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                                                            OREGON                                                                Form
   Amended Return


                                                                                                                        40S
                                                                                                                                                                             For office use only



      2007                               Individual Income Tax Return
                                                                                                                                                                A        K         F        P
                                                FULL-YEAR RESIDENTS ONLY                                                    ShORT FORM
                                                                                                                                                                                       Date of birth (mm/dd/yyyy)
 Last name                                                    First name and initial                                          Social Security No. (SSN)
                                                                                                                             –          –
                                                                                                          Deceased
                                                                                                                                                                                       Date of birth (mm/dd/yyyy)
 Spouse’s last name if joint return                           Spouse’s first name and initial if joint return      Spouse’s SSN if joint return
                                                                                                                                            –             –
                                                                                                                 Deceased
 Current mailing address                                                                                                                              Telephone number
                                                                                                                                                      (                 )
 City                                                               State         ZIP code                          Country                           If you filed a return last year, and your
                                                                                                                                                      name or address is different, check here
                                                                                                                                                     •                                      •
• Filing                                                                                                          Exemptions
          1                                                                                                                                                                                                      Total
                    Single
   Status 2                                                                                                        6a Yourself ....Regular
                    Married filing jointly                                                                                                                    .........Severely disabled          .........6a
   Check
                                                                                                                   6b Spouse .....Regular
             3      Married filing                                                                                                                            .........Severely disabled          ...........b
                                             Spouse’s name
   only
                    separately
                                                                                                                                                                                                      •c
   one                                                                                                               6c All dependents
                                             Spouse’s SSN                                                                                       First names __________________________________
   box
                                                                                                                                                                                                      •d
             4                                                                                                       6d Disabled
                    Head of household        Person who qualifies you                                                                           First names __________________________________
                                                                                                                         children only                                                          Total • 6e
             5      Qualifying widow(er) with dependent child
                                                                                                                         (see instructions)
                               •       •        7b • You        7c • You have              7d • Someone else 7e •
           7a
  Check                                                                                                                     If there is a kicker refund,
  all that You were:       65 or older    Blind     filed an                                   can claim you as          you want to donate your
                                                                      federal Form 8886,
  apply ➛ Spouse was:                               extension                                  a dependent               kicker to the State School Fund
                           65 or older    Blind                       REIT, or RIC
                   8 Wages (enter in box 8a) + unemployment (enter in box 8b) + interest and dividends (enter in box 8c)      Round to the nearest dollar
                                                                                                                                                                             ➛•8
                     •8a                       .00 + • 8b                 .00 + • 8c                                                                                                                               .00
                                                                                                       .00 = TOTAL INCOME
                   9 2007 federal tax liability ($0–$5,500; see instructions for the correct amount) ....... • 9                                                                 .00
                  10 Standard deduction from the back of this form ......................................................... • 10                                                .00
                  11 Add lines 9 and 10 ......................................................................................................................................... • 11                              .00
                  12 Oregon taxable income. Line 8 minus line 11. If line 11 is more than line 8, enter -0- .................................. • 12                                                                 .00
Staple
                  13 Tax. See instructions, page 12. Enter tax from tax tables or charts here ...................................................... • 13                                                           .00
proof of
withholding
                  14 Exemption credit. Multiply your total exemptions on line 6e by $165 ..................... • 14                                                              .00
(W-2s,
                  15 Child and dependent care credit. See instructions, page 12..................................... • 15                                     .00
1099s),
                                                                                                                         • 16
                  16 Other credits. Identify: •16a •16b $                 •16c          •16d $                                                                .00
payment,
and payment
                  17 Total non-refundable credits. Add lines 14 through 16 ................................................................................. • 17                                                   .00
voucher
                  18 Net income tax. Line 13 minus line 17. If line 17 is more than line 13, enter -0- ........................................... • 18                                                             .00
here
                 19 Oregon income tax withheld. Attach your Form(s) W-2 and 1099 ......................... • 19                                       .00
                 20 Earned income credit. See instructions, page 12 ...................................................... • 20                       .00
Attach Schedule 21 Working family child care credit from WFC, line 18 ............................................... 21
                                                                                                                           •                          .00                                   ADD TOGEThER
WFC if you claim
                    Number from WFC, line 5 • 21a          Amount from WFC, line 16 • 21b $
   this credit
                 22 Mobile home park closure credit. Attach Schedule MPC .......................................... • 22                              .00
                 23 Total payments and refundable credits. Add lines 19 through 22 ................................................................. • 23                                                           .00
                                                                                                                                                                            ➛
                                                                                                                                                     • 24                                                           .00
                 24 Refund. If line 23 is more than line 18, you have a refund. Line 23 minus line 18 ................. REFUND
                                                                                                                                                                            ➛
                                                                                                                                                     • 25                                                           .00
                 25 Tax to pay. If line 18 is more than line 23, you have tax to pay. Line 18 minus line 23 .... TAX TO PAY
                                                    • 26                                                                              • 27
                                                                                              .00                                                                                .00
 ChARITAbLE                  Oregon Nongame Wildlife                                                          Child Abuse Prevention
 ChECkOFFS
                                                    • 28                                                                              • 29
                                                                                              .00                                                                                .00
                       Alzheimer’s Disease Research                                                    Stop Dom. & Sexual Violence
    PAGE 13
                      AIDS/HIV Education & Services • 30                                                OR Military Financial Assist. • 31
                                                                                              .00                                                                                .00              These will
 I want to
                               Habitat for Humanity • 32                                                 OR Head Start Association • 33
                                                                                              .00                                                                                .00
 donate part                                                                                                                                                                                       reduce
 of my tax                                                                                                                                                                                       your refund
                     American Diabetes Association • 34                                                    Oregon Coast Aquarium • 35
                                                                                              .00                                                                                .00
 refund to
                                            SMART • 36                                                                         SOLV • 37
                                                                                              .00                                                                                .00
 the following
                      Charity code • 38a          •38b                                                 Charity code • 39a           •39b
                                                                                              .00                                                                                .00
 fund(s)
                  40 Total. Add lines 26 through 39. Total can’t be more than your refund on line 24.......................................... • 40                                                                .00
                                                                                                                                                                            ➛
                                                                                                                                               • 41                                                                .00
                  41 NET REFUND. Line 24 minus line 40. This is your net refund ....................................... NET REFUND
                                                                                                              • Type of Account: Checking or                                                               Savings
                  42 For direct deposit of your refund, see the instructions on page 37.
DIRECT
                  • Routing No.                                                                • Account No.
DEPOSIT
 Under penalty for false swearing, I declare that the information in this return and attachments is true, correct, and complete.
                                                                                                                                                                                 • License No.
 Your signature                                                                     Date                       Signature of preparer other than taxpayer
                                                                                                                X
  X                                                                                                            Address                                               Telephone No.
 Spouse’s signature (if filing jointly, BOTH must sign)                             Date

 X
150-101-044 (Rev. 12-07)
Page 2 — 2007 Form 40S

how to figure your standard deduction
• Standard deduction. Unless you are claimed as a dependent, or are age 65 or older, or blind, your
   standard deduction is based on your filing status as follows:

                           Single .............................................................................................................. $1,825
                           Married filing jointly ...................................................................................... 3,650
                           Married filing separately
                             If spouse claims standard deduction ....................................................... 1,825
                             If spouse claims itemized deductions ......................................................                          -0-
                           head of household ........................................................................................ 2,940
                           Qualifying widow(er) ..................................................................................... 3,650



• Standard deduction—Dependents. If you can be claimed as a dependent on another person’s return,
   your standard deduction is limited to the larger of:
   — Your earned income plus $300, up to the maximum allowed for your filing status, shown above, or
   — $850.
   This limit applies even if you can be, but are not, claimed as a dependent on another person’s return. See the
   standard deduction worksheet for single dependents on page 11, or contact us if you are a married dependent.

• Standard deduction—Age 65 or older, or blind. If you are age 65 or older, or blind, you are entitled to
   a larger standard deduction based on your filing status:
   1. Are you:             65 or older?           Blind? If claiming spouse’s exemption, is your spouse:                                      65 or older?        Blind?
   2.
         If your                 And the number                        Then your              If your                 And the number                       Then your
         filing                  of boxes checked                       standard              filing                  of boxes checked                      standard
         status is...           in step 1 above is...                 deduction is...         status is...           in step 1 above is...                deduction is...

                                             1                             $3,025                                                 1                           2,825
         Single                                                                               Married
                                             2                              4,225                                                 2                           3,825
                                                                                              filing
                                                                                                                                  3                           4,825
                                                                                              separately
                                             1                              4,650                                                 4                           5,825
         Married
                                             2                              5,650
         filing
                                             3                              6,650             Head of                             1                           4,140
         jointly
                                             4                              7,650             household                           2                           5,340

                                                                                              Qualifying                          1                           4,650
                                                                                              widow(er)                           2                           5,650


• Standard deduction—Nonresident aliens. The standard deduction for nonresident aliens, as defined
    by federal law, is -0-.

                   If you owe, make your check or money order payable to the Oregon Department of Revenue.
                 Write your daytime telephone number and “2007 Oregon Form 40S” on your check or money order.
                          Attach your payment, along with the payment voucher on page 3, to this return.

                                  Oregon Department of Revenue                                                                           REFUND
          Mail                                                                              Mail ReFunD returns
                                  PO Box 14555                                                                                           PO Box 14700
                                                                                              and nO-tax-Due
  tax-tO-pay
                                  Salem OR 97309-0940                                                                                    Salem OR 97309-0930
     returns to                                                                                       returns to
150-101-044 (Rev. 12-07)

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egov.oregon.gov DOR PERTAX 101-044-07

  • 1. Clear Form OREGON Form Amended Return 40S For office use only 2007 Individual Income Tax Return A K F P FULL-YEAR RESIDENTS ONLY ShORT FORM Date of birth (mm/dd/yyyy) Last name First name and initial Social Security No. (SSN) – – Deceased Date of birth (mm/dd/yyyy) Spouse’s last name if joint return Spouse’s first name and initial if joint return Spouse’s SSN if joint return – – Deceased Current mailing address Telephone number ( ) City State ZIP code Country If you filed a return last year, and your name or address is different, check here • • • Filing Exemptions 1 Total Single Status 2 6a Yourself ....Regular Married filing jointly .........Severely disabled .........6a Check 6b Spouse .....Regular 3 Married filing .........Severely disabled ...........b Spouse’s name only separately •c one 6c All dependents Spouse’s SSN First names __________________________________ box •d 4 6d Disabled Head of household Person who qualifies you First names __________________________________ children only Total • 6e 5 Qualifying widow(er) with dependent child (see instructions) • • 7b • You 7c • You have 7d • Someone else 7e • 7a Check If there is a kicker refund, all that You were: 65 or older Blind filed an can claim you as you want to donate your federal Form 8886, apply ➛ Spouse was: extension a dependent kicker to the State School Fund 65 or older Blind REIT, or RIC 8 Wages (enter in box 8a) + unemployment (enter in box 8b) + interest and dividends (enter in box 8c) Round to the nearest dollar ➛•8 •8a .00 + • 8b .00 + • 8c .00 .00 = TOTAL INCOME 9 2007 federal tax liability ($0–$5,500; see instructions for the correct amount) ....... • 9 .00 10 Standard deduction from the back of this form ......................................................... • 10 .00 11 Add lines 9 and 10 ......................................................................................................................................... • 11 .00 12 Oregon taxable income. Line 8 minus line 11. If line 11 is more than line 8, enter -0- .................................. • 12 .00 Staple 13 Tax. See instructions, page 12. Enter tax from tax tables or charts here ...................................................... • 13 .00 proof of withholding 14 Exemption credit. Multiply your total exemptions on line 6e by $165 ..................... • 14 .00 (W-2s, 15 Child and dependent care credit. See instructions, page 12..................................... • 15 .00 1099s), • 16 16 Other credits. Identify: •16a •16b $ •16c •16d $ .00 payment, and payment 17 Total non-refundable credits. Add lines 14 through 16 ................................................................................. • 17 .00 voucher 18 Net income tax. Line 13 minus line 17. If line 17 is more than line 13, enter -0- ........................................... • 18 .00 here 19 Oregon income tax withheld. Attach your Form(s) W-2 and 1099 ......................... • 19 .00 20 Earned income credit. See instructions, page 12 ...................................................... • 20 .00 Attach Schedule 21 Working family child care credit from WFC, line 18 ............................................... 21 • .00 ADD TOGEThER WFC if you claim Number from WFC, line 5 • 21a Amount from WFC, line 16 • 21b $ this credit 22 Mobile home park closure credit. Attach Schedule MPC .......................................... • 22 .00 23 Total payments and refundable credits. Add lines 19 through 22 ................................................................. • 23 .00 ➛ • 24 .00 24 Refund. If line 23 is more than line 18, you have a refund. Line 23 minus line 18 ................. REFUND ➛ • 25 .00 25 Tax to pay. If line 18 is more than line 23, you have tax to pay. Line 18 minus line 23 .... TAX TO PAY • 26 • 27 .00 .00 ChARITAbLE Oregon Nongame Wildlife Child Abuse Prevention ChECkOFFS • 28 • 29 .00 .00 Alzheimer’s Disease Research Stop Dom. & Sexual Violence PAGE 13 AIDS/HIV Education & Services • 30 OR Military Financial Assist. • 31 .00 .00 These will I want to Habitat for Humanity • 32 OR Head Start Association • 33 .00 .00 donate part reduce of my tax your refund American Diabetes Association • 34 Oregon Coast Aquarium • 35 .00 .00 refund to SMART • 36 SOLV • 37 .00 .00 the following Charity code • 38a •38b Charity code • 39a •39b .00 .00 fund(s) 40 Total. Add lines 26 through 39. Total can’t be more than your refund on line 24.......................................... • 40 .00 ➛ • 41 .00 41 NET REFUND. Line 24 minus line 40. This is your net refund ....................................... NET REFUND • Type of Account: Checking or Savings 42 For direct deposit of your refund, see the instructions on page 37. DIRECT • Routing No. • Account No. DEPOSIT Under penalty for false swearing, I declare that the information in this return and attachments is true, correct, and complete. • License No. Your signature Date Signature of preparer other than taxpayer X X Address Telephone No. Spouse’s signature (if filing jointly, BOTH must sign) Date X 150-101-044 (Rev. 12-07)
  • 2. Page 2 — 2007 Form 40S how to figure your standard deduction • Standard deduction. Unless you are claimed as a dependent, or are age 65 or older, or blind, your standard deduction is based on your filing status as follows: Single .............................................................................................................. $1,825 Married filing jointly ...................................................................................... 3,650 Married filing separately If spouse claims standard deduction ....................................................... 1,825 If spouse claims itemized deductions ...................................................... -0- head of household ........................................................................................ 2,940 Qualifying widow(er) ..................................................................................... 3,650 • Standard deduction—Dependents. If you can be claimed as a dependent on another person’s return, your standard deduction is limited to the larger of: — Your earned income plus $300, up to the maximum allowed for your filing status, shown above, or — $850. This limit applies even if you can be, but are not, claimed as a dependent on another person’s return. See the standard deduction worksheet for single dependents on page 11, or contact us if you are a married dependent. • Standard deduction—Age 65 or older, or blind. If you are age 65 or older, or blind, you are entitled to a larger standard deduction based on your filing status: 1. Are you: 65 or older? Blind? If claiming spouse’s exemption, is your spouse: 65 or older? Blind? 2. If your And the number Then your If your And the number Then your filing of boxes checked standard filing of boxes checked standard status is... in step 1 above is... deduction is... status is... in step 1 above is... deduction is... 1 $3,025 1 2,825 Single Married 2 4,225 2 3,825 filing 3 4,825 separately 1 4,650 4 5,825 Married 2 5,650 filing 3 6,650 Head of 1 4,140 jointly 4 7,650 household 2 5,340 Qualifying 1 4,650 widow(er) 2 5,650 • Standard deduction—Nonresident aliens. The standard deduction for nonresident aliens, as defined by federal law, is -0-. If you owe, make your check or money order payable to the Oregon Department of Revenue. Write your daytime telephone number and “2007 Oregon Form 40S” on your check or money order. Attach your payment, along with the payment voucher on page 3, to this return. Oregon Department of Revenue REFUND Mail Mail ReFunD returns PO Box 14555 PO Box 14700 and nO-tax-Due tax-tO-pay Salem OR 97309-0940 Salem OR 97309-0930 returns to returns to 150-101-044 (Rev. 12-07)