Form 500-C - Report Of Out-Of-State Attorney Income Tax Withheld

Form 500-C - Report Of Out-Of-State Attorney Income Tax Withheld - 2004

______

Year

Information Return

500-C

Report of Out-of-State Attorney Income Tax Withheld

Created 2004

Part B: Payer Information

Part A: Recipient Information

FEI or Social Security Number

Phone Number (area code and number)

Name of client, common fund or any other person or entity

Name of out-of-state attorney or entity name

Street Address

City, State, Zip Code

Part C: Payment and Withholding

Total amount paid for legal services performed in Oklahoma

Oklahoma Income Tax Withheld

COPY 1 - To be filed with recipient’s Oklahoma income tax return

(The recipient should retain a copy)

______

Year

Information Return

500-C

Report of Out-of-State Attorney Income Tax Withheld

Created 2004

Part A: Recipient Information

Part B: Payer Information

FEI or Social Security Number

Phone Number (area code and number)

Name of out-of-state attorney or entity name

Name of client, common fund or any other person or entity

Street Address

City, State, Zip Code

Part C: Payment and Withholding

Total amount paid for legal services performed in Oklahoma

Oklahoma Income Tax Withheld

COPY 2 - For the Oklahoma Tax Commission

______

Year

Information Return

500-C

Report of Out-of-State Attorney Income Tax Withheld

Created 2004

Part A: Recipient Information

Part B: Payer Information

FEI or Social Security Number

Phone Number (area code and number)

Name of out-of-state attorney or entity name

Name of client, common fund or any other person or entity

Street Address

City, State, Zip Code

Part C: Payment and Withholding

Total amount paid for legal services performed in Oklahoma

Oklahoma Income Tax Withheld

COPY 3 - For Payer’s Records

Form 500-C - Report Of Out-Of-State Attorney Income Tax Withheld - 2004

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