IN THE OREGON TAX COURT REGULAR DIVISION Income Tax _________________________________, _________________________________, Plaintiff(s), v. DEPARTMENT OF REVENUE, State of Oregon, Defendant. Plaintiff(s) alleges: (1) Defendant either assessed additional income taxes, penalties, and interest against Plaintiff(s) or denied Plaintiff's(s')claim for refund for the tax year(s)_____________________. (2) Plaintiff(s) appealed the assessment or denial of refund to the Magistrate Division of the Oregon Tax Court. The magistrate issued a written decision, a copy of which is attached as Exhibit A. (3) The Magistrate's decision is in error because________________________________ _____________________________________________________________________________. (4) Plaintiff(s) has paid any taxes, penalties, and interest Defendant claims is owing for such tax years. (If not, Plaintiff(s) alleges that it would be an undue hardship to do so and has attached a Motion for Stay of Payment of Income Tax and Affidavit of Undue Hardship.) THEREFORE, Plaintiff(s) asks this court for a judgment declaring that ______________ _____________________________________________________________________________. _________________________________________
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Case No. ______ (court use only) COMPLAINT
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Mailing Address
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Signature
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Signature
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Date Signed
Rev. 08/07