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~~ DESIGN 1a -2001 estimated tax payments from Schedule ES. Include payments made with extension (see instrs) .... . 15 '.Tax due. Is line 13 more than line 14? If so, line 13 minus line 14 ............................ Tax due 16 .Overpayment. Is line 13 less than line 14? If so, line 14 minus line 13 ................. Overpayment 17 Penalty due with this return (see instructions) ................................ 17 1g .;Interest due with this return (see instructions) ................................ 18 19 : Interest on underpayment of estimated tax. Attach Form 37 ................... 19 ;;. Zp l'~otal penalty and interest (add lines 17 through 19) ................................................. . p ) .......................................... 2j' ITotal due (line 15 lus line 20) (see instructions Total due 22 'f,Refund available (line 16 minus line 20) ................................................... Refund ............. 2002 credit .;Amount of refund to be credited to 2002 estimated tax ..................... . ~; - 24;>~ Net refund (line 22 minus line 23) ...................................................... Net re un Ir:*i,1~`amount on line 13 is S500 or more, see the instructions for interest on underpayment of estimated tax. )3-1234378 Page 2 14 15 _ 10. 16 20 21 22 23 24 10. Schedule SM -Oregon Modit~cations Passed Through to Shareholders (see instructions> taxable income passed through to the shareholders is adjusted to the extent that items of income, loss, or deduction of the shareholder aired to•be adjusted under the provisions of Oregon Revised Statutes, Chapters 314 and 316. Indicate which federal Schedule K•1 line :h modification is for. ` (see instructions) Nu,~ ~.`1' ~ans ;Interest on government bonds of other states ................ (K-1 line ) 1 '2 ~ Gain or loss on the sale of depreciable property .............. (K-1 line ) 2 3; ',0}t1~r(attach schedule) ..................................................... 3 ;4M ~ ,,,~~I Ore on additions.... ...................................... 4 T4~ 9 ................................ , , „ u j5~ `6=~ ~ i+c~ibns (see instructions) J~nteritst from U.S. government, such as Series EE and HH bonds............ (K-1 line ) 5 .:, :':~1ilh or loss on the sale of depreciable property .............. M-1 line ) 6 ' Y ' -, r:. , ork opportunity credit .................................... (K-1 line ) 7 rgF(attach schedule ..................................................... 8 ~9 ~~9tdl Oregon subtractions ........................................................................ 9 ~_ Schedule ES - Estimated Tax Payments or Other Prepayments } r ~ Date of Payment K' . ~~' Voucher Month Da Year Amount Paid a .~%~' cii r 1 1 1 ~~ '~ ~~r 2 2 2 a`4:' ~;'. Iic~it~r 4 4 4 ' ~ ear's tax elected as a credit against this year's tax .................................. ,Qv~r ment of last a 5 . 6 t p y y ith extension or other payments for this tax year (date paid )• • • • • • • • • • • • • • • • • • • • • • ' R2yihents m de 6 a w ........................................ .. ... 7 ~ LL`r6(al to line 14 above) (car 7 ....... . . ry ~ .O t,~L~S'.t.VPS1r~G r1P.t tRY . ................................................. B _ lO . `•~'.+.'•." .o,?Y: i:Y•`K{'~: ~:!h:~'Y, •:•i: j::: ;+'•. •.4n ', •.~ l~lties of false swearing, I declare erat I gave examined this rehimt including accomppanying sch tements. To the best of my knrowledge and belief it is true, correct, I ke."If prepared by a person other Ihan taxpayer, Ihis declantion is based on all informs the p rer has any knowledge. ' ~/~ ~~o~! 1/22/02 • Signature of Officer Date Si a e of Preparer Olher Than Taxpayer BULLER, WUITE & LAWLOR, PC 338 W. 11TH AVE. #101 ~ P'RESIDENT _ EUGENE, OR 97401 e Preparer's Name and Address tlild returns and no tax due returns to: P,O. Box 14777, Salem OR 97309-0960 1~ , ~~;~e~ 4-01) IN n~ .. Mail tax-to-pay returns to: Oregon Department of Revenue, P.O. Box 14790, Salem OR 97309-0470 ORSA0112L 11/05/01