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5 Oregon Department of Revenue 5
2022 Schedule OR-AF
6 Schedule of Affiliates for Corporations 6
7 7
8 Page 1 of 1 • Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples. 8
9 Corporation legal name (as shown on your Oregon return) 9
10 10
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
12 Federal employer identification number (FEIN) 12
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99-9999999
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16 1a. FEIN 16
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99-9999999
19 1b. Business name 19
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
22 1c. Address 22
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
25 1d. City 1e. State 1f. ZIP code 25
26 26
27 XXXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX - 27
28 1g. If new affiliate during this year, enter date affiliate 1h. If affiliate ceased to be part of the unitary group during this 28
29 became part of the unitary group. Date (MM/DD/YYYY) year, indicate date affiliate left group. Date (MM/DD/YYYY) 29
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31 99/99/9999/ / 99/99/9999/ / 31
32 32
33 2a. FEIN 33
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99-9999999
36 2b. Business name 36
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
39 2c. Address 39
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
42 2d. City 2e. State 2f. ZIP code 42
43 43
44 XXXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX - 44
45 2g. If new affiliate during this year, enter date affiliate 2h. If affiliate ceased to be part of the unitary group during this 45
46 became part of the unitary group. Date (MM/DD/YYYY) year, indicate date affiliate left group. Date (MM/DD/YYYY) 46
47 47
48 99/99/9999/ / 99/99/9999/ / 48
49 49
50 Include additional schedules if needed. You must include this form with your Oregon corporation or insurance tax return. 50
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52 Page number 52
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54 999 of 999 54
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150-102-034
63 (Rev. 08-04-22, ver. 01) 18352201010000 63
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