Oregon > Statewide > Tax Court > Magistrate Division
Complaint (Income Tax) - Oregon
| Complaint (Income Tax) Form. This is a Oregon form and can be used in Magistrate Division Tax Court Statewide . |
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Attach the $240 Fee, as required by ORS 305.490 IN THE OREGON TAX COURT MAGISTRATE DIVISION Income Tax , ) , ) Name(s) ) Plaintiff(s), ) versus ) ) DEPARTMENT OF REVENUE, ) Case No. _______________ (for court use only) State of Oregon, ) Defendant. ) COMPLAINT SECTION 1. Plaintiff(s) appeal(s) from Oregon tax assessed or refund denied for tax year(s) ______________________________________________________________________________. Taxes are classified as (circle one): Personal Corporate Withholding Timber Tobacco Other________________________________________________________________________. *Attach a Copy of the Order, Letter, Notice or Other Document Being Appealed.* SECTION 2. Defendant (Department of Revenue) is in error because_____________________ _____________________________________________________________________________. SECTION 3. Plaintiff(s) request(s) the following relief:________________________________ _____________________________________________________________________________. The filing of this complaint by a representative identified in ORS 305.230 is recognized by the court as authorizing that representative to receive information from the Department of Revenue that would otherwise be confidential under ORS 314.835. __________________________________ Plaintiff's Name (PRINT) (must be completed) _________________________________________ Plaintiff's Name (PRINT) (must be completed) Mailing Address (must be completed) City, State, Zip (must be completed) Telephone Number (daytime) (must be completed) Signature (must be completed unless represented) Signature (must be completed unless represented) Date Signed Representative's Name (PRINT)** _________________________________________ Representative's Oregon Bar or License Number __________________________________ Mailing Address __________________________________ City, State, Zip __________________________________ Telephone Number (daytime) __________________________________ Representative's Signature(s) (if above completed) _____________________________________ Date Signed _________________________________________ Email Address* Email Address* (must be completed unless represented) * Notices of Proceedings will be sent by email (Please adjust your email filters to allow emails from: TAX.OJIN.Notice.Mailer@ojd.state.or.us ) ** If your representative is not an Oregon attorney, an Authorization to Represent must be completed and submitted with this Complaint. An authorization form is available on request or on our website at http://courts.oregon.gov/Tax/. Rev. 4/12 W American LegalNet, Inc. www.FormsWorkFlow.com How to File an Income Tax Appeal with the Magistrate Division To Appeal, You must Do All of the Following Within Your Appeal Period: (1) (2) (3) (4) (5) (6) (7) Fill out all sections of the Complaint form; AND Sign the Complaint (all named plaintiffs must sign the Complaint); AND Date the Complaint; AND Attach to the Complaint a copy of the order or notice you are appealing; AND Submit a fee of $240 (make check payable to "Oregon Tax Court"); *AND Make two copies of the Complaint and attachments. Mail the original Complaint and attachments plus one complete copy to the court. Keep one complete copy for yourself. To determine the date a mailed Complaint is "filed," the court is required to use the date shown by the U.S. post office cancellation mark stamped on the envelope in which the Complaint is mailed. See ORS 305.418. Oregon Tax Court Magistrate Division 1163 State Street Salem, Oregon 97301-2563 (503) 986-5650 or toll free: 1-800-773-1162 1241 State Street, Third Floor (3R), Salem, Oregon The court's mailing address is: The court is located at: *The fee is $240. The Oregon Legislature may modify fees between publications of this form. The Oregon Tax Court website lists the current fee. A form to show proof of inability to pay the fee and request waiver of the fee is available upon request or on the court website at http://courts.oregon.gov/tax. Instructions for Completing the Complaint Form HEADING. Fill in the name(s) of the plaintiff(s) (the taxpayer(s)). All taxpayers named on the document appealed must be named and must sign the complaint. SECTION 1. Insert the year or years being appealed. Circle the appropriate type of tax you are appealing. *Attach a copy of the order, letter, notice, or other document being appealed.* SECTION 2. Explain why you believe the tax assessed against you, or the denial of your refund, is wrong. (If more space is needed, attach additional pages.) SECTION 3. Explain what you want the court to do for you. MEDIATION: In all cases, either party may request mediation. Mediation is court-facilitated negotiation. The purpose is to help the parties obtain a clearer understanding of the merits of each position and help them reach a mutually acceptable agreement. A party may request mediation at any time. Rev. 4/12 W American LegalNet, Inc. www.FormsWorkFlow.com
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