Tax Year 2003
State of Oklahoma
512
Corporation Income Tax Return
This form must be filed on or before the 15th day of the third month after the close of the taxable year.
For the year January 1 - December 31, 2003, or other taxable year
A. Federal I.D.
beginning
, 2003 ending
,
.
Number
B. Business Code Number
Corporate Name:
Extension
Type of Return Filed
Street Address:
If you have applied
Separate
Consolidated
for an extension
(page 2 of instructions)
from the IRS,
Oklahoma
or
City, State and Zip:
check here
and enclose a copy.
Federal
or
If this is a final return, please check here:
Notice:
$
.00
Enter the amount of net operating loss as shown on Sch. A, line 29(a) or Sch. B, line 6(d)
00
1 Oklahoma taxable income
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
(as shown on Schedule A or B)
00
2 Tax: 6% of line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
3
Investment/New Jobs Credit
. . . . . . .
3
(please enclose Form 506)
4
Gas Used in Manufacturing
00
4
(see instructions and enclose schedule)
00
5
Hazardous Waste Control
. . . . . . . . . . . . . . .
5
(see instructions)
00
6
Other Credits
. . . . . . . . . . . . . . . . . . . .
(see instructions)
6
00
7
7 Total (add lines 3, 4, 5 and 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
8 Balance of tax due (line 2 less line 7, but not less than zero) . . . . . . . . . . . . . . . . . . . . . .
8
00
9 Amount paid on 2003 estimate . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
10 Amount paid with extension request . . . . . . . . . . . . . . . . . . . . .
10
00
11 Oklahoma withholding
11
(enclose Form 1099, 500A or other withholding statement)
00
12 Total credits (add lines 9, 10 and 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
00
13 Overpayment (line 12 minus line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
00
14 Amount of line 13 to be credited on 2004 estimated tax . . . . . . .
14
Line 15 instructions provide you with the opportunity to make a financial gift from your refund to a
variety of Oklahoma organizations. Please place the line number of the organization from the line
15 instructions in the yellow oval below. If you give to more than one organization, please put a
“99” in the yellow oval and attach a schedule showing how you would like your donation split.
00
15
15 Donations from your refund
. .
(total from line 15 instructions)
00
16 Total (add lines 14 and 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
00
17 Amount of line 13 to be refunded to you (line 13 minus line 16) . . . . . . . . . . Refund
17
00
18 Tax Due (line 8 minus line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
00
19 Underpayment of estimated tax interest (enclose Form OW-8-P) . . . . . . . . . . . . . . . . . .
19
20 For delinquent payment, add penalty of 5% $__________
00
plus interest of 1.25% per month $__________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
00
21 Total tax, penalty and interest (add lines 18, 19 and 20) . . . . . . . . . . . Balance Due
21
If the Oklahoma Tax Commission may discuss this return with your tax preparer, please check here:
Make check payable
Under penalties of perjury, I declare that I have examined this return, including any accompanying schedules and statements, and to the
to the Oklahoma
best of my knowledge and belief, it is true, correct and complete. If prepared by person other than the taxpayer, his/her declaration is
Tax Commission
based on all information of which he/she has any knowledge.
signature of preparer
date
signature of officer
date
Corporate
title
preparer’s address
Seal
phone number
phone number
The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.