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Get Or Oq Report

Form OQ/OA Amended Oregon Amended Payroll Tax Report 6522010123 Fax to 503-947-1700 Mail to Oregon Department of Revenue PO Box 14800 Salem OR 97309-0920 To pay Complete Form OR-OTC-V and mail with your check payable to Oregon Department of Revenue Do not submit photocopies. Business name Federal employer identification number FEIN Business identification number BIN Date received Quarter/Year Q/YY changed / Reason for amending Corrected Amount Original Reported Amount Net Change State Withholding 1. Subject wages. 2. Total tax amount. 3. Tax pre-paid this quarter. 4. Total due. Statewide Transit TriMet Lane Transit District LTD Monthly Summary of State Withholding Tax Liability 17a* Corrected First Month 17b. Corrected Second Month 17c* Corrected Third Month Continue to next page 150-206-522 Rev* 08-18-22 Page 1 of 2 Unemployment Insurance UI 19. Excess wages. 20. Taxable wages. 21. UI tax rate. Paid Leave 26. Paid Leave rate. 27. Employer contributions. Workers Benefit Fund WBF Assessment 30. Hours worked*. 31. WBF assessment rate. 32. Total assessment due. Number of UI workers 33. First month. 34. Second month. 35. Third month. Number of Paid Leave employees 36. Out-of-state employees. 37. Replacement workers. Under penalty of false swearing I declare that the information in this report and any enclosures are true correct and complete. Business name Federal employer identification number FEIN Business identification number BIN Date received Quarter/Year Q/YY changed / Reason for amending Corrected Amount Original Reported Amount Net Change State Withholding 1. Subject wages. 2. Total tax amount. 3. Tax pre-paid this quarter. 4. Total due. Statewide Transit TriMet Lane Transit District LTD Monthly Summary of State Withholding Tax Liability 17a* Corrected First Month 17b. Subject wages. 2. Total tax amount. 3. Tax pre-paid this quarter. 4. Total due. Statewide Transit TriMet Lane Transit District LTD Monthly Summary of State Withholding Tax Liability 17a* Corrected First Month 17b. Corrected Second Month 17c* Corrected Third Month Continue to next page 150-206-522 Rev* 08-18-22 Page 1 of 2 Unemployment Insurance UI 19. Corrected Second Month 17c* Corrected Third Month Continue to next page 150-206-522 Rev* 08-18-22 Page 1 of 2 Unemployment Insurance UI 19. Excess wages. 20. Taxable wages. 21. UI tax rate. Paid Leave 26. Paid Leave rate. 27. Employer contributions. Excess wages. 20. Taxable wages. 21. UI tax rate. Paid Leave 26. Paid Leave rate. 27. Employer contributions. Workers Benefit Fund WBF Assessment 30. Hours worked*. 31. WBF assessment rate. 32. Total assessment due. Workers Benefit Fund WBF Assessment 30. Hours worked*. 31. WBF assessment rate. 32. Total assessment due. Number of UI workers 33. First month. 34. Second month. 35. Third month. Number of Paid Leave employees 36. Number of UI workers 33. First month. 34. Second month. 35. Third month. Number of Paid Leave employees 36. Out-of-state employees. 37. Replacement workers. Under penalty of false swearing I declare that the information in this report and any enclosures are true correct and complete.

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