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

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Oklahoma Small Business

Form 512-S - 2011

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, 2011, or other taxable year

If this is an

Amended Return

beginning:

ending:

check here

2011

Corporate Name:

Street Address:

City, State and Zip:

Telephone Number and Area Code

Date of Incorporation Under the Laws of:

Federal Employer Identification Number:

Business Code Number:

Type of Business:

If this is a final return,

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 2011 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 2012 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

Direct Deposit Note:

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

Yes

Deposit refund in my:

All refunds issued on or after January

Routing

checking account

1, 2012 must be by direct deposit. See

Number:

Direct Deposit Information on page 12

Account

of the instructions for details.

savings 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 I have examined this return, including any accompanying schedules and statements, and to the best of my knowledge and belief, it

Tax Commission

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

Preparer’s ID

Title

Phone Number