no. (FEIN) Phone 12 13 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999-99-9999– – 99-9999999– (999)( ) 999-9999– 13 14 Address City State ZIP code 14 15 15 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX 16 I am an individual, fiduciary, or corporation making a qualified donation to a gleaning cooperative, food bank, or other charitable 16 17 organization of a crop that I have grown. The organization receiving the donation is engaged in the distribution of food without 17 18 charge and the crop is usable as food for human consumption. The donation is available because (check one): 18 19 19 20 X I have supplied my contract quota with the wholesale or retail buyer. 20 21 21 22 X I was party to a contingent supply contract. The buyer reduced my crop quota below what I expected to supply. 22 23 23 24 X I am making a donation of apparently wholesome food intended for human consumption, and I grow this food primarily for sale. 24 25 25 26 Determination of wholesale market price 26 27 The wholesale market price for each crop being donated is determined by either: 27 28 • The amount paid to the grower by the last previous cash buyer; or 28 29 • If there is no previous cash buyer, the market price of the nearest wholesale buyer or the regional u-pick market price. 29 30 30 31 Donation and calculation of credit. To be completed by the grower. 31 32 32 33 A. B. C. D. E. 33 34 Description of crop donated Date donated Quantity of donation Wholesale market price Wholesale value 34 35 35 36 1A. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 36 37 (multiply column C x column D) 37 38 1B.99/99/9999/ / 1C.99,999,999,9991D.99,999,999,999.99. 1E.99,999,999,999.99. 38 39 39 40 40 41 2A. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 41 42 (multiply column C x column D) 42 43 2B.99/99/9999/ / 2C.99,999,999,9992D.99,999,999,999.99. 2E.99,999,999,999.99. 43 44 44 45 45 46 3A. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 46 47 (multiply column C x column D) 47 48 3B.99/99/9999/ / 3C.99,999,999,9993D.99,999,999,999.99. 3E.99,999,999,999.99. 48 49 49 50 50 51 4A. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 51 52 (multiply column C x column D) 52 53 4B.99/99/9999/ / 4C.99,999,999,9994D.99,999,999,999.99. 4E.99,999,999,999.99. 53 54 54 55 55 56 5A. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 56 57 (multiply column C x column D) 57 58 5B.99/99/9999/ / 5C.99,999,999,9995D.99,999,999,999.99. 5E.99,999,999,999.99. 58 59 59 60 60 61 6A. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 61 62 (multiply column C x column D) 62 63 6B.99/99/9999/ / 6C.99,999,999,9996D.99,999,999,999.99. 6E.99,999,999,999.99. 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 | 67 67 1 2 68 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 68 84 85 3 4 82 83 69 69 70 70 71 2023 Form OR-CROP 71 72 Page 2 of 2, 150-101-240 Oregon Department of Revenue 01582301020000 72 73 (Rev. 08-18-23, ver. 01) 73 74 74 75 7. Total wholesale value (add column E, lines 1–6) ..............................................................................7. 99,999,999,999.99. 75 76 76 77 8. Credit percentage ............................................................................................................................ 8. × 0.15 77 78 78 79 9. Credit amount. Multiply line 7 by line 8 and round to the nearest dollar. 79 80 Use code 843 and claim on Schedule OR-ASC, OR-ASC-NP, OR-ASC-FID, or OR-ASC-CORP. 80 81 Form OR-40-N and Form OR-40-P filers, multiply your credit by your Oregon percentage ......... 9. 99,999,999,999.00.00 81 82 82 83 83 84 Grower signature Date 84 85 X 99/99/9999/ / 85 86 86 87 Donation verification. To be completed by organization receiving the donation. 87 88 Name of organization receiving donation Phone 88 89 89 90 Address City State ZIP code 90 91 91 92 92 93 I verify the crop was, or will be, distributed in Oregon (a) without charge; and (b) to children or homeless, unemployed, elderly, or low- 93 94 income individuals; and (c) by a qualified charitable organization as defined by Internal Revenue Code Section 501(c)(3). 94 95 95 96 Signature of official receiving donation 96 97 X 97 98 Name of official receiving donation Date 98 99 99 100 100 101 Don’t include this form with your Oregon return. Keep it with your tax records. 101 102 102 103 103 104 104 105 105 106 106 107 107 108 108 109 109 110 110 111 111 112 112 113 113 114 114 115 115 116 116 117 117 118 118 119 119 120 120 121 121 122 122 123 123 124 124 125 125 126 126 127 127 128 128 129 129 130 130 1 2 131 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 81 131 84 85 3 4 82 83 132 132 |