Oklahoma Vendors Use Tax Report Page 2

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STU
4200800
333
Q.
IF REPORT IS TYPED
O O O O
K K K K L L L L A A A A H H H H O O O O M M M M A A A A
STU0002-12-02-BT
OR MACHINE PRINTED
21-3-A
V V V V
U U U U
T T T T
R R R R
S S S S
E E E E N N N N D D D D O O O O R R R R
S S S S E E E E
A A A A X X X X
E E E E P P P P O O O O R R R R T T T T ' ' ' '
U U U U P P P P P P P P L L L L E E E E M M M M E E E E N N N N T T T T ' ' ' '
SEE INSTRUCTIONS
Revised 10-2003
A. Taxpayer FEIN/SSN
B. Reporting Period
C. Due Date
D. Permit Number
H.
Page
of
Page(s)
G. Out of Business
P.T.
Mailing
Business
-OFFICE USE ONLY-
F.C.
F. Address Change
E. MAILING ADDRESS
Name
Address
City
State
ZIP
D D D D
T T T T
C C C C
C C C C
I I I I S S S S T T T T R R R R I I I I B B B B U U U U T T T T I I I I O O O O N N N N O O O O F F F F
A A A A X X X X F F F F O O O O R R R R
I I I I T T T T I I I I E E E E S S S S / / / /
O O O O U U U U N N N N T T T T I I I I E E E E S S S S
O.
I.
J.
K.
L.
M.
Interest
N.
City/
Net Taxable
City/County
and
County
Cities/Counties
Sales
Use Tax
Discount
Penalty
Total Due
Code
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
P.
Total City/County Tax (line 5 through
line 24)(Enter amount on page 1, line11)
I I I I F F F F M M M M O O O O R R R R E E E E S S S S P P P P A A A A C C C C E E E E I I I I S S S S N N N N E E E E E E E E D D D D E E E E D D D D , , , , U U U U S S S S E E E E S S S S U U U U P P P P P P P P L L L L E E E E M M M M E E E E N N N N T T T T P P P P A A A A G G G G E E E E ( ( ( ( S S S S ) ) ) )
The Oklahoma Tax Commission is not required to give actual notice of changes in any State tax law.
I declare under the penalties of perjury, this return (including any accompanying schedules) has been examined by me, and to the best of my
knowledge and belief is a true, correct, and complete return.
Signature of Taxpayer
Date
Prepared by
Date

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Related Categories

Parent category: Financial
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