Oklahoma Business Registration Application Page 2
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5Oklahoma Business Registration Application
Business Name
FEIN/SSN
Section 4
Withholding Tax:
For multiple locations, indicate the number of copies attached:
6. Do you now or do you intend to withhold Oklahoma Income Tax from employees?
Yes No
(a) If “yes” on item 6, do you expect to withhold more than $500 per quarter?
Yes No
(b) If “yes” on item 6, date you will begin/began withholding Oklahoma Income Tax: / /
(month/day/year)
7. (a) Date you will begin/began withholding for nonresident royalty interest? / /
not applicable
(month/day/year)
(b) Date you will begin/began withholding for pass-through members? / /
not applicable
(month/day/year)
8. What FEIN will you use to report withholding tax?
(if different than item 2)
Physical Location and Classification Information:
Section 5
9. Trade Name of Business (DBA)
10. (a) Physical Location of Business:
Street and Number or Directions (Do not use post office box or rural route number)
City
State
Zip
County
(b) Is the physical location of the business inside the city limits? ........................................
Yes
No
11. Location Phone ( )
Location Fax ( )
Location E-Mail
12. Are all the sales and/or deliveries made inside the city limits of the city listed above? ......
Yes No
13. Are all the sales and/or deliveries made inside the county limits of the county listed above?
Yes No
14. Principal type of business (check all that apply): - see instructions
Retail
Wholesale (complete item 17) Vending Machine (decals)
Service with itemized invoices
Service without itemized invoices
Scrap Metal
Other:
15. List your principle products or services for this location: (be specific)
16. Please check the box(es) if you sell (retail):
(a) Tires
Motor Fuel Low Point Beer Cigarettes/Tobacco Mixed Drinks
Coin Device Machines
(b) Are you in the business of renting motor vehicles? ....................................................
Yes No
17. Wholesaler: Please check the type of wholesale business you conduct in Oklahoma:
Merchandise
Cigarettes
Low Point Beer (3.2)
Winemaker
Unstamped Tobacco
Liquor
Class B Beer (in excess of 3.2)
18. Is this a home based business? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
19. Was there a previous business at this location? (if yes, complete questions 20 and 21) .
Yes No
B
Application continued on page C...
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