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2017 Form OR-706 Office use only - oregon.gov

Clear form 2017 Form OR-706 Office use only Page 1 of 3, 150-104-001 (Rev. 07-17) oregon Department of Revenue 17511701010000. oregon estate Transfer Tax Return Submit original form do not submit photocopy. Part 1 (Print or type). Amended Decedent's first name and initial Decedent's last name Decedent's Social Security number (SSN). Return , estate . Decedent's domicile (legal residence). City County State Country . Date of birth Date of death Year domicile established An extension of time A separate election / / / / to file is included. is claimed. Is the estate being probated in oregon ? An extension of time If Yes oregon county: to pay is included. oregon probate number: Executor's name Executor's SSN Executor's FEIN.. Executor's mailing address City State ZIP code . Executor's title Executor's phone ( ).

Oregon Department of Revenue 2017 Form OR-706 Oregon Estate Transfer Tax Return Submit original form—do not submit photocopy. Office use only Page 1 of 3, 150-104-001 (Rev. 07-17) 17511701010000 Decedent’s first name and initial Decedent’s last name Decedent’s Social Security number (SSN), Estate

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