150-102-041, Estimated Corporation Excise & Income ACH Debit Electronic Funds Transfer 2026

1. Click ‘Get Form’ to open the 150-102-041 in the editor.
2. Begin by selecting whether you are subject to excise or income tax by checking the appropriate box at the top of the form.
3. Indicate if this is a new application or a change by checking the corresponding box.
4. Fill in your Business Name, Oregon Business Identification Number (BIN), and Federal Identification Number in the designated fields.
5. Provide your business address, including City, State, and ZIP Code.
6. Enter the Contact Person's name, Telephone Number, E-mail Address, and Fax Number for communication purposes.
7. Authorize the Oregon Department of Revenue to debit your specified account by filling in your Financial Institution details, including Account Number and Bank Routing Number.
8. Sign and date the form where indicated. Ensure that you attach a voided check or a letter from your bank before submission.

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