Oregon Tax

Taxpayer Name:  
Business ID Number: Payment Quarter:
Tax Amount 1:
Tax Amount 2:
   Tax Amount 3:
 Total Amount to Pay:
Zero Tax Due:  
    Receiving Bank ID: 123206707 Tax Type Code:
Receiving Bank Account No.: Quarter Ending Date::
                            Last Payment Date: Create Prenote:
                                    Hold Transfer: Prenote Date: