Form Oes-24 - Oklahoma Employment Security Commission
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1State of Oklahoma
OKLAHOMA EMPLOYMENT SECURITY COMMISSION
WILL ROGERS MEMORIAL OFFICE BUILDING
OKLAHOMA CITY, OKLAHOMA 73152-2003
EMPLOYER’S REPORT ON TERMINATION OF BUSINESS IN WHOLE OR IN PART
1. Name _______________________________________________________ Account No. ______________________
_____________________________________________________________________________________________
2. Address _______________________________________________________________________________________
3. Type of ownership: (Check)
Individual
Partnership
Corporation
Trust
Estate
If other, specify: ________________________________________________________________________________
4. a.
Have you terminated any part of your business?
YES
NO
b. If “YES”, complete the following:
(1) Date of termination: _______________________________________________________________________
(2) Name and location of business terminated: ____________________________________________________
_______________________________________________________________________________________
(3) Name and location of business retained: _______________________________________________________
_______________________________________________________________________________________
5. Explain nature of change in ownership, or other transfer of business: _______________________________________
_____________________________________________________________________________________________
6. a. Is anyone continuing the business you terminated?
YES
NO
b. If “YES, answer the following: __________________________________________________________________
__________________________________________________________________________________________
(1) Name and address of successor: ____________________________________________________________
_______________________________________________________________________________________
(2) Date of succession: _______________________________________________________________________
(3) Has successor taken over all, or substantially all, of your trade, organization, business, or assets?
YES
NO
(4) You are authorized to transfer all reports, credits of $______________, and experience rating history to the
liable successor shown in item 6. b. (1) effective_________________, 19______.
7. a. Are you using the services of an Employee Leasing Company?
YES
NO
b. If “YES”, please provide name and address of Leasing Company ______________________________________
__________________________________________________________________________________________
8. Remarks: _____________________________________________________________________________________
_____________________________________________________________________________________________
NOTE
Termination of business does NOT terminate your coverage. All future Oklahoma payrolls must be reported until you
legally terminate coverage in accordance with the provisions of Section 3-202 of the Law.
Subscribed
and
sworn
to
before
me
this
My commission expires ___________________19______
I certify that the information contained in this report is true
day of _________________________________19______
and correct.
Signed ________________________________________
___________________________________, Notary Public
(Must be signed by a member of the firm)
Title ________________________ Date _____________
EQUAL OPPORTUNITY EMPLOYER/PROGRAM
Auxiliary aids and services are available
OES-24 (Rev. 9-94)
upon request to individuals with disabilities.
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Parent category: Financial