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5           Form OR‑OC‑TR                                                                                                               Office use only    5
6           Page 1 of 2, 150-101-158             Oregon Department of Revenue            18530001010000                                                    6
7           (Rev. 09-08-22, ver. 01)                                                                                                                       7
8           Oregon Composite Return Payment Transfer Request                                                                                               8
9                                                                                                                                                          9
10                                                                                                                                                         10
            For Owners Not Joining Form OR‑OC
11                                                                Submit original form—do not submit photocopy.                                            11
12                                                                                                                                                         12
13          Tax year                                                                                                                                       13
                        9999
14                                                                                                                                                         14
15          Pass-through entity (PTE) name                                      Federal employer identification number (FEIN) Contact phone                15
16          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999–                                                                   (999)( )  999-9999–          16
17          PTE address                                                         City                                          State ZIP code               17
18                                                                                                                                                         18
19          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXPreparer name (see instructions) XXXXXXXXXXXXXXXXXXXXXPreparer phone           XX    XXXXX-XXXX             19

20          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                 (999)( ) 999-9999–                                                         20
21                                                                                                                                                         21
22                                                                                                                                                         22
23                                         Estimated payments     Amount of payment                             Check date                                 23
24                                                                                                      (MM/DD/YYYY)                                       24
25                                                                                                                                                         25
26                                                  Payment 1     99,999,999,999.00.00           99/99/9999/    /                                          26
27                                                                                                                                                         27
28                                                                                                                                                         28
29                                                  Payment 2     99,999,999,999.00.00           99/99/9999/    /                                          29
30                                                                                                                                                         30
31                                                                                                                                                         31
32                                                  Payment 3     99,999,999,999.00.00           99/99/9999/    /                                          32
33                                                                                                                                                         33
34                                                                                                                                                         34
35                                                  Payment 4     99,999,999,999.00.00           99/99/9999/    /                                          35
36                                                                                                                                                         36
37                                   Important—Complete page 2 of Form OR‑OC‑TR before signing and mailing form.                                           37
38                      Mail this form prior to filing the Form OR‑OC. Don’t include this form with Form OR‑OC.                                            38
39                                                                                                                                                         39
40                                                                                                                                                         40
41          Sign below and keep a copy of this form with your tax records.                                                                                 41
42          Under penalties for false swearing, I certify that I am authorized to request transfer of estimated tax payments from the above-               42
43          named pass-through entity’s tax account to the tax accounts listed on page 2.                                                                  43
44                                                                                                                                                         44
45          Signature of general partner, LLC member, or officer                Date                                                                       45
46          X                                                                   99/99/9999/ /                                                              46
47          Print name of general partner, LLC member, or officer               Title                                                                      47
48                                                                                                                                                         48
49          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXSignature of paid preparer       XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXDate                                    49

50          X                                                                   99/99/9999/ /                                                              50
51                                                                              Preparer address                                                           51
52                                                                                                                                                         52
53                                                                              XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXCity       State   ZIP code             53

54          Mail Form OR-OC-TR to:         Oregon Department of Revenue         XXXXXXXXXXXXXXXXXXXXX XX                              XXXXX-XXXX           54
55                                         PO Box 14999                         Preparer license number                       Paid preparer phone          55
56                                         Salem OR 97309‑0990                                                                (999)(  ) 999-9999–          56
                                                                                XXXXXXXXXX
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5           Form OR‑OC‑TR                                                                                                                        5
6           Page 2 of 2, 150-101-158              Oregon Department of Revenue 18530001020000                                                    6
7           (Rev. 09-08-22, ver. 01)                                                                                                             7
8                                                                                                                                                8
9           Payment amount to remain on PTE account.                                                                                             9
10                              Payment 1                   Payment 2              Payment 3                    Payment 4                        10
11                                                                                                                                               11
               99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
12                                                                                                                                               12
13                                                                                                              Total for PTE                    13
14                                                                                                                                               14
                                                                                                      99,999,999,999.00.00
15                                                                                                                                               15
16          1. Owner first name           Initial Last name                    SSN                    Owner type                                 16
17          XXXXXXXXXXXX             X            XXXXXXXXXXXXXXXXXXXX         999-99-9999– –         XXXXXXXXXXXXXX                             17
18          Entity name                                                                FEIN                                                      18
19          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                        99-9999999–                                               19
20          Address                                                       City                        State     ZIP code                         20
21                                                                                                                                               21
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX                                        XXXXX-XXXX
22                          (a) Payment 1                   (b) Payment 2          (c) Payment 3                (d) Payment 4                    22
23                                                                                                                                               23
               99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
24                                                                                                                                               24
25                                                                                                              Total for owner                  25
26                                                                                                                                               26
                                                                                                      99,999,999,999.00.00
27                                                                                                                                               27
28                                                                                                                                               28
29          2. Owner first name           Initial Last name                    SSN                    Owner type                                 29
30          XXXXXXXXXXXX             X            XXXXXXXXXXXXXXXXXXXX         999-99-9999– –         XXXXXXXXXXXXXX                             30
31          Entity name                                                                FEIN                                                      31
32          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                        99-9999999–                                               32
33          Address                                                       City                        State     ZIP code                         33
34                                                                                                                                               34
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX                                        XXXXX-XXXX
35                          (a) Payment 1                   (b) Payment 2          (c) Payment 3                (d) Payment 4                    35
36                                                                                                                                               36
               99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
37                                                                                                                                               37
38                                                                                                              Total for owner                  38
39                                                                                                                                               39
                                                                                                      99,999,999,999.00.00
40                                                                                                                                               40
41                                                                                                                                               41
42          3. Owner first name           Initial Last name                    SSN                    Owner type                                 42
43          XXXXXXXXXXXX             X            XXXXXXXXXXXXXXXXXXXX         999-99-9999– –         XXXXXXXXXXXXXX                             43
44          Entity name                                                                FEIN                                                      44
45          XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                        99-9999999–                                               45
46          Address                                                       City                        State     ZIP code                         46
47                                                                                                                                               47
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX                                        XXXXX-XXXX
48                          (a) Payment 1                   (b) Payment 2          (c) Payment 3                (d) Payment 4                    48
49                                                                                                                                               49
               99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
50                                                                                                                                               50
51                                                                                                              Total for owner                  51
52                                                                                                                                               52
                                                                                                      99,999,999,999.00.00
53                                                                                                                                               53
54                                                                                                                                               54
55          Total payments to remain on account and to transfer to owners (must match estimated payments 1–4 on page 1 of Form OR-OC-TR).        55
56                                                                                                                                               56
57          4.          (a) Total of payment 1    (b) Total of payment 2       (c) Total of payment 3       (d) Total of payment 4               57
58                                                                                                                                               58
               99,999,999,999.00.0099,999,999,999.00.00 99,999,999,999.00.0099,999,999,999.00.00
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