150-101-063 (Rev. 12-13) Schedule OR-ASC Oregon Adjustments for Form 40 Filers 2013 Last name Spouse’s/RDP’s last name Social Security number (SSN) Spouse’s/RDP’s SSN First name and initial Spouse’s/RDP’s first name and initial —YOU MUST INCLUDE THIS SCHEDULE WITH YOUR OREGON INCOME TAX RETURN— Identify the code and amount for each item you are claiming. If you are not claiming more than one of each item, do not use this form; instead identify the item on your return. If you have more items than will fit on a single schedule, provide the codes and amounts on to another state, or other credits you claim below . Other additions (codes 100–131) Code Amount • 10a • 10b • 10c • 10d • 10e • 10f • 10g • 10h • 10i • 10j Enter total on Form 40, line 10 $ Other subtractions (codes 300–352) Code Amount • 18a • 18b • 18c • 18d • 18e • 18f • 18g • 18h • 18i • 18j Enter total on Form 40, line 18 $ Credit for income taxes paid to another state State abbreviation Amount • 38a • 38b • 38c • 38d • 38e • 38f • 38g • 38h • 38i • 38j Enter total on Form 40, line 38 $ Other credits (codes 700–753) Code Amount • 39a • 39b • 39c • 39d • 39e • 39f • 39g • 39h • 39i • 39j Enter total on Form 40, line 39 $ – – – – • Other additions. • Other subtractions. • • Other credits. Credits for income taxes paid to another state. additional schedules and add the total to your tax return. Include this schedule with your Form 40. Instructions: Use this form to claim more than one of the following on your return: Remember: Check the “Schedule Included” box on your Form 40 for other additions, other subtractions, credit for income taxes paid ----------------Page (0) Break----------------