Required Information For Electronic Filing - Complete Sections 1-3 Below Per Oregon Department of Revenue Section 1: Information Needed for Oregon Return If you received a Form W-2, 1099-R, W-2G, 1099-G, or 1099-MISC that has Oregon Witholding on it, you are required to enter all forms, use the "Add" button to enter information from each form separately. Example: If you received two Forms W-2, click the Add button next to the Form W-2 and enter the information for your first Form W-2. each of the types of forms listed below that you received. Form W-2 Wage & Tax Statement Form 1099-R Distributions from Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. Form W-2G Certain Gambling Winnings Form 1099-G Certain Government Payments Form 1099-MISC Miscellaneous Income Check the box if you do not have any of the above Section 2: Signing Your Return Disclosure Statement I (we, if filing jointly) certify that the above statement is true. Under penalties for false swearing, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements and to the best of my knowledge and belief, it is true, correct, and complete. Oregon Department of Revenue an acknowledgement of receipt or reason for rejection of the transmission. I further acknowledge acknowledges that the submission of this electronic return constitues both of our signatures. Section 3: Additional Information Needed to E-file Your Oregon Return A. Enter Email Address E-mail address (for confirmation e-mail) . . . . . . . . . . . . . . . . . . . . . . . Re-enter e-mail address (must match) . . . . . . . . . . . . . . . . . . . . . . . . . Section 4: Refund/Payment Options A. Refund - You will receive a check unless you entered direct deposit information directly on Form 40. B. Paying Tax Due by Check C. Electronic Funds Withdrawal of Tax Due - If you would like to pay your tax liability online go to https://secure.dor.state.or.us/directdebit/index.faces. - If you are paying with a check, print Form 40-V, Payment Voucher, and mail it with your check to the Oregon Department of Revenue. G G G G G G information for each of the forms received. You must enter the information exactly as it appears on the form. If you have multiple After completing the first Form W-2, select the Add button again and enter the information for the second Form W-2. Repeat this for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . that the submission of this electronic Oregon Individual Tax Return constitutes my signature. If jointly filed return, each of us I consent to allow the electronic return originator to send my return to the Oregon Department of Revenue and to receive from the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ----------------Page (0) Break----------------