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5           2022 Schedule OR-PTE-PY                                                                                                                  Office use only        5
6           Page 1 of 2, 150-101-366                    Oregon Department of Revenue                            18132201010000                                              6
7           (Rev. 08-11-22, ver. 01)                                                                                                                                        7
8           Qualified Business Income Reduced                                                                                                                               8
9           Tax Rate Schedule for Oregon Part-year Residents                                                                                                                9
10                                                                                                                                                                          10
11                                                          Submit original form—do not submit photocopy                                                                    11
12          First name                          Initial    Last name                                                                    Social Security number (SSN)        12
13          XXXXXXXXXXXX                        X          XXXXXXXXXXXXXXXXXXXX                                                         999-99-9999– –                      13
14          Spouse first name (if joint return) Initial    Spouse last name                                                             Spouse SSN                          14
15          XXXXXXXXXXXX                        X          XXXXXXXXXXXXXXXXXXXX                                                         999-99-9999– –                      15
16          To qualify for the reduced tax rate, you must complete both sections and submit this form with your Oregon Form OR-40-P.                                        16
17                                                                                                                                                                          17
18          Section A—Qualifying business information                                                                                                                       18
19          Complete Section A to determine if you qualify for the reduced tax rate. List each sole proprietorship (SP), S corporation (SC), or                             19
20          partnership (P) along with the business code number (or NAICS code), Oregon PTE-E tax deducted, number of qualifying employees,                                 20
21          entity type, nonpassive income (or loss), and Section 179 expense attributable to each qualifying business. Only list businesses that                           21
22          qualify. See instructions for more information.                                                                                                                 22
23                                                                                                                                                                          23
24          1. Qualifying business name                                                                    FEIN           Business code no.  No. of qualifying employees    24
25                                                                                                         –                                                                25
               XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999                                                             9999999999                 999,999,999
26             Entity type:                                a. Nonpassive loss                              b. Section 179 expense            c. Nonpassive income           26
27             XX      (SP, SC, or P only)      99,999,999,999.00.00                                       99,999,999,999.00.00         99,999,999,999.00.00                27
28                                                                                                                                                                          28
29             d. Oregon PTE-E tax deducted                                                                                                                                 29
30                                                                                                                                                                          30
               99,999,999,999.00.00
31                                                                                                                                                                          31
32          2. Qualifying business name                                                                    FEIN           Business code no.  No. of qualifying employees    32
33             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999–                                                            9999999999                 999,999,999            33
34             Entity type:                                a. Nonpassive loss                              b. Section 179 expense            c. Nonpassive income           34
35             XX      (SP, SC, or P only)      99,999,999,999.00.00                                       99,999,999,999.00.00         99,999,999,999.00.00                35
36                                                                                                                                                                          36
37             d. Oregon PTE-E tax deducted                                                                                                                                 37
38                                                                                                                                                                          38
               99,999,999,999.00.00
39                                                                                                                                                                          39
40          3. Qualifying business name                                                                    FEIN           Business code no.  No. of qualifying employees    40
41             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999–                                                            9999999999                 999,999,999            41
42             Entity type:                                a. Nonpassive loss                              b. Section 179 expense            c. Nonpassive income           42
43             XX      (SP, SC, or P only)      99,999,999,999.00.00                                       99,999,999,999.00.00         99,999,999,999.00.00                43
44                                                                                                                                                                          44
45             d. Oregon PTE-E tax deducted                                                                                                                                 45
46                                                                                                                                                                          46
               99,999,999,999.00.00
47                                                                                                                                                                          47
48          4. Total for each column                    a. Nonpassive loss total                           b. Section 179 expense total c. Nonpassive income total          48
49             (a), (b),(c), and (d):           99,999,999,999.00.00                                       99,999,999,999.00.00         99,999,999,999.00.00                49
50                                                                                                                                                                          50
51             d. Oregon PTE-E tax deducted                                                                                                                                 51
52                                                                                                                                                                          52
               99,999,999,999.00.00
53                                                                                                                                                                          53
54          5.  Add lines 4c and 4d ................................................................ 5.    99,999,999,999.00.00                                             54
55                                                                                                                                                                          55
56          6.  Add lines 4a and 4b ................................................................ 6.    99,999,999,999.00.00                                             56
57                                                                                                                                                                          57
58          7.  Line 5 minus line 6 ................................................................... 7. 99,999,999,999.00.00                                             58
59                                                                                                                                                                          59
60          If line 7 is 0 or less, you can’t use the reduced tax rate. Return to the Form OR-40-P, line 44, and complete the rest of the form. If line 7                   60
61          is more than 0, enter this amount on line 2b of the Tax worksheet in Section B on page 2.                                                                       61
62                                                                                                                                                                          62
63                                              —You must include this schedule with your Oregon Form OR-40-P—                                                              63
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71           2022 Schedule OR-PTE-PY                                                                                                                                                                          71
72           Page 2 of 2, 150-101-366               Oregon Department of Revenue                                  18132201020000                                                                              72
73           (Rev. 08-11-22, ver. 01)                                                                                                                                                                         73
74           Section B—Tax worksheet                                                                                                                                                                          74
75           Complete each applicable line to determine your tax. See the instructions for more information.                                                                                                  75
76                                                                                                                                                                                                            76
77             1.  Enter Oregon taxable income from Form OR-40-P, line 43 .........1a.                            99,999,999,999.00.00                                                                        77
78             2.  Enter the total qualifying income from of Section A, line 7.................................................................................2b.                       99,999,999,999.00.00 78
79             3.  Line 1a minus line 2b. Don’t enter less than 0 .............................3a.                99,999,999,999.00.00                                                                        79
80             4.  Enter the amount on lines 4a and 4b of the depreciation                                                                                                                                    80
81               addition from Form OR-40-P, line 30F that is attributable to                                                                                                                                 81
82               the qualifying businesses ............................................................4a.        99,999,999,999.00.00 4b.                                               99,999,999,999.00.00 82
83             5.  Line 3a minus line 4a. Don’t enter less than 0 .............................5a.                99,999,999,999.00.00                                                                        83
84             6.  Line 2b plus line 4b .............................................................................................................................................6b. 99,999,999,999.00.00 84
85             7.  Enter the amount on lines 7a and 7b of the depreciation                                                                                                                                    85
86               subtraction from Form OR-40-P, line 33F that is attributable                                                                                                                                 86
87               to the qualifying businesses ........................................................7a.         99,999,999,999.00.00 7b.                                               99,999,999,999.00.00 87
88             8.  Line 5a plus line 7a ......................................................................8a. 99,999,999,999.00.00                                                                        88
89             9.  Line 6b minus line 7b. Don’t enter less than 0 ...................................................................................................9b.                 99,999,999,999.00.00 89
90            10.  Tax for income on line 8a (see instructions)...............................10a.                99,999,999,999.00.00                                                                        90
91            11.  Enter the Oregon percentage from Form OR-40-P, line 35 .......11a.                             999.9.                                                                                      91
92           12.  Multiply lines 10a and 11a. This is your tax on                                                                                                                                             92
93               nonqualifying income .................................................................12a.       99,999,999,999.00.00                                                                        93
94           13.  Tax for income on line 9b using Tax rate chart B in the instructions ..............................................................13b.                                99,999,999,999.00.00 94
95           14.  Enter the Oregon percentage from Form OR-40-P, line 35 ..............................................................................14b.                              999.9.               95
96           15.  Multiply line 13b by line 14b. This is your tax on qualifying income ................................................................15b.                              99,999,999,999.00.00 96
97           16.  Line 12a plus 15b. This is your total tax with the reduced rate for                                                                                                                         97
98               qualifying income .......................................................................16a.    99,999,999,999.00.00                                                                        98
99            17.  Tax for income on line 1a (see instructions)...............................17a.                99,999,999,999.00.00                                                                        99
100          18.  Multiply line 17a by the percentage on line 11a ........................18a.                    99,999,999,999.00.00                                                                        100
101           19.  Enter the lesser of line 16a or line 18a.......................................19a.            99,999,999,999.00.00                                                                        101
102                                                                                                                                                                                                           102
103          If line 16a is less than line 18a, enter the amount from line 19a on of Form OR-40-P, lines 44 and 45, and check box 44c. Complete the                                                           103
104          rest of the return. Don’t multiply the tax by the Oregon percentage as instructed on Form OR-40-P, line 45.                                                                                      104
105                                                                                                                                                                                                           105
106          If line 18a is less than line 16a, it’s not more beneficial for you to use the reduced tax rate. Enter the amount from line 17a on Form                                                          106
107          OR-40-P, line 44, and complete the rest of the return.                                                                                                                                           107
108                                                                                                                                                                                                           108
109          Note: You can’t amend to revoke or make the election after your original return is filed unless you file an amended return on or before                                                          109
110          the original due date of April 18, 2023, or if filing an extension, October 16, 2023. If you amend after the due date for the return                                                             110
111          including extensions, you must use the tax on line 16a of the Tax worksheet even if line 18a is less.                                                                                            111
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113                                           —You must include this schedule with your Oregon Form OR-40-P—                                                                                                  113
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