Oregon Form Oq Oa Details

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QuestionAnswer
Form NameForm Oq
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesoregon oq report, oregon department of revenue form oq, oregon form oq amended, oregon form oa

Form Preview Example

Number of Workers

First Month. . . . . . . . . . . . . .

Second Month. . . . . . . . . . .

Form OQ/OA - AMENDED Report

BUSINESS NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Identification Number:

_

 

 

 

 

 

 

 

 

 

 

 

Correct

Original Amount

Net

Federal Identification Number:

_

 

 

 

 

 

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

 

Amount

as Reported

Change

QTR/YR Changed:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Withholding

Third Month. . . . . . . . . . . . .

Unemployment Insurance (UI)

Subject Wages . . . . . . . .

Excess Wages . . . . . . . . .

Taxable Wages . . . . . . .

Correct

Original Amount

Net

Amount

as Reported

Change

Correct

Original Amount

Amount

as Reported

Subject Wages . .

Tax . . . . . . . . . . . . .

Prepaid . . . . . . . . .

Total Tax Due . . .

Tax Rate (decimal). . . . .

Tax . . . . . . . . . . . . . . . . . . .

Workers' Benefit Fund (WBF)

Whole Hours Worked . .

WBF Rate (decimal). . . . . .

Total Assessment Due . . .

Correct

Original Amount

Net

Amount

as Reported

Change

 

 

 

 

 

 

 

 

 

 

 

 

TriMet Transit District

Correct

Original Amount

Amount

as Reported

Subject Wages . .

Tax . . . . . . . . . . . . .

Prepaid . . . . . . . . .

Total Tax Due . . .

Monthly Summary

of State

Correct Amount

Correct Amount for

Correct Amount

for First Month (M1)

Second Month (M2)

for Third Month (M3)

Withholding

 

 

 

 

 

 

 

 

 

 

Reason for

Amended:

I certify this report is true and correct and is filed under penalty of false swearing.

Lane Transit District

Correct

Original Amount

Amount

as Reported

Subject Wages . .

Tax . . . . . . . . . . . . .

Prepaid . . . . . . . . .

Total Tax Due . . .

Signature

 

 

Prepared By

 

Date

 

Preparer Telephone Number

 

 

 

 

 

 

 

Required X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAX TO: (503) 947-1700 OR

MAIL TO: OREGON DEPARTMENT OF REVENUE, PO BOX 14800, SALEM OR 97309-0920

 

 

MAKE CHECK PAYABLE TO: OREGON DEPARTMENT OF REVENUE and INCLUDE OTC

 

 

 

REV 06/12

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