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                                                               Oregon Amended Schedule
                                                              for Amending Individual Income Tax Returns

                                                                                   Tax Year

        Check if amending to change from married/RDP filing separate to married/RDP filing joint.
•       Check if amending due to a net operating loss (NOL).
Last name                                                                                    First name and initial                                            Social Security number (SSN)
                                                                                                                                                                           —         —
Spouse’s/RDP’s last name, if different and joint return                                      Spouse’s/RDP’s first name and initial, if joint return            Spouse’s/RDP’s SSN if joint return
                                                                                                                                                                           —         —


                                                                                 Please read instructions                                                              Round to the nearest dollar
101 Net income tax as amended ............................................................................................................................................. • 101                   .00
102 Oregon income tax withheld as amended .....................................................................................• 102                                         .00
103 Refundable tax credits as amended (see instructions on page 2)
                                                                                                                                           .00
    Earned income credit as amended (tax years 2006 and later only) ........... 103a
    Working family child care credit as amended
                                                                                                                                           .00
       (tax years 2003 and later only) ............................................................... 103b
      Mobile home park closure credit (tax year 2007 or later) or involuntary
                                                                                                                                               .00
         move of a mobile home credit (tax year 2006 only) as amended ......... 103c
                                                                                                                                                                             .00
      Total refundable tax credits as amended (add lines 103a, 103b, and 103c).................................• 103
                                                                                                                                                                             .00
      Estimated tax payments .................................................................................................................• 104
104
                                                                                                                                                                             .00
      Amount of net income tax paid with original return and later (do not include penalty or interest) ...• 105
105
                                                                                                                                                                                                    .00
      Total payments (add lines 102–105) .................................................................................................................................. • 106
106
                                                                                                                                                                                                    .00
      Income tax refunds received from original return and later (do not include interest or kicker; see instructions) ........... • 107
107
                                                                                                                                                                                                    .00
      Net payments (line 106 minus line 107) ............................................................................................................................. • 108
108

                                                                                                                                                                                                    .00
109 Refund. If line 108 is more than line 101, you over paid. Line 108 minus line 101.......................................................... • 109
                                                                                                                                                                                                    .00
110 Amount of refund on line 109 you want applied to your estimated tax. For tax year: •                                                        ......................... • 110
                                                                                                                                                                                                    .00
111 Net refund. Line 109 minus line 110 ................................................................................................................................. • 111

                                                                                                                                                                                                    .00
112 Additional tax to pay. If line 101 is more than line 108, you have tax to pay. Line 101 minus line 108 ........................ • 112
                                                                                                                                                                                                    .00
113 Interest on additional tax to pay (see instructions on pages 3–4) ...................................................................................... 113
                                                                                                                                                                                                    .00
114 Amount you owe. Add lines 112 and 113. Pay in full with this return ................................................................................. 114


Explanation of adjustments made—Include line number(s) and show the computations in detail. Additional space is available on the back if
                                needed. Attach schedules, if applicable.




Fill out this section ONLY if you want someone else to be able to discuss the amended return with the department during processing.
Tax information authorization: I authorize the department to disclose my confidential tax information for the processing of this
amended return to the designee listed.
Designee name                                                                                          Designee’s telephone number


Your signature                                                                                         Spouse’s/RDP’s signature (if joint filing)

X                                                                                                      X
                                                Amended returns may take six months or longer to process.
                                         —Attach this schedule to your Oregon amended return—
150-101-062 (Rev. 10-08)                                                                                                                                                            Amend sch, page 1 of 2
Explanation of adjustments made (continued)—Include line number(s) and show the computations in detail. Attach schedules, if applicable.




Amend sch, page 2 of 2                                                                                                   150-101-062 (Rev. 10-08)
Instructions for Oregon Amended Schedule
                                           For Amending Oregon Individual Income Tax Returns

How do I amend my Oregon return?                                     •	Write	“amended”	in	blue or black ink	at	the	top	of	Form	
                                                                       90R.
You will need the following items:                                   •	Fill	out	Form	90R	using	the	correct	information.
                                                                     •	Attach	an	explanation	of	your	changes.
•	The	tax	form	and	instruction	booklet	for	the	year	that	you	
  are	amending.	This	will	usually	be	the	same	form	type	as	
                                                                     How long do I have to file for a refund?
  your	original	return,	unless:
                                                                     In	most	cases,	you	must	file	for	a	refund	within	three	years	
  —	 You	filed	Form	40S,	but	no	longer	can	use	that	form.	
                                                                     from	 the	 due	 date	 of	 your	 original	 return,	 or	 the	 date	 you	
     Use	Form	40	instead;	or
                                                                     filed	your	original	return,	whichever	is	later.	If	the	three-year	
  —	 You	filed	the	incorrect	form	for	your	residency	status.	
                                                                     filing	period	has	expired,	you	may	still	file	for	a	refund	if:
     Use	the	correct	form	type	to	amend.	
                                                                     •	You	 paid	 tax	 within	 the	 past	 two	 years	 for	 the	 tax	 year	
•	The	Oregon Amended Schedule	and	these	instructions.
                                                                       you	are	amending.	Your	refund	is	generally	limited	to	the	
  —	 You	will	attach	the	Oregon Amended Schedule	to	your	
                                                                       tax	you	paid	in	that	two-year	period.	
     amended	(corrected)	return.
                                                                     •	You	had	a	net	operating	loss	carryback.	Your	claim	must	
•	A	copy	of	the	Oregon	tax	return	that	you	originally	filed	
                                                                       be	filed	within	three	years	from	the	due	date	of	the	return	
  for	the	year	being	amended.
                                                                       for	 the	 tax	 year	 when	 the	 loss	 occurred.	 The	 due	 date	
•	A	copy	of	any	previous	amended	returns	you	filed.
                                                                       includes	extensions.
•	A	copy	of	all	notices	from	us,	another	state,	or	the	Internal	
                                                                     •	The	Internal	Revenue	Service	(IRS)	or	another	state	adjusted	
  Revenue	Service	for	the	tax	year	being	amended.
                                                                       your	return	or	assessed	tax	for	failure	to	file	a	return.	You	
  —	 If	we	corrected	your	return	on	our	notice,	use	the	fig-           must	file	a	copy	of	the	audit	report,	return,	or	assessment	
     ures	from	our	notice	when	amending	your	return.                   and	your	Oregon	amended	return	and	schedule	within	two	
                                                                       years	after	the	federal	or	other	state	correction	was	made.
Follow these steps to amend your return:
                                                                     How long will it take to process my amended return?
1.	Read	 through	 these	 instructions	 before	 filling	 out	 your	
   form.
                                                                     Processing	 time	 for	 amended	 returns	 varies.	 It may take
2.	Check	the	amended	box	at	the	top	of	your	amended	Form	            six months or longer to process your amended return.
   40S,	40,	40N,	or	40P	using	blue	or	black	ink.	For	tax	years	
                                                                     When should I file and pay if I owe additional tax?
   2004	 and	 earlier	 write	 “amended”	 at	 the	 top	 of	 your	
   amended	return.	                                                  File	your	amended	return	and	schedule	as	soon	as	you	know	
                                                                     that	a	change	needs	to	be	made.	Interest	is	figured	from	the	
3.	If	we	sent	you	a	notice	adjusting	your	return,	use	those	
                                                                     day	after	the	due	date	of	the	original	return	up	to	the	date	the	
   figures	when	making	your	other	corrections.
                                                                     tax	is	paid.	Pay	any	tax	and	interest	due	as	soon	as	possible	to	
4.	Fill out	your	entire	income	tax	form	(Form	40S,	40,	40N,	or	      avoid	additional	interest.	There	may	also	be	a	penalty.
   40P)	using	the	correct	information.
                                                                     I was audited by the IRS (or another state). Do I
5.	Remember	 that	 charitable	 checkoffs	 cannot	 be	 used	 on	
                                                                     need to amend my Oregon return?
   amended	returns.	
                                                                     Yes,	if	an	IRS	or	other	state	audit	changed	your	Oregon	taxable	
6.	After	completing	your	amended	(corrected)	return,	com-
                                                                     income.	If	these	adjustments	did	not	change	your	Oregon	tax-
   plete	 the	 amended	 schedule.	 The	 amended	 schedule	
                                                                     able	income,	there	is	no	need	to	amend.	If	you	amend,	attach	a	
   will	figure	your	additional	refund	or	tax	to	pay	on	your	
                                                                     copy	of	the	audit	report	to	your	amended	Oregon	return.
   amended	return.
                                                                     How do I amend for a net operating loss (NOL)?
7.	Attach	your	amended	schedule	to	your	amended	return.	
   See	“Finishing	the	amended	return	and	schedule”	at	the	           Generally,	 if	 you	 carry	 an	 NOL	 back	 for	 federal	 purposes,	
   end	of	the	instructions.	                                         you	also	must	carry	the	Oregon	NOL	back	for	Oregon	pur-
                                                                     poses.	There	is	an	exception	if	you	were	not	required	to	file	
I need to amend my Form 90R, Elderly Rental
                                                                     an	 Oregon	 return	 for	 all	 years	 to	 which	 the	 federal	 NOL	
Assistance (ERA). Do I use this schedule?                            deduction	is	applied.	If	you	elect	to	carry	forward	the	federal	
                                                                     NOL,	then	you	must	also	carry	forward	the	Oregon	NOL.
No.	Do	not	use	this	schedule	to	amend	Form	90R.	To	file	an	
amended	ERA	claim,	use	Oregon	Form	90R.	You	should:
                                                                     An	 Oregon	 NOL	 is	 defined	 the	 same	 as	 a	 federal	 NOL.	
                                                                     However,	 you	 may	 have	 an	 Oregon	 NOL	 without	 having	
•	Request	an	ERA	booklet	for	the	year	you	are	amending.	
  To	order	a	booklet,	go	to	our	website	or	contact	us.               a	federal	 NOL.	Your	 Oregon	 NOL	is	 computed	 under	 the	

                                                                                                                                        1
150-101-061 (Rev. 10-08)
Federal refund worksheet
federal	methods.	The	only	modification	is	for	amounts	that	
Oregon	is	prohibited	from	taxing,	such	as	interest	from	U.S.	
                                                                       Use	 this	 worksheet	 to	 determine	 the	 tax	 benefit	 received	
Series	EE,	HH,	or	I	bonds	(U.S.	government	interest).
                                                                       and	 the	 amount	 to	 include	 in	 Oregon	 income	 in	 the	 year	
                                                                       you	received	the	refund.
Generally	an	NOL	for	a	full-year	resident	is	the	same	as	the	
federal	NOL.	Nonresidents	are	allowed	an	Oregon	NOL	if	                1.   Enter	 the	 federal	 tax	 liability	 on	 your	     1.
it	is	generated	from	Oregon	sources.                                        original	federal	return.
If	 you	 are	 amending	 for	 an	 NOL,	 be	 sure	 to	 check	 the	       2.   Enter	 the	 federal	 tax	 subtraction	 limit	      2.
“amending	due	to	an	NOL”	box	on	the	amended	schedule	                       for	the	year	you	are	amending.
and	show	the	year	of	the	NOL	and	the	NOL	calculations.
                                                                       3.   Line	1	minus	line	2.	(Enter	-0-	if	line	2	is	      3.
                                                                            greater	than	line	1.)
Do I change my federal tax liability on my
amended return?                                                        4.   Enter	 the	 refund	 of	 the	 prior	 year’s	
                                                                                                                      	        4.
                                                                            federal	tax.
Usually	not,	but	follow	these	special	instructions	for	federal	
                                                                       5.   If	line	3	is	greater	than	line	4,	no	adjust-       5.
tax	liability:
                                                                            ment	is	needed	on	your	Oregon	amended	
•	Did	we	correct	the	federal	tax	subtraction	on	your	original	              return.	If	line	4	is	greater	than	line	3,	enter	
  return?	If	so,	use	the	corrected	amount	from	our	notice.                  line	4	minus	line	3	here	and	on	your	Form	
                                                                            40	as	an	addition	and	identify	with	code	
•	Did	you	pay	more	than	the	limit?	Refer	to	the	instructions	
                                                                            109;	or	on	your	Form	40N	or	Form	40P	as	
  in	 the	 income	 tax	 booklet	 for	 the	 year	 you	 received	 the	        an	 other	 deduction	 or	 modification	 and	
  refund	for	the	limit	amount.                                              identify	with	code	601.
•	Did	you	amend	your	federal	return	before	the	due	date	
                                                                       Line instructions for the amended schedule
  (not	including	extensions)	of	the	original	return?	If	so,	the	
                                                                       Instructions	are	for	lines	not	fully	explained	on	the	form.
  federal	tax	on	your	amended	federal	return	is	the	amount	
  you	will	use	for	your	amended	Oregon	return.	There	will	             Write the tax year	 that	 you	 are	 amending	 on	 the	 Oregon
  be	no	addition	or	subtraction	in	a	later	year.                       Amended Schedule.
•	Did	 you	 pay	 additional	 federal	 tax	 because	 you	 were	         Do not fill in cents. You	must	round	off	cents	to	the	near-
  audited	or	filed	an	amended	return	after	the	due	date	of	            est	 dollar.	 For	 example,	 $24.49	 becomes	 $24.00	 and	 $24.50	
  the	original	return?	If	so,	claim	the	additional	federal	tax	        becomes	$25.00.
  as	a	subtraction	on	your	Oregon	return	in	the	year	you	
                                                                       Tax
  paid	the	additional	tax.
                                                                       101. Net income tax as amended. This	 is	 your	 amended	
•	Did	 you	 get	 a	 refund	 of	 federal	 tax	 because	 you	 were	
                                                                       tax	after	nonrefundable	credits	from	your	amended	return	
  audited	 or	 filed	 an	 amended	 return	 after	 the	 due	 date	
                                                                       (do	not	include	refundable	tax	credits,	see	line	103).	If	your	
  of	the	original	return?	If	so,	show	the	federal	tax	refund	
                                                                       credits	are	more	than	your	tax,	enter	-0-.
  as	 an	 addition	 on	 your	 Oregon	 return	 in	 the	 year	 you	
  received	the	refund,	but	only	if	you	received	a	tax	benefit.	        Payments and refundable credits
  See	the	federal	refund	worksheet	below.
                                                                       102. Oregon income tax withheld as amended. If	you	are	cor-
Example 1:	You	received	a	notice	from	the	Oregon	Department	           recting	the	amount	of	state	tax	withheld,	you	must	attach	a	
of	Revenue	in	May	and	are	filling	out	an	amended	return	in	            copy	of	any	additional	or	corrected	Form	W-2	or	1099.	If	this	
July.	The	notice	stated	that	your	federal	tax	liability	subtraction	   hasn’t	changed,	enter	the	amount	from	your	previous	return.
was	reduced	from	$3,500	to	$3,000.	You	will	use	the	corrected	
                                                                       103. Refundable tax credits as amended. If	you	are	amend-
federal	tax	liability,	$3,000,	on	your	amended	return.
                                                                       ing	for	tax	year	2002	or	earlier	enter	-0-	on	line	103	and	go	
                                                                       to	line	104.	Otherwise,	enter	the	appropriate	amounts	from	
Example 2: You	paid	additional	 federal	 tax	in	2008	for	an	
                                                                       your	amended	return	on	lines	103a,	103b,	and	103c.	Then	add	
audit	adjustment	on	your	2006	federal	tax	return.	Amend	
                                                                       lines	103a,	103b,	and	103c	and	enter	the	total	on	line	103.
your	2006	Oregon	tax	return	for	the	audit	adjustments,	but	
do not	 change	 the	 2006	 federal	 tax.	 You	 can	 subtract	 the	     103a. Earned income credit (EIC) as amended.	Tax	years	2005	
additional	 2006	 federal	 tax	 liability	 you	 paid	 in	 2008	 on	    and	earlier,	enter	-0-	and	go	to	line	103b.	Tax	years	2006	and	
your	 2008	 return	 up	 to	 the	 limit.	 See	 instructions	 in	 the	   later,	enter	your	corrected	Oregon	earned	income	credit	from	
2008	income	tax	booklet	for	limits.                                    your	amended	return.	If	your	federal	EIC	hasn’t	changed,	your	
                                                                       Oregon	EIC	will	be	the	same	as	on	your	previous	return.
Example 3: You	 received	 a	 federal	 tax	 refund	 in	 2008	 for	
amending	your	2006	income	tax	return.	You	may	need	to	                 103b. Working family child care credit (WFC) as amended.	
report	the	refund	as	an	addition	on	your	2008	return.	If	you	          Tax	years	2002	and	earlier,	enter	-0-	and	go	to	line	104.	Tax	
already	filed	your	2008	return,	you	may	need	to	amend	it.              years	2003	and	later,	enter	your	corrected	working	family	

2                                                                                                                     150-101-061 (Rev. 10-08)
child	 care	 credit	 from	 your	 amended	 return.	 Attach	 your	        •	Amounts	you	applied	to	the	next	year’s	estimated	tax;	or
amended	Schedule	WFC	or	WFC-N/P.	If	this	credit	hasn’t	                 •	Amounts	 we	 offset	 to	 pay	 money	 owed	 to	 the	 Depart-
changed,	it	will	be	the	same	as	on	your	previous	return.                  ment	of	Revenue	or	another	agency.
103c. Mobile home park closure or involuntary move of a                 Any	refund	due	from	your	original	return	may	be	mailed	
mobile home credit as amended.                                          separately.	By	law,	the	Oregon	Department	of	Revenue	can-
                                                                        not	issue	refunds	or	apply	amounts	less	than	$1.
•	 Tax	years	2005	and	earlier,	enter	-0-.	
                                                                        Note:	 Do	 not	 include	 any	 amounts	 received	 as	 a	 kicker	
•	Tax	year	2006,	enter	your	corrected	refundable	involun-
   tary	move	of	a	mobile	home	credit	from	your	amended	                 refund.
   return	and	attach	your	amended	Schedule	MH.	
                                                                        Example 5:	Scott	filed	his	2007	tax	return,	claiming	a	refund	
•	Tax	 years	 2007	 and	 later,	 enter	 your	 corrected	 mobile	
                                                                        of	$5,400	on	Form	40,	line	54.	He	asked	for	$200	to	be	applied	
   home	park	closure	credit	from	your	amended	return	and	
                                                                        as	an	estimated	payment	for	tax	year	2008	on	line	55.	He	also	
   attach	your	amended	Schedule	MPC.
                                                                        requested	that	$200	be	donated	to	various	charities	on	lines	
If	your	credit	hasn’t	changed,	it	will	be	the	same	as	shown	            56	through	69.	His	net	refund	on	line	71	was	$5,000.	When	
on	your	previous	return.                                                his	 return	 was	 processed,	 it	 took	 longer	 than	 expected,	 so	
                                                                        he	 received	 interest	 on	 his	 refund.	 Scott	 also	 owed	 money	
104. Estimated tax payments.	 Fill	 in	 the	 amount	 of	 esti-
                                                                        for	parking	tickets	and	the	court	had	filed	the	paperwork	to	
mated	tax	payments	credited	to	your	original	return.	Non-
                                                                        offset	his	tax	refund	to	pay	for	the	tickets	and	court	fees.	His	
residents:	Include	any	Oregon	income	tax	withheld	for	you	
                                                                        refund	was	reduced	by	$1,000	to	pay	off	the	balance	owed.	
by	a	pass-through	entity	or	by	an	agent	from	the	proceeds	of	
                                                                        He	received	$4,020	from	the	department	as	shown:
any	Oregon	real	estate	sale.
                                                                        Refund                                                      $5,400
105. Amount of net income tax paid with original return
                                                                          Less	payments	applied	to	next	tax	year                     –	200
and later.	Fill	in	the	amount	of	all	income tax	actually	paid	
                                                                          Less	charitable	checkoff	donations                         –	200
on	 your	 original	 Oregon	 return.	 Include	 payments	 made	
                                                                        Net	refund	per	return                                        5,000
later	or	for	any	additional	tax	adjustments	to	your	return.
                                                                          Plus	interest	received                                      +	20
Don’t	include	payments	for:
                                                                        Subtotal                                                     5,020
•		Penalty	and	interest;	or                                               Less	amount	paid	for	Scott’s	debts                       –	1,000
•		Interest	on	the	underpayment	of	estimated	tax.                       Scott’s	check	from	the	department                           $4,020
Example 4:	When	Amy	filled	out	her	original	return	for	tax	             When	Scott	amends	his	2007	tax	return	he	will	enter	$5,400	
year	2007,	Form	40,	line	49	showed	tax	to	pay	of	$200.	Since	           on	line	107	of	his	Oregon Amended Schedule.	His	refund	will	
the	original	due	date	had	passed,	she	entered	a	5%	late	pay-
                                                                        not	include	applied	payments,	charitable	donations,	inter-
ment	 penalty	 of	 $10	 on	 Form	 40,	 line	 50.	 Her	 total	 amount	
                                                                        est	received,	or	amounts	offset	to	pay	debts.
owed	on	Form	40,	line	53	was	$210.	She	sent	a	payment	of	
                                                                        Refund or balance due
$210	with	her	return.	Her	return	was	adjusted	in	processing	
to	correct	a	math	error.	Her	tax	was	increased	by	$150.	Addi-
                                                                        Note: Charitable	 checkoffs	 cannot	 be	 used	 on	 amended	
tional	penalty	and	interest	of	$12	was	added	as	well.	She	was	
                                                                        returns.	If	you	would	like	to	donate	to	any	of	the	charities,	
sent	 a	 notice	 explaining	 the	 adjustment,	 showing	 the	 cor-
                                                                        their	addresses	are	available	on	our	website.
rected	line	entries	on	her	original	return.	It	also	included	a	
request	to	pay	the	additional	$162	(tax,	penalty,	and	interest),	       110. Amount of line 109 you want applied to another year’s
which	she	paid	right	away	to	avoid	additional	interest.	She	            estimated tax. If	your	refund	on	line	109	is	$1	or	more,	you	
paid	a	total	of	$372	($350	tax	+	$15	penalty	+	$7	interest).            may	 apply	 part	 or	 all	 of	 it	 to	 your	 Oregon	 estimated	 tax	
                                                                        account.	Fill	in	the	tax	year	and	the	amount	you	want	to	apply.	
Later	Amy	amends	her	2007	return	and	she	will	enter	$350	
                                                                        Note:	It	may	take	six	months	or	longer	to	process	your	return	
on	 line	 105	 of	 her	 Oregon Amended Schedule.	 She	 will	 only	
                                                                        and	apply	your	refund.
include	the	 tax	 payments.	 She	 will	not	include	 any	of	 the	
interest	and	penalties	she	paid.	Note:	She	will	also	use	the	           111. Net refund. You	 must	 reduce	 your	 refund	 by	 any	
corrected	line	entries	from	our	notice	when	filling	out	her	            amounts	 applied	 to	 your	 estimated	 tax	 on	 line	 110.	 If	 you	
amended	return.                                                         would	like	your	refund	direct	deposited,	enter	your	account	
                                                                        information	on	Form	40S,	40,	40N,	or	40P.	Note: Interest	on	
107. Income tax refunds received from original return and
                                                                        underpayment	of	estimated	tax	for	a	prior	year	is	not	refund-
later. Fill	 in	 the	 amount	 of	 any	 refund	 you	 received	 (or	
                                                                        able.	Do	not	include	it	as	part	of	your	refund.	
expect	to	receive)	from	your	original	Oregon	return	and	any	
amended	returns	previously	filed	for	the	same	year.	Include	
                                                                        113. Interest on additional tax to pay.	Do	you	need	to	pay	
refunds	received	from	the	working	family	child	care	credit	
                                                                        additional	tax	with	your	amended	return?	If	so,	you must
or	other	refundable	credit	or	a	previous	adjustment.	Do	not	
                                                                        include interest with your payment.	 To	 avoid	 paying	 an	
include	interest	received.	Do	not	reduce	your	refund	by:
                                                                        additional	 5	 percent	 penalty,	 you	 must	 pay	 the	 tax	 and	
                                                                        interest	in	full	with	your	amended	return,	or	within	30	days	
•	Amounts	you	contributed	to	charitable	funds	claimed	on	
  the	return;	or                                                        after	you	receive	a	billing	notice	from	the	department.

                                                                                                                                          3
150-101-061 (Rev. 10-08)
Should I put my amended return together in a special order?
Interest	on	income	tax	is	figured	from	the	day	after	the	due	
date	of	your	original	return	up	to	the	date	your	payment	is	
                                                                            Yes.	To	speed	processing,	put	your	Oregon	amended	return	
received.
                                                                            together	as	follows:
An	interest	period	is	each	full	month	starting	with	the	day	
                                                                            •	Amended	(corrected)	Form	40S,	40,	40N,	or	40P.
after	the	due	date	of	the	original	return.	Generally,	the	due	
date	for	income	tax	returns	is	April	15.                                    •	Staple	Forms	W-2	or	1099	to	the	front	of	your	amended	return	
                                                                              if	you	are	correcting	income	or	Oregon	withholding.
                   Interest rates on tax you owe
                           Percentage Rates                                 •	Staple	your	check	or	money	order	and	Form	40-V	on	top	of	
                                                                              your	W-2	and	1099	forms	if	you	owe	tax.	If	you’re	paying	by	
Interest Period        Annual          Monthly               Daily
                                                                              credit	card	or	electronic	payment,	do	not	use	Form	40-V.	For	
January	16,	1995	to
                                                                              Form	40-V	or	to	learn	how	to	pay	by	credit	card	or	electronic	
January	15,	1999	       10%	      .8333%	(.008333)	    .0274%	(.000274)
                                                                              payment,	go	to	our	website	or	contact	us.
January	16,	1999	to
January	15,	2001	        	9%	     .7500%	(.007500)	    .0247%	(.000247)     •	If applicable,	 place	 these	 items	 in	 the	 following	 order	
January	16,	2001	to                                                           behind	your	Oregon	amended	return:
February	15,	2002	      10%	      .8333%	(.008333)	    .0274%	(.000274)
                                                                            	 —	Schedule	 OR-A	 or	 Schedule	 OR-A-N/P	 for	 tax	 year	
February	16,	2002	to                                                              2007,	and	Schedule	OR-ASC	or	Schedule	OR-ASC-N/P	
February	15,	2003	       8%	      .6667%	(.006667)	    .0219%	(.000219)
                                                                                  for	tax	year	2008.
February	16,	2003	to
                                                                            	 —	Oregon Amended Schedule.
January	15,	2004	        7%	      .5833%	(.005833)	    .0192%	(.000192)
                                                                            	 	 	A	copy	of	your	corrected	federal	return	(1040EZ,	1040A,	
                                                                              —
January	16,	2004	to
                                                                                  1040,	 1040NR-EZ,	 or	 1040NR)	 and/or	 other	 state’s	
January	15,	2005	        6%	      .5000%	(.005000)	    .0164%	(.000164)
                                                                                  amended	return.	If	you	originally	filed	as	an	RDP,	attach	
January	16,	2005	to
                                                                                  a	corrected	federal	“as if”	return	in	addition	to	any	cor-
January	15,	2006	        5%	       .4167%	(.004167)	   .0137%	(.000137)
                                                                                  rected	 federal	 or	 other	 state	 return(s).	 Write “RDP for
January	16,	2006	to
                                                                                  Oregon Only” in blue or black ink on the top left cor-
January	16,	2007	        7%	      .5833%	(.005833)	    .0192%	(.000192)
                                                                                  ner of your corrected “as if” return.
January	17,	2007	to
                                                                            	 	 	A	copy	of	your	federal	and/or	other	state’s	audit	report	
                                                                              —
January	15,	2009	        9%	      .7500%	(.007500)	    .0247%	(.00247)
                                                                                  if	you	amended	your	return	due	to	an	audit.
January	16,	2009	to
                                                                            	 —	Schedule	WFC	or	WFC-N/P.
January	15,	2010	        6%	      .5000%	(.005000)	    .0164%	(.000164)
                                                                            	 —	Other	forms	or	schedules	as	required.
Example 6:	 Dianna	 files	 an	 amended	 return	 for	 tax	 year	             •	Place	 one	 staple	 in	 the	 top-left	 corner	 of	 your	 amended	
2004	 on	 March	 24,	 2008.	 She	 pays	 additional	 tax	 of	 $500	
                                                                              return	and	attachments.
with	 her	 amended	 return.	 The	 following	 shows	 how	 she	
                                                                            Note: Do	not	attach	a	copy	of	your	original	Oregon	return.
figures	her	interest:
                                                                            Where do I send my amended tax return?
Apr	16,	2005–Jan	15,	2006	 =	 9	mos.	 x	 .004167	 x	 $500	 =	 18.75
Jan	16,	2006–Jan	15,	2007	      =	 12	mos.	 x	 .005833	 x	 $500	 =	35.00	   Either	electronically	file	your	amended	return,	or	mail	it	to	
Jan	16,	2007–Mar	15,	2008	 =	 14	mos.	 x	 .007500	 x	 $500	 =	52.50         the	appropriate	address.
Mar	15,	2008–Mar	24,	2008	 =	 9	days	 x	 .000247	 x	 $500	 =	 1.11          Refund or no-tax-due                        Mail tax-to-pay
	                 Total	interest	due	and	entered	on	line	113	 $107.36       returns:                                    returns:
Explanation of changes                                                      REFUND                                      Oregon	Department	of	Revenue
                                                                            PO	Box	14700                                PO	Box	14555
Identify	and	provide	a	complete	explanation	of	all	amended	
                                                                            Salem	OR	97309-0930                         Salem	OR	97309-0940
items.	Indicate	the	line	number	from	the	Form	40S,	40,	40N,	or	
40P	for	each	change.	If	your	filing	status	changed	(for	example,	
                                                                            Taxpayer assistance
from	single	to	head	of	household),	explain	why.	Attach	addi-
tional	pages	if	you	need	more	room	to	explain	your	changes.                 General tax information	................... www.oregon.gov/DOR
Tax information authorization                                               	 Salem	................................................................. 503-378-4988
                                                                            	 Toll-free	from	an	Oregon	prefix	................. 1-800-356-4222
                                                                                                                                .
Fill	out	this	section	only	if	you	would	like	to	designate	some-
one	to	be	able	to	receive	and	give	your	tax	information	dur-                Asistencia en español:
ing	the	processing	of	this	amended	return.	This	will	only	be	               	 En	Salem	o	fuera	de	Oregon	.......................... 503-378-4988
used	during	the	processing	of	this	amended	return	and	does	                 	 Gratis	de	prefijo	de	Oregon	........................ 1-800-356-4222
                                                                                                         .
not	revoke	any	previous	tax	information	authorizations.
                                                                            TTY (hearing or speech impaired; machine only):
Finishing the amended return and schedule
                                                                            	 Salem	area	or	outside	Oregon	....................... 503-945-8617
If	you	owe	tax	and	choose	to	pay	by	check	or	money	order,	                  	 Toll-free	from	an	Oregon	prefix	................. 1-800-886-7204
                                                                                                             .
make	 it	 payable	 to	 the	 Oregon Department of Revenue.	
                                                                            Americans with Disabilities Act (ADA): Call	one	of	the	help	
Include	your	daytime	telephone	 number	and	the	tax	year	
that	you	are	amending	on	the	check	or	money	order.                          numbers	above	for	information	in	alternative	formats.
4                                                                                                                                     150-101-061 (Rev. 10-08)

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  • 1. Clear Form Oregon Amended Schedule for Amending Individual Income Tax Returns Tax Year Check if amending to change from married/RDP filing separate to married/RDP filing joint. • Check if amending due to a net operating loss (NOL). Last name First name and initial Social Security number (SSN) — — Spouse’s/RDP’s last name, if different and joint return Spouse’s/RDP’s first name and initial, if joint return Spouse’s/RDP’s SSN if joint return — — Please read instructions Round to the nearest dollar 101 Net income tax as amended ............................................................................................................................................. • 101 .00 102 Oregon income tax withheld as amended .....................................................................................• 102 .00 103 Refundable tax credits as amended (see instructions on page 2) .00 Earned income credit as amended (tax years 2006 and later only) ........... 103a Working family child care credit as amended .00 (tax years 2003 and later only) ............................................................... 103b Mobile home park closure credit (tax year 2007 or later) or involuntary .00 move of a mobile home credit (tax year 2006 only) as amended ......... 103c .00 Total refundable tax credits as amended (add lines 103a, 103b, and 103c).................................• 103 .00 Estimated tax payments .................................................................................................................• 104 104 .00 Amount of net income tax paid with original return and later (do not include penalty or interest) ...• 105 105 .00 Total payments (add lines 102–105) .................................................................................................................................. • 106 106 .00 Income tax refunds received from original return and later (do not include interest or kicker; see instructions) ........... • 107 107 .00 Net payments (line 106 minus line 107) ............................................................................................................................. • 108 108 .00 109 Refund. If line 108 is more than line 101, you over paid. Line 108 minus line 101.......................................................... • 109 .00 110 Amount of refund on line 109 you want applied to your estimated tax. For tax year: • ......................... • 110 .00 111 Net refund. Line 109 minus line 110 ................................................................................................................................. • 111 .00 112 Additional tax to pay. If line 101 is more than line 108, you have tax to pay. Line 101 minus line 108 ........................ • 112 .00 113 Interest on additional tax to pay (see instructions on pages 3–4) ...................................................................................... 113 .00 114 Amount you owe. Add lines 112 and 113. Pay in full with this return ................................................................................. 114 Explanation of adjustments made—Include line number(s) and show the computations in detail. Additional space is available on the back if needed. Attach schedules, if applicable. Fill out this section ONLY if you want someone else to be able to discuss the amended return with the department during processing. Tax information authorization: I authorize the department to disclose my confidential tax information for the processing of this amended return to the designee listed. Designee name Designee’s telephone number Your signature Spouse’s/RDP’s signature (if joint filing) X X Amended returns may take six months or longer to process. —Attach this schedule to your Oregon amended return— 150-101-062 (Rev. 10-08) Amend sch, page 1 of 2
  • 2. Explanation of adjustments made (continued)—Include line number(s) and show the computations in detail. Attach schedules, if applicable. Amend sch, page 2 of 2 150-101-062 (Rev. 10-08)
  • 3. Instructions for Oregon Amended Schedule For Amending Oregon Individual Income Tax Returns How do I amend my Oregon return? • Write “amended” in blue or black ink at the top of Form 90R. You will need the following items: • Fill out Form 90R using the correct information. • Attach an explanation of your changes. • The tax form and instruction booklet for the year that you are amending. This will usually be the same form type as How long do I have to file for a refund? your original return, unless: In most cases, you must file for a refund within three years — You filed Form 40S, but no longer can use that form. from the due date of your original return, or the date you Use Form 40 instead; or filed your original return, whichever is later. If the three-year — You filed the incorrect form for your residency status. filing period has expired, you may still file for a refund if: Use the correct form type to amend. • You paid tax within the past two years for the tax year • The Oregon Amended Schedule and these instructions. you are amending. Your refund is generally limited to the — You will attach the Oregon Amended Schedule to your tax you paid in that two-year period. amended (corrected) return. • You had a net operating loss carryback. Your claim must • A copy of the Oregon tax return that you originally filed be filed within three years from the due date of the return for the year being amended. for the tax year when the loss occurred. The due date • A copy of any previous amended returns you filed. includes extensions. • A copy of all notices from us, another state, or the Internal • The Internal Revenue Service (IRS) or another state adjusted Revenue Service for the tax year being amended. your return or assessed tax for failure to file a return. You — If we corrected your return on our notice, use the fig- must file a copy of the audit report, return, or assessment ures from our notice when amending your return. and your Oregon amended return and schedule within two years after the federal or other state correction was made. Follow these steps to amend your return: How long will it take to process my amended return? 1. Read through these instructions before filling out your form. Processing time for amended returns varies. It may take 2. Check the amended box at the top of your amended Form six months or longer to process your amended return. 40S, 40, 40N, or 40P using blue or black ink. For tax years When should I file and pay if I owe additional tax? 2004 and earlier write “amended” at the top of your amended return. File your amended return and schedule as soon as you know that a change needs to be made. Interest is figured from the 3. If we sent you a notice adjusting your return, use those day after the due date of the original return up to the date the figures when making your other corrections. tax is paid. Pay any tax and interest due as soon as possible to 4. Fill out your entire income tax form (Form 40S, 40, 40N, or avoid additional interest. There may also be a penalty. 40P) using the correct information. I was audited by the IRS (or another state). Do I 5. Remember that charitable checkoffs cannot be used on need to amend my Oregon return? amended returns. Yes, if an IRS or other state audit changed your Oregon taxable 6. After completing your amended (corrected) return, com- income. If these adjustments did not change your Oregon tax- plete the amended schedule. The amended schedule able income, there is no need to amend. If you amend, attach a will figure your additional refund or tax to pay on your copy of the audit report to your amended Oregon return. amended return. How do I amend for a net operating loss (NOL)? 7. Attach your amended schedule to your amended return. See “Finishing the amended return and schedule” at the Generally, if you carry an NOL back for federal purposes, end of the instructions. you also must carry the Oregon NOL back for Oregon pur- poses. There is an exception if you were not required to file I need to amend my Form 90R, Elderly Rental an Oregon return for all years to which the federal NOL Assistance (ERA). Do I use this schedule? deduction is applied. If you elect to carry forward the federal NOL, then you must also carry forward the Oregon NOL. No. Do not use this schedule to amend Form 90R. To file an amended ERA claim, use Oregon Form 90R. You should: An Oregon NOL is defined the same as a federal NOL. However, you may have an Oregon NOL without having • Request an ERA booklet for the year you are amending. To order a booklet, go to our website or contact us. a federal NOL. Your Oregon NOL is computed under the 1 150-101-061 (Rev. 10-08)
  • 4. Federal refund worksheet federal methods. The only modification is for amounts that Oregon is prohibited from taxing, such as interest from U.S. Use this worksheet to determine the tax benefit received Series EE, HH, or I bonds (U.S. government interest). and the amount to include in Oregon income in the year you received the refund. Generally an NOL for a full-year resident is the same as the federal NOL. Nonresidents are allowed an Oregon NOL if 1. Enter the federal tax liability on your 1. it is generated from Oregon sources. original federal return. If you are amending for an NOL, be sure to check the 2. Enter the federal tax subtraction limit 2. “amending due to an NOL” box on the amended schedule for the year you are amending. and show the year of the NOL and the NOL calculations. 3. Line 1 minus line 2. (Enter -0- if line 2 is 3. greater than line 1.) Do I change my federal tax liability on my amended return? 4. Enter the refund of the prior year’s 4. federal tax. Usually not, but follow these special instructions for federal 5. If line 3 is greater than line 4, no adjust- 5. tax liability: ment is needed on your Oregon amended • Did we correct the federal tax subtraction on your original return. If line 4 is greater than line 3, enter return? If so, use the corrected amount from our notice. line 4 minus line 3 here and on your Form 40 as an addition and identify with code • Did you pay more than the limit? Refer to the instructions 109; or on your Form 40N or Form 40P as in the income tax booklet for the year you received the an other deduction or modification and refund for the limit amount. identify with code 601. • Did you amend your federal return before the due date Line instructions for the amended schedule (not including extensions) of the original return? If so, the Instructions are for lines not fully explained on the form. federal tax on your amended federal return is the amount you will use for your amended Oregon return. There will Write the tax year that you are amending on the Oregon be no addition or subtraction in a later year. Amended Schedule. • Did you pay additional federal tax because you were Do not fill in cents. You must round off cents to the near- audited or filed an amended return after the due date of est dollar. For example, $24.49 becomes $24.00 and $24.50 the original return? If so, claim the additional federal tax becomes $25.00. as a subtraction on your Oregon return in the year you Tax paid the additional tax. 101. Net income tax as amended. This is your amended • Did you get a refund of federal tax because you were tax after nonrefundable credits from your amended return audited or filed an amended return after the due date (do not include refundable tax credits, see line 103). If your of the original return? If so, show the federal tax refund credits are more than your tax, enter -0-. as an addition on your Oregon return in the year you received the refund, but only if you received a tax benefit. Payments and refundable credits See the federal refund worksheet below. 102. Oregon income tax withheld as amended. If you are cor- Example 1: You received a notice from the Oregon Department recting the amount of state tax withheld, you must attach a of Revenue in May and are filling out an amended return in copy of any additional or corrected Form W-2 or 1099. If this July. The notice stated that your federal tax liability subtraction hasn’t changed, enter the amount from your previous return. was reduced from $3,500 to $3,000. You will use the corrected 103. Refundable tax credits as amended. If you are amend- federal tax liability, $3,000, on your amended return. ing for tax year 2002 or earlier enter -0- on line 103 and go to line 104. Otherwise, enter the appropriate amounts from Example 2: You paid additional federal tax in 2008 for an your amended return on lines 103a, 103b, and 103c. Then add audit adjustment on your 2006 federal tax return. Amend lines 103a, 103b, and 103c and enter the total on line 103. your 2006 Oregon tax return for the audit adjustments, but do not change the 2006 federal tax. You can subtract the 103a. Earned income credit (EIC) as amended. Tax years 2005 additional 2006 federal tax liability you paid in 2008 on and earlier, enter -0- and go to line 103b. Tax years 2006 and your 2008 return up to the limit. See instructions in the later, enter your corrected Oregon earned income credit from 2008 income tax booklet for limits. your amended return. If your federal EIC hasn’t changed, your Oregon EIC will be the same as on your previous return. Example 3: You received a federal tax refund in 2008 for amending your 2006 income tax return. You may need to 103b. Working family child care credit (WFC) as amended. report the refund as an addition on your 2008 return. If you Tax years 2002 and earlier, enter -0- and go to line 104. Tax already filed your 2008 return, you may need to amend it. years 2003 and later, enter your corrected working family 2 150-101-061 (Rev. 10-08)
  • 5. child care credit from your amended return. Attach your • Amounts you applied to the next year’s estimated tax; or amended Schedule WFC or WFC-N/P. If this credit hasn’t • Amounts we offset to pay money owed to the Depart- changed, it will be the same as on your previous return. ment of Revenue or another agency. 103c. Mobile home park closure or involuntary move of a Any refund due from your original return may be mailed mobile home credit as amended. separately. By law, the Oregon Department of Revenue can- not issue refunds or apply amounts less than $1. • Tax years 2005 and earlier, enter -0-. Note: Do not include any amounts received as a kicker • Tax year 2006, enter your corrected refundable involun- tary move of a mobile home credit from your amended refund. return and attach your amended Schedule MH. Example 5: Scott filed his 2007 tax return, claiming a refund • Tax years 2007 and later, enter your corrected mobile of $5,400 on Form 40, line 54. He asked for $200 to be applied home park closure credit from your amended return and as an estimated payment for tax year 2008 on line 55. He also attach your amended Schedule MPC. requested that $200 be donated to various charities on lines If your credit hasn’t changed, it will be the same as shown 56 through 69. His net refund on line 71 was $5,000. When on your previous return. his return was processed, it took longer than expected, so he received interest on his refund. Scott also owed money 104. Estimated tax payments. Fill in the amount of esti- for parking tickets and the court had filed the paperwork to mated tax payments credited to your original return. Non- offset his tax refund to pay for the tickets and court fees. His residents: Include any Oregon income tax withheld for you refund was reduced by $1,000 to pay off the balance owed. by a pass-through entity or by an agent from the proceeds of He received $4,020 from the department as shown: any Oregon real estate sale. Refund $5,400 105. Amount of net income tax paid with original return Less payments applied to next tax year – 200 and later. Fill in the amount of all income tax actually paid Less charitable checkoff donations – 200 on your original Oregon return. Include payments made Net refund per return 5,000 later or for any additional tax adjustments to your return. Plus interest received + 20 Don’t include payments for: Subtotal 5,020 • Penalty and interest; or Less amount paid for Scott’s debts – 1,000 • Interest on the underpayment of estimated tax. Scott’s check from the department $4,020 Example 4: When Amy filled out her original return for tax When Scott amends his 2007 tax return he will enter $5,400 year 2007, Form 40, line 49 showed tax to pay of $200. Since on line 107 of his Oregon Amended Schedule. His refund will the original due date had passed, she entered a 5% late pay- not include applied payments, charitable donations, inter- ment penalty of $10 on Form 40, line 50. Her total amount est received, or amounts offset to pay debts. owed on Form 40, line 53 was $210. She sent a payment of Refund or balance due $210 with her return. Her return was adjusted in processing to correct a math error. Her tax was increased by $150. Addi- Note: Charitable checkoffs cannot be used on amended tional penalty and interest of $12 was added as well. She was returns. If you would like to donate to any of the charities, sent a notice explaining the adjustment, showing the cor- their addresses are available on our website. rected line entries on her original return. It also included a request to pay the additional $162 (tax, penalty, and interest), 110. Amount of line 109 you want applied to another year’s which she paid right away to avoid additional interest. She estimated tax. If your refund on line 109 is $1 or more, you paid a total of $372 ($350 tax + $15 penalty + $7 interest). may apply part or all of it to your Oregon estimated tax account. Fill in the tax year and the amount you want to apply. Later Amy amends her 2007 return and she will enter $350 Note: It may take six months or longer to process your return on line 105 of her Oregon Amended Schedule. She will only and apply your refund. include the tax payments. She will not include any of the interest and penalties she paid. Note: She will also use the 111. Net refund. You must reduce your refund by any corrected line entries from our notice when filling out her amounts applied to your estimated tax on line 110. If you amended return. would like your refund direct deposited, enter your account information on Form 40S, 40, 40N, or 40P. Note: Interest on 107. Income tax refunds received from original return and underpayment of estimated tax for a prior year is not refund- later. Fill in the amount of any refund you received (or able. Do not include it as part of your refund. expect to receive) from your original Oregon return and any amended returns previously filed for the same year. Include 113. Interest on additional tax to pay. Do you need to pay refunds received from the working family child care credit additional tax with your amended return? If so, you must or other refundable credit or a previous adjustment. Do not include interest with your payment. To avoid paying an include interest received. Do not reduce your refund by: additional 5 percent penalty, you must pay the tax and interest in full with your amended return, or within 30 days • Amounts you contributed to charitable funds claimed on the return; or after you receive a billing notice from the department. 3 150-101-061 (Rev. 10-08)
  • 6. Should I put my amended return together in a special order? Interest on income tax is figured from the day after the due date of your original return up to the date your payment is Yes. To speed processing, put your Oregon amended return received. together as follows: An interest period is each full month starting with the day • Amended (corrected) Form 40S, 40, 40N, or 40P. after the due date of the original return. Generally, the due date for income tax returns is April 15. • Staple Forms W-2 or 1099 to the front of your amended return if you are correcting income or Oregon withholding. Interest rates on tax you owe Percentage Rates • Staple your check or money order and Form 40-V on top of your W-2 and 1099 forms if you owe tax. If you’re paying by Interest Period Annual Monthly Daily credit card or electronic payment, do not use Form 40-V. For January 16, 1995 to Form 40-V or to learn how to pay by credit card or electronic January 15, 1999 10% .8333% (.008333) .0274% (.000274) payment, go to our website or contact us. January 16, 1999 to January 15, 2001 9% .7500% (.007500) .0247% (.000247) • If applicable, place these items in the following order January 16, 2001 to behind your Oregon amended return: February 15, 2002 10% .8333% (.008333) .0274% (.000274) — Schedule OR-A or Schedule OR-A-N/P for tax year February 16, 2002 to 2007, and Schedule OR-ASC or Schedule OR-ASC-N/P February 15, 2003 8% .6667% (.006667) .0219% (.000219) for tax year 2008. February 16, 2003 to — Oregon Amended Schedule. January 15, 2004 7% .5833% (.005833) .0192% (.000192) A copy of your corrected federal return (1040EZ, 1040A, — January 16, 2004 to 1040, 1040NR-EZ, or 1040NR) and/or other state’s January 15, 2005 6% .5000% (.005000) .0164% (.000164) amended return. If you originally filed as an RDP, attach January 16, 2005 to a corrected federal “as if” return in addition to any cor- January 15, 2006 5% .4167% (.004167) .0137% (.000137) rected federal or other state return(s). Write “RDP for January 16, 2006 to Oregon Only” in blue or black ink on the top left cor- January 16, 2007 7% .5833% (.005833) .0192% (.000192) ner of your corrected “as if” return. January 17, 2007 to A copy of your federal and/or other state’s audit report — January 15, 2009 9% .7500% (.007500) .0247% (.00247) if you amended your return due to an audit. January 16, 2009 to — Schedule WFC or WFC-N/P. January 15, 2010 6% .5000% (.005000) .0164% (.000164) — Other forms or schedules as required. Example 6: Dianna files an amended return for tax year • Place one staple in the top-left corner of your amended 2004 on March 24, 2008. She pays additional tax of $500 return and attachments. with her amended return. The following shows how she Note: Do not attach a copy of your original Oregon return. figures her interest: Where do I send my amended tax return? Apr 16, 2005–Jan 15, 2006 = 9 mos. x .004167 x $500 = 18.75 Jan 16, 2006–Jan 15, 2007 = 12 mos. x .005833 x $500 = 35.00 Either electronically file your amended return, or mail it to Jan 16, 2007–Mar 15, 2008 = 14 mos. x .007500 x $500 = 52.50 the appropriate address. Mar 15, 2008–Mar 24, 2008 = 9 days x .000247 x $500 = 1.11 Refund or no-tax-due Mail tax-to-pay Total interest due and entered on line 113 $107.36 returns: returns: Explanation of changes REFUND Oregon Department of Revenue PO Box 14700 PO Box 14555 Identify and provide a complete explanation of all amended Salem OR 97309-0930 Salem OR 97309-0940 items. Indicate the line number from the Form 40S, 40, 40N, or 40P for each change. If your filing status changed (for example, Taxpayer assistance from single to head of household), explain why. Attach addi- tional pages if you need more room to explain your changes. General tax information ................... www.oregon.gov/DOR Tax information authorization Salem ................................................................. 503-378-4988 Toll-free from an Oregon prefix ................. 1-800-356-4222 . Fill out this section only if you would like to designate some- one to be able to receive and give your tax information dur- Asistencia en español: ing the processing of this amended return. This will only be En Salem o fuera de Oregon .......................... 503-378-4988 used during the processing of this amended return and does Gratis de prefijo de Oregon ........................ 1-800-356-4222 . not revoke any previous tax information authorizations. TTY (hearing or speech impaired; machine only): Finishing the amended return and schedule Salem area or outside Oregon ....................... 503-945-8617 If you owe tax and choose to pay by check or money order, Toll-free from an Oregon prefix ................. 1-800-886-7204 . make it payable to the Oregon Department of Revenue. Americans with Disabilities Act (ADA): Call one of the help Include your daytime telephone number and the tax year that you are amending on the check or money order. numbers above for information in alternative formats. 4 150-101-061 (Rev. 10-08)