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Get OR OR-40-V 2021

On t submit photocopies or use staples. Tax year begins (MM/DD/YYYY) / Tax year ends (MM/DD/YYYY) / / First name / Initial Last name Social Security number (SSN) Spouse s first name Initial Spouse s last name Spouse s SSN Current mailing address State City ZIP code Contact phone Payment type (check one) Want to make your payment online? Find options at www.oregon.gov/dor. Original return Use this voucher only if you are making a payment without a return. For more inf.

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