Form Oes-24 - Employer'S Report On Termination Of Business In Whole Or In Part
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1THIS FORM IS FILLABLE
OES-24 (Rev. 09-13)
State of Oklahoma
OKLAHOMA EMPLOYMENT SECURITY COMMISSION
RESET
P.O. Box 52003
OKLAHOMA CITY, OKLAHOMA 73152-2003
EMPLOYER’S REPORT ON TERMINATION OF BUSINESS IN WHOLE OR IN PART
1. Name _______________________________________________Account No. ______________________
2. Address ______________________________________________________________________________
3. Type of ownership
:
Individual
Partnership
Corporation
Trust
Estate
Limited Liability Company
If other, specify: ________________________________________________________________________
4. a. Date of termination: ___________________
IN WHOLE
IN PART
b. Name and location of business terminated: _________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
c. Name and location of business retained:
___________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. Explain nature of change in ownership, or other transfer of business: _____________________________
_____________________________________________________________________________________
6. Is anyone continuing the business you terminated?
YES
NO
If “YES, answer the following:
a. Name and address of successor:
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________
b. Date of succession: _______________________________________________________________
c. Has successor taken over all, or substantially all, of your trade, organization, employees, business, or
assets?
YES
NO
d. You are authorized to transfer all reports, credits of $ _________ and experience rating history to the
liable successor shown in item 6. a. effective __________________, ______.
7. a. Are you using the services of an Employee Leasing Company?
YES
NO
b. If “YES”, please provide name and address of Leasing Company________________________________
_____________________________________________________________________________________
8. Bankruptcy Case #
Chapter_______ Date Filed______________ District _________________
___________________________
Date of First Creditor’s Meeting_______________
Provide attorney’s name/address: __________________________________________________________
9. Remarks: _____________________________________________________________________________
I certify that the information provided on this form is true and correct to the best of my knowledge and understanding:
Signed: _________________________ Title:___________________ Date_________ Phone: __________
Preparer’s Name, if other than taxpayer: ____________________________________ Phone: __________
Address: ___________________________City: _________________
State:___________ Zip: ________
TERMINATION OF BUSINESS DOES NOT TERMINATE YOUR COVERAGE. ALL FUTURE OKLAHOMA PAYROLLS MUST BE REPORTED UNTIL
YOU LEGALLY TERMINATE COVERAGE IN ACCORDANCE WITH THE PROVISIONS OF SECTION 3-202 OF THE LAW. TO OBTAIN OES-1,
APPLICATION FOR OKLAHOMA UI TAX ACCOUNT NUMBER OR ASSISTANCE CONTACT THE EMPLOYER COMPLIANCE SECTION AT
(405) 557-5330. THIS FORM MAY BE FAXED TO ATTN: EMPLOYER COMPLIANCE AT (405) 557-7271.
AUXILIARY AIDS AND SERVICES ARE AVAILABLE UPON REQUEST TO INDIVIDUALS WITH DISABILITIES
0024
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