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5 2022 Schedule OR‑OC‑1 Office use only 5
6 Page 1 of 1, 150-101-152 Oregon Department of Revenue 18542201010000 6
7 (Rev. 08-09-22, ver. 01) 7
8 Oregon Composite Return Tax Calculation for Individual and Fiduciary Owners 8
9 9
10 10
11 Submit original form—do not submit photocopy. 11
12 Pass-through entity (PTE) name Federal employer identification number (FEIN) 12
13 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 13
14 Electing nonresident owner information (see instructions) 14
15 1. Owner type Nonresident first name Initial Last name Social Security number (SSN) 15
16 XXXXXXXXXXXXXXX XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999– – 16
17 Filing status Fiduciary name FEIN 17
18 X XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 18
19 Ownership percentage Share of federal income Share of Oregon-source distributive income (a) Oregon income tax 19
20 999.9999. % 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 20
21 21
22 (b) PTE‑E tax credit (c) Reserved (d) Share of estimated tax paid (e) Interest on underpayment of tax 22
23 23
99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
24 24
25 2. Owner type Nonresident first name Initial Last name SSN 25
26 XXXXXXXXXXXXXXX XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999– – 26
27 Filing status Fiduciary name FEIN 27
28 X XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 28
29 Ownership percentage Share of federal income Share of Oregon-source distributive income (a) Oregon income tax 29
30 999.9999. % 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 30
31 31
32 (b) PTE‑E tax credit (c) Reserved (d) Share of estimated tax paid (e) Interest on underpayment of tax 32
33 33
99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
34 34
35 3. Owner type Nonresident first name Initial Last name SSN 35
36 XXXXXXXXXXXXXXX XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999– – 36
37 Filing status Fiduciary name FEIN 37
38 X XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 38
39 Ownership percentage Share of federal income Share of Oregon-source distributive income (a) Oregon income tax 39
40 999.9999. % 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 40
41 41
42 (b) PTE‑E tax credit (c) Reserved (d) Share of estimated tax paid (e) Interest on underpayment of tax 42
43 43
99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
44 44
45 4. Owner type Nonresident first name Initial Last name SSN 45
46 XXXXXXXXXXXXXXX XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999– – 46
47 Filing status Fiduciary name FEIN 47
48 X XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999– 48
49 Ownership percentage Share of federal income Share of Oregon-source distributive income (a) Oregon income tax 49
50 999.9999. % 99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00 50
51 51
52 (b) PTE‑E tax credit (c) Reserved (d) Share of estimated tax paid (e) Interest on underpayment of tax 52
53 53
99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
54 54
55 5. Total for each column: (a), (b), (c), (d), and (e) 55
56 Total column (a) Total column (b) Total column (c) Total column (d) 56
57 57
99,999,999,999.00.00 99,999,999,999.00.00 99,999,999,999.00.00
58 58
59 Total column (e) 59
60 60
99,999,999,999.00.00
61 Include this schedule with your Form OR‑OC. 61
62 Use additional copies of this page for additional nonresident owners electing to join the composite filing. 62
63 If using more than one page, total all pages on line 5 of the first page. Page _______ 999 of _______999 63
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