Form 512-S - Oklahoma Small Business Corporation Income Tax Return

Barcode Placement

Oklahoma Small Business

Form 512-S - 2009

Corporation Income Tax Return

This form must be filed on or before the 15th day

AMENDED

of the third month after the close of the taxable year.

RETURN!

For the year January 1 - December 31, 2009, or other taxable

If this is an

Amended Return

year beginning ________________________________, 2009

check here

ending ____________________________________, _______.

Corporate Name:

Street Address:

City, State and Zip:

A. Federal

B. Business

I.D. Number:

Code Number:

Telephone Number and Area Code

Date of Incorporation

Under the Laws of:

C. Type of

D. If this is a final return,

Business:

please check here:

Part 1: Tax Computation Schedule for Nonresident Shareholders Who Do Not File a Nonresident Shareholder Agreement (512-SA)

Nonresident share of income from Page 4, Part 5, column 7 ..............

Nonresident share of deductions (see instructions) ............................

Nonresident share of taxable income (line 1a minus line 1b) ...................................................

Tax: 6% of line 1 .......................................................................................................................

Other Credits Form

.....................................

.....

(see instructions) (enclose Form 511CR)

Balance of tax due (line 2 less line 3, but not less than zero) ..................................................

Amount paid on 2009 estimate (i.e. Form(s) OW-8-ESC) ....................

Amount paid with extension request .....................................................

Okla. withholding

(enclose Form 1099, 500-A, 500-B or other withholding statement)

Total credits (add lines 5, 6 and 7) ............................................................................................

Overpayment (line 8 minus line 4) ............................................................................................

Amount of line 9 to be credited on 2010 estimated tax .......................

Line 11 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 line 11 instructions in the box

below. If you give to more than one organization, put a “99” in the box and attach a schedule showing how

you would like your donation split.

Donations from your refund

.......

(total from line 11 instructions)

Total (add lines 10 and11) .......................................................................................................

Amount of line 9 to be refunded to you (line 9 minus line 12) ........................... Refund

Want a Faster Refund?

Is this refund going to or through an account that is located outside of the United States?

Yes

(See Page 12 of instructions to see if you qualify for Direct Deposit)

Elect to have your refund directly deposited

into your checking or savings account.

Deposit my refund in my:

checking account

savings account

Only one refund can be deposited per

Routing Number:

account per tax season. For more

information, see page 12 of instructions.

Account Number:

Tax due (line 4 minus line 8) ............................................................................ Tax Due

Underpayment of estimated tax interest (enclose Form OW-8-P) .........................................

For delinquent payment:

...

Add penalty of 5% $_______ plus interest of 1.25% per month $________

Total tax, penalty and interest (add lines 14, 15 and 16) .......................... Balance Due

If the Oklahoma Tax Commission may discuss this return with your tax preparer, please check here . . . . .

Make check payable

to the Oklahoma

Under penalties of perjury, I declare that I have examined this return, including any accompanying schedules and statements, and to the best of my knowledge and

Tax Commission

belief, it is true, correct and complete. If prepared by person other than the taxpayer, this declaration is based on all information of which preparer has any knowledge.

Signature of Officer

Date

Signature of Preparer

Date

Corporate

Seal

Printed Name of Officer

Preparer’s Address

Area Code and

Title

Phone Number

The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.