Stipulated Agreement (Income Tax) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Stipulated Agreement (Income Tax) Form. This is a Oregon form and can be use in Tax Court Statewide.
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Tags: Stipulated Agreement (Income Tax), Oregon Statewide, Tax Court
IN THE OREGON TAX COURT
MAGISTRATE DIVISION
Income Tax
_________________________________,
_________________________________,
Plaintiff(s),
v.
DEPARTMENT OF REVENUE,
State of Oregon,
Defendant.
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TC-MD _______________
STIPULATED AGREEMENT
For the tax year _________________, the parties agree to the following:
Tax to pay: $__________________________, plus statutory penalty and interest as applicable.
or
Refund: $_________________________, plus statutory interest.
or
______________ Assessment notice cancelled and no amounts are due.
(check if applicable)
The court shall not award costs to either party.
PLAINTIFF(S) SIGNATURE(S)
DEFENDANT(S) SIGNATURE(S)
______________________________
_______________________________
______________________________
_______________________________
Date____________________
Date_____________________
STIPULATED AGREEM ENT INCOME TAX
Rev. 9/07
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