Oregon Oregon Fiduciary Payment Voucher and Instructions

Oregon Fiduciary Payment Voucher and Instructions
Form OR-41-V, Oregon Fiduciary Income Tax Payment Voucher, 150-101-173
Form OR-41-V
Oregon Department of Revenue

Page 1 of 1, 150-101-173
(Rev. 06-26-19, ver. 02)

Oregon Fiduciary Income Tax Payment Voucher and Instructions
Online payments:
You may make payments directly online at www.oregon.gov/dor. Don’t use this form with online payments.
Use this voucher to send the following payments:
•	 Tax due when you file your original return or an amended return for any year. Include the voucher in the envelope
with your check when you file Form OR-41.
•	 Tax due by the original return’s due date if you’re filing your return on extension.
•	Tax prepayments. Oregon doesn’t require prepayments for fiduciary returns. Tax payment is due by the original due
date of your return.
Don’t use this voucher for payments on:
•	 Form OR-706. Instead, use Form OR-706-V.
•	 Form OR-706-R. Instead, use Form OR-706-R-V.
•	 Form IT-1. Instead, use Form IT-V.
•	 Form OR-40. Instead, use Form OR-40-V.
•	 Don’t use this voucher with online payments.
Required for accurate processing:
•	 Tax year: Fill in the beginning and ending dates of your tax year. Your calendar year or fiscal year must match Form
OR-41 and federal Form 1041.
•	 FEIN (federal employer identification number): Fill in your FEIN assigned by the IRS.
•	 Payment type: Check the box that identifies the type of payment you’re sending.
•	 Name, address, and phone number: Fill in the exact name of the estate or trust as it will be shown on Form OR-41 and
federal Form 1041. Fill in the name of the executor or trustee, and the fiduciary’s address and phone number.
•	 Make your check payable to: Oregon Department of Revenue.
•	 Write on your check or money order: The trust or estate name, FEIN, tax year beginning and ending dates, and a
daytime phone number.
•	 Mail the voucher with your payment to:	Oregon Department of Revenue, PO Box 14110, Salem OR 97309-0910.
Note: This voucher can’t be used as an extension request. Oregon uses the federal extension Form 7004 to request an
extension to file. When you file your Form OR-41 on extension, check the “Extension to file” box. Keep a copy of your
extension in your permanent tax records.
Cut on dashed line below to detach voucher. Visit ­­www.oregon.gov/dor/forms to print more vouchers.

Clear form

Form OR-41-V, Oregon Fiduciary Income Tax Payment Voucher

• Tax year:

Begins:
	Ends:
• FEIN:

–

/
/

/
/

• Payment type (check only one):

Office use only

•

Original return
Extension payment

Name of trust or estate on tax return

Prepayment

Name of executor or trustee

Amended return

Address
City

State ZIP code

Phone

(
150-101-173 (Rev. 06-26-19, ver. 02)

)

Enter payment amount

–
$

. 00