Fillable Form Atg0001-02-98-Bt - Oklahoma Mixed Beverage Tax Report

8500102

Oklahoma Mixed Beverage Tax Report

ATG

ATG0001-02-98-BT

Taxpayer Copy/Worksheet

15-60

Revised 11-2006

Dollars

Cents

A. Taxpayer FEIN/SSN

B. Reporting Period

C. Due Date

1. Total Gross Receipts

0 0

(Whole dollars only)

2. Taxable Admission

Charges

0 0

(Whole dollars only)

3. Tax

4. Discount

5. Interest

6. Penalty (10%)

7. Penalty ($5.00 per day)

E. Out of

D. Change

Business

8. Total Due

Use this worksheet for figuring your tax, then

enter the figures on the report below.

Instructions For Completing Oklahoma Mixed Beverage Gross Receipts Tax Report

General Instructions

Line 3 (Tax) - Multiply the total of Lines 1 and 2 by

Line 7 (Penalty) - Penalty ($5.00 per day) if this report is

Please write only in the white areas using a #2 pencil or pen

not postmarked by the 20th of the month following the tax

with black ink to make your entries. If any preprinted

preprinted tax rate shown.

period ending date (Item B), a $5.00 per day penalty will

information on this report is incorrect, place an "X" in Box D

be due from that date until the report is postmarked.

Line 4 (Discount) - If this report and remittance is

and enter the correct information on back of the form in the

Multiply each day the report is late by $5.00 to determine

postmarked by the due date shown in Item C. you are

space provided. If you type your report, please type "XXX"

the penalty. The delinquent report penalty shall not

eligible for a 1% discount for timely payment. Multiply Line

over "000" in box F at the top of the report below. Use the

exceed an amount equal to twice the tax due (Line 3) or

3 (Tax) by .01 if timely paid.

alignment box immediately after "Total Gross Receipts" (Line

$300.00 whichever is greater.

1.) to align your typewriter for typing the numbers in the

Line 5 (Interest) - If this report and remittance is

handprint boxes.

Line 8 (Total Due) - Total the report: Line 3, minus Line 4,

postmarked after the due date shown in Item C. the tax is

Specific Instructions

plus Line 5, Line 6, and Line 7.

subject to 1.25% interest per month from the due date

(Item C) until it is paid. Multiply the amount on Line 3 by

f you no longer sell mixed beverages in Oklahoma or are out

Sign, date and detach the proper original report and mail

.0125 for each month or part thereof the report is late.

of business, place an "X" in box E below. You must return

with your payment in the enclosed return envelope to:

your permit to the Oklahoma Tax Commission.

Line 6 (Penalty) - If remittance is not postmarked within

Oklahoma Tax Commission

15 calendar days of the due date shown in Item C, a 10%

Line 1 (Total Gross Receipts) - Enter the combined total of

Mixed Beverage

penalty is due. Multiply the tax amount on Line 3 by 0.10.

mixed beverage gross receipts and retail value of discounted

P.O. Box 26920

or complimentary drinks.

Oklahoma City, OK 73126-0920

Line 2 (Taxable Admission Charges) - Enter the gross

Instructions Continued on Back

receipts from taxable admission charges.

Special Note: To insure that your report will be properly

1 2 3 4 5 6 7 8 9 0 X

processed, please print all figures within boxes as shown.

↕

Please Detach Here and Return Report Below

Write only in white areas

Do not fold staple or papaer clip

8500102

ATG

000

Oklahoma Mixed Beverage Tax Report

A. Taxpayer FEIN/SSN

B. Reporting Period

C. Due Date

Dollars

Cents

1. Total Gross Receipts

(Whole dollars only)

Office Use Only

2. Taxable Admission

M M D D

Charges

(Whole dollars only)

D. Change E. Out of Business

F.C.

P.T.

3. Tax

4. Discount

5. Interest

6. Penalty (10%)

7. Penalty ($5.00 per day)

I declare that the information contained in this document and any

8. Total Due

attachments is true and correct to the best of my knowledge and belief

Sign

Here:

Date:

Form Atg0001-02-98-Bt - Oklahoma Mixed Beverage Tax Report - 2006

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