Form Oes-1 - Application For Oklahoma Ui Tax Account Number
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1Oklahoma Employment Security Commission
Application for Oklahoma UI Tax Account Number
OES-1 (12-14)
1. Business or Trade Name
Telephone No.
2. Federal Identification
3. Business mailing address (no. & St.)
(City or Town)
(State)
(Zip)
4. Type of Organization
: Sole Proprietor
Partnership
Corporation
LLC
Ltd Partnership
Tribal Rated
Tribal Reim
Non-Profit Rated
Non-Profit Reim
Gov 1%
Gov Reim
Other (Specify)
5. Owners/Partners/Corp Officers/Members
Title
Residence Address
Telephone
Stock Ownership%
Name-
SSA#-
Name-
SSA#-
Name-
SSA#-
6. If a Corporation or LLC, Enter Full Name
State of Incorporation
Date of filing
or Filing
8. Email Address:
7. If an LLC, how have you chosen to be taxed for federal tax purposes?
S
ole Proprietor
Partnership
Corporation
9. Is your Business a nonprofit organization? Yes
No
Do you have a 501(c)(3) exemption? Attach Copy. Yes
No
10. Date entered business in Okla.
11. Date of first employment in Okla.
12. Describe the exact nature of your business or employment activity and list the principal products
manufactured or traded in Oklahoma:
13. Did you acquire an established business in Oklahoma?
Yes
No
If Yes, did you acquire substantially all of the Oklahoma trade, organization, employees, business or assets?
Yes
No
See O.S. 40 3-111 and 3-111.1
Date of acquisition:_____________________________
Name, Address and Oklahoma account number of former owner.
14. Are you liable under the Federal Unemployment Tax Act?
Yes
No
If Yes, enter year liable:
15. If you have previously filed reports to the Oklahoma Employment Security Commission
show name and account number.
16. Show addresses of all locations in Oklahoma:
(1)
(2)
(3)
17. Enter gross Oklahoma payroll for the current and two prior calendar years:
st
nd
th
1
Qtr.
2
Qtr.
4
Qtr.
Calendar Year
rd
.
3
Qtr
$
$
$
$
$
$
$
$
$
$
$
$
18. Enter by week the number of workers you employed in Oklahoma during the same period.
1st
2nd
3rd
4th
5th
1st
2nd
3rd
4th
5th
1st
2nd
3rd
4th
5th
Yr___
wk.
wk.
wk.
wk.
wk.
Yr___
wk.
wk.
wk.
wk.
wk.
Yr___
wk.
wk.
wk.
wk.
wk.
Jan.
Jan.
Jan.
Feb.
Feb.
Feb.
Mar.
Mar.
Mar.
Apr.
Apr.
Apr.
May
May
May
Jun.
Jun.
Jun.
Jul.
Jul.
Jul.
Aug.
Aug.
Aug.
Sep.
Sep.
Sep.
Oct.
Oct.
Oct.
Nov.
Nov.
Nov.
Dec.
Dec.
Dec.
Note: Must be signed by owner, all partners, corporate officers or authorized official.
19. Signed:_____________________________________ Title __________________________________Date_____________________
For Commission use only
Control No.
State No
FEIN
RESET
L-Date
E-Date
S-Date
R-Date
L-Code
Pred No
0001
Auxiliary Aids and Services are available upon request to individuals with disabilities
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