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5            Form OR-24                                                                                                                          Office use only 5
6           Page 1 of 1, 150-101-734              Oregon Department of Revenue          18480001010000                     Date received                         6
7           (Rev. 08-18-22, ver. 01)                                                                                                                             7
8            Oregon Like-Kind Exchanges/Involuntary Conversions                                                                                                  8
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11                                                                Submit original form—do not submit photocopy                                                   11
12          Taxpayer first name      Initial   Taxpayer last name            Social Security number (SSN)                                                        12
13           XXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXX 999-99-9999-                           -                                                        For tax year    13
14          Entity name (if not an individual)                               Federal employer identification number (FEIN)                                       14
15                                                                                                                                                               15
16          TaxpayerXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXstreet address        99-9999999-                                                                 9999    16
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18          CityXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXState ZIP code                                                                                                18
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             XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX
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21          Provide the following information on the like-kind exchange:                                                                                         21
22                                                                                                                                                               22
23          1. Address (if applicable) and description of the Oregon property given up.                                                                          23
24          Address                                                       City                                             State ZIP code                        24
25                                                                                                                                                               25
26          DescriptionXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX                                                                   26
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             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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29          2. Address (if applicable) and description of the property received.                                                                                 29
30          Address                                                       City                                             State ZIP code                        30
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32          DescriptionXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX XX XXXXX-XXXX                                                                   32
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             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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35          3.  Month, day, and year you actually transferred your Oregon property to the other party ..................................3.       99/99/9999/ /   35
36          4.  Month, day, and year you actually received the property from the other party .................................................4. 99/99/9999/ /   36
37                                                                                                                                                               37
38          5. Realized gain (or loss) on Oregon property from federal Form 8824, line 19 or line 32 ..................5. 99,999,999,999.00.00                   38
39          6. Recognized gain on Oregon property from federal Form 8824, line 23 or line 36 .........................6.  99,999,999,999.00.00                   39
40          7. Deferred gain (or loss) on Oregon property from federal Form 8824, line 24 or line 37 ................. 7. 99,999,999,999.00.00                   40
41                                                                                                                                                               41
42          Remember: The deferred gain (or loss) must be reported to Oregon upon the disposition of the replacement property.                                   42
43                                                                                                                                                               43
44           —Include this form with your Oregon return each year until the disposition of the like-kind property, and the gain or loss is reported.—            44
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