IN THE OREGON TAX COURT MAGISTRATE DIVISION Income Tax ) ) ) ) ) ) ) ) ) ) ) ) ) )
_________________________________, _________________________________, Plaintiff(s), v.
TC-MD _______________
DEPARTMENT OF REVENUE, State of Oregon, Defendant.
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) ______________________________ ______________________________ Date____________________ DEFENDANT(S) SIGNATURE(S) _______________________________ _______________________________ Date_____________________
STIPULATED AGREEM ENT INCOME TAX
Rev. 9/07