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2017 Form OR-40 Office use only Oregon …

Office use only Filing status (check only one box) 1. Single. 2. Married filing jointly. 3. Married filing separately (enter spouse s information above). 4. Head of household (with qualifying dependent). 5. Qualifying widow(er) with dependent Form OR-40 Page 1 of 4, 150-101-040 (Rev. 12-17) Oregon Department of RevenueOregon Individual Income Tax Return for Full-year ResidentsLast nameSpouse s last nameDate of birth (mm/dd/yyyy)Spouse s date of birthFirst name and initialSpouse s first name and initialSocial Security no. (SSN)Spouse s SSND eceasedDeceasedAppliedfor ITINA ppliedfor ITINP honeCurrent mailing addressCityStateZIP codeCountry Exemptions Total 6a. Credits for yourself: Regular Severely disabled ..6a. Check box if someone else can claim you as a dependent. 6b. Credits for spouse: Regular Severely disabled.

Office use only. Filing status (check only . one. box) 1. Single. 2. Married filing jointly. 3. Married filing separately (enter spouse’s information . above

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