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• Use UPPERCASE letters. • Use blue or black ink. • Print actual size (100%). • Don’t submit photocopies or use staples.
Schedule of Affiliates for Form OR-CAT
1c. Business name
1l. Tax entity type
1m. Legal entity type
Legal name of designated Corporate Activity Tax (CAT) entity (sole proprietor—complete the next line)
First name (if sole proprietorship)
Federal employer identification number (FEIN)
1d. Address
Initial Last name
Social Security number (SSN)
1b. Social Security number (SSN)1a. FEIN
150-106-005
Oregon Department of Revenue
1e. City 1f. State
Page 1 of 2
1g. ZIP code
(Rev. 07-15-20, ver. 01)
2020 Schedule OR-AF-CAT
A Schedule of Affiliates must be filed every year with each combined return. List all affiliates with commercial activity in Oregon, which
are part of the unitary group included in this return.
Don’t include the designated CAT entity filing this tax return on this schedule. Make a copy of this form if you have more than two affiliates.
1h. If new affiliate during this year, enter date affiliate
became part of the unitary group. Date (MM/DD/YYYY)
1i. If affiliate ceased to be part of the unitary group during this
year, indicate date affiliate left group. Date (MM/DD/YYYY)
1k. Business activity code
1j. Amount of Oregon commercial activity ................................................. 1j.
Include additional schedules if needed.
