Oregon Department of Revenue
2022 Schedule OR-OSMP
Page 2 of 2, 150-104-004
(Rev. 05-26-22, ver. 01)
17532201020000
Election to be signed by all permissible distributees except the surviving spouse: Each of the undersigned acknowledge
and consent to a portion of the___________________________________________________ (name of trust or other property
interest) being set aside as a separate share or trust in order to qualify for the Oregon special marital property election in
accordance with ORS 118.013, for the primary purpose of reducing or eliminating the Oregon estate tax due on the estate of
_______________________ (name of decedent). The undersigned together with the surviving spouse constitute all of the per-
sons living on the date of this election who may be entitled to a distribution during the lifetime of the surviving spouse from
the
___________________________________________________ (name of trust or other property interest). Each of the under-
signed, both on behalf of the undersigned and on behalf of the unborn lineal descendants of the undersigned, irrevocably agrees
to release all rights to any current interest in the Oregon special marital property during the lifetime of the surviving spouse.
Each of the undersigned agrees that all other provisions of the ____________________________________________________
(name of trust or other property interest) shall remain in effect and that, upon the death of the surviving spouse, any re-
maining Oregon special marital property shall be distributed as otherwise provided in the trust or other property interest.
Signature of: (permissible distributee)
Signature of: (permissible distributee)
Signature of: (permissible distributee)
Signature of: (permissible distributee)
If more signature lines are needed, include a continuation schedule.
Subscribed and sworn to before me this day of , 20 .
Notary Public
My commission expires:
Election to be signed by the surviving spouse: I am the surviving spouse of
(name of decedent). I acknowledge and consent to a portion of the
(name of trust or other property interest) being set aside as a separate share or trust in order to qualify as Oregon special marital
property under ORS 118.013, for the primary purpose of reducing or eliminating the Oregon estate tax due on the estate of
(name of decedent). I, together with all of the other individuals
executing the election in accordance with ORS 118.013, constitute all of the persons living on the date of this election who
are permissible distributees or who may be entitled to a distribution from the Oregon special marital property to which this
election applies.
I agree that all other terms, conditions and provisions that apply to the
(name of trust or other property interest) shall apply to the Oregon special marital property to which this election applies,
and that upon my death, any remaining Oregon special marital property shall be distributed as otherwise provided in the
trust or other property interest.
Signature of: (surviving spouse)
Subscribed and sworn to before me this day of , 20 .
Notary Public
My commission expires:
Include the Oregon only Schedule M and Schedule OR-OSMP calculation with Form OR-706.