Form 526 - Rural Small Business Capital Company Information Report - 2003
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1526
Oklahoma Tax Commission
Rural Small Business Capital Company
Revised 2003
Information Report
For the Calendar Year Ending:
Identification Number
Corporation
Partnership
LLC
Name of Rural Small Business Capital Company
Address
City
State
Zip
Complete the applicable sections for investments made during this calendar year.
Attach additional schedules if necessary.
A
Entities Investing in the Rural Small Business Capital Company
Date of
Amount
Identification
Investor’s Name
Address
Investment
Invested
Number
/
/
1)
/
/
2)
/
/
3)
/
/
4)
/
/
5)
/
/
6)
B
/
/
Entities Investing in Oklahoma Rural Small Business Ventures
in Conjunction with the Rural Small Business Capital Company
/
/
Identification
Business
Identification
Date of
Amount
Investor’s Name
Number
Invested In
Number
Investment
Invested
1)
/
/
/
/
2)
3)
/
/
4)
/
/
C
Oklahoma Rural Small Business Ventures in which Investments Were Made
by the Rural Small Business Capital Company
Identification
Date of
Amount
Type of Business
Name of Business Invested In
Number
Investment
Invested
/
/
1)
2)
/
/
3)
/
/
/
/
4)
Under penalties of perjury, I declare that I have examined this return, including accompanying statements, and to the best of my
knowledge and belief it is true, accurate and correct.
Officer, General Partner or Member
Date
The Oklahoma Tax Commission is not required to give actual notice to taxpayer of changes in any state tax law.
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