Form 150-104-172 Form or-706-v - Estate Transfer Tax Payment Voucher - Oregon

Form 150-104-172 or the "Form Or-706-v - Estate Transfer Tax Payment Voucher" is a form issued by the Oregon Department of Revenue.

The form was last revised in July 1, 2018 and is available for digital filing. Download an up-to-date Form 150-104-172 in PDF-format down below or look it up on the Oregon Department of Revenue Forms website.

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Form OR-706-V
Page 1 of 1, 150-104-172 (Rev. 07-18)
Oregon Department of Revenue
Oregon Estate Transfer Tax Payment Voucher and Instructions
Online payments:
You may make payments directly online at www.oregon.gov/dor. Don’t use this form with online payments.
Use this voucher to send a payment for Form OR-706:
• Tax due when you file your original return. Check the “Original return” box. Include the voucher with your check in
the same envelope as your return. Please don’t staple the voucher and check to the return.
• Tax due by the original return due date. Check the “Extension payment” box if you applied for an extension to file
using federal Form 4768. Include the voucher with your check.
• Prepayment of tax if you are making a payment before the original due date of your return. Check the “Prepayment”
box. Include the voucher with your check.
• Tax due with an amended return. Check the “Amended return” box. Include the voucher with your check in the same
envelope as your amended return. Please don’t staple the voucher and check to the return.
Make your check payable to: Oregon Department of Revenue. To ensure proper credit to your account, write the
following on your check: the decedent’s name, the decedent’s Social Security number (DSSN), the year of death, and
“Form OR-706.”
Send all payments to: Oregon Department of Revenue
PO Box 14110
Salem OR 97309-0910
Note: Don’t use this voucher as an extension to file. Use IRS Form 4768 and mail it to us by the original due date of your
Form OR-706. Include a copy of the extension with your return.
Visit www.oregon.gov/dor/forms to print more vouchers.
Form OR-706-V, Oregon Estate Transfer Tax Payment Voucher
Office use only
/
/
Date of death:
Payment type (check only one):
Clear form
Original return
Prepayment
Extension payment
Amended return
Decedent’s first name and initial
Decedent’s last name
Decedent’s SSN
Executor’s name
Executor’s address
Enter payment amount
.
00
City
State
ZIP code
Executor’s phone
$
)
(
150-104-172 (Rev. 07-18)
Form OR-706-V
Page 1 of 1, 150-104-172 (Rev. 07-18)
Oregon Department of Revenue
Oregon Estate Transfer Tax Payment Voucher and Instructions
Online payments:
You may make payments directly online at www.oregon.gov/dor. Don’t use this form with online payments.
Use this voucher to send a payment for Form OR-706:
• Tax due when you file your original return. Check the “Original return” box. Include the voucher with your check in
the same envelope as your return. Please don’t staple the voucher and check to the return.
• Tax due by the original return due date. Check the “Extension payment” box if you applied for an extension to file
using federal Form 4768. Include the voucher with your check.
• Prepayment of tax if you are making a payment before the original due date of your return. Check the “Prepayment”
box. Include the voucher with your check.
• Tax due with an amended return. Check the “Amended return” box. Include the voucher with your check in the same
envelope as your amended return. Please don’t staple the voucher and check to the return.
Make your check payable to: Oregon Department of Revenue. To ensure proper credit to your account, write the
following on your check: the decedent’s name, the decedent’s Social Security number (DSSN), the year of death, and
“Form OR-706.”
Send all payments to: Oregon Department of Revenue
PO Box 14110
Salem OR 97309-0910
Note: Don’t use this voucher as an extension to file. Use IRS Form 4768 and mail it to us by the original due date of your
Form OR-706. Include a copy of the extension with your return.
Visit www.oregon.gov/dor/forms to print more vouchers.
Form OR-706-V, Oregon Estate Transfer Tax Payment Voucher
Office use only
/
/
Date of death:
Payment type (check only one):
Clear form
Original return
Prepayment
Extension payment
Amended return
Decedent’s first name and initial
Decedent’s last name
Decedent’s SSN
Executor’s name
Executor’s address
Enter payment amount
.
00
City
State
ZIP code
Executor’s phone
$
)
(
150-104-172 (Rev. 07-18)

Download Form 150-104-172 Form or-706-v - Estate Transfer Tax Payment Voucher - Oregon

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