Form Ardd-100 - Refund Direct Deposit Form
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1Form ARDD-100
- OTC Use Only -
Revised 8-2015
account
Oklahoma Tax Commission
Number
Refund Direct Deposit Form
tax code
Please complete:
1. Company or Taxpayer Name: _______________________________________________________________________
Federal Employer Identification Number or Social Security Number: ________________________________________
Contact Telephone Number: _______________________________________________________________________
Type of Tax Overpaid: ____________________________________________________________________________
CHOOSE ONE FROM DROPDOWN LIST
Other Type of Tax Overpaid if not in list above: _____________________________________________________
2. Is this refund going to or through an account that is located outside of the United States?
Yes:
(If Yes, complete Sections 1 and 2 ONLY, sign, date and submit to the address below. See Warning!)
No:
(If No, continue on to Section 3, sign, date and submit to the address below)
3. If No, your refund will be deposited into your bank account. Please provide your bank account information below:
Checking:
Saving:
Bank Routing Number:
Bank Account Number:
(Refer to sample below to obtain the location of the numbers on your check.)
I authorize the State of Oklahoma Treasury to credit the bank account listed above with any refund due to me by the State
of Oklahoma.
___________________________________________________
_________________________
Signature
Date
WARNING! Due to electronic banking rules, the OTC will not allow direct deposits to or through foreign financial institutions. If you use a
foreign financial institution or have a foreign address you will be issued a paper check. If you have an address with an APO, FPO or DPO you
are not considered to have a foreign address; your refund is eligible for direct deposit.
1234
JOE SMITH
SUSIE SMITH
15-0000/0000
123 Main Street
Account
Anyplace, OK 00000
Number
SAMPLE
$
PAY TO THE
ORDER OF
Routing
DOLLARS
Number
ANYPLACE BANK
SAMPLE
Anyplace, OK 00000
Note: The routing
and account numbers
For
may appear in
different places on
:120120012 : 2020268620
1234
your check.
Mail completed form to:
Contact the Oklahoma Tax Commission by type of tax:
Oklahoma Tax Commission
• Sales and Use Tax: ................(405) 521-3270
Attn: Accounting
• Motor Vehicle: ........................(405) 521-3683
Post Office Box 18893
• All other tax types: ................(405) 521-3160
Oklahoma City, OK 73154
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