Oklahoma Mixed Beverage Tax Report Form
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1
2ATG
8500101
OKLAHOMA
MIXED BEVERAGE TAX REPORT
ATG0001-03-97-BT
TAXPAYER COPY/WORK SHEET
15-60-R-03-97
-------- DOLLARS --------
CENTS
A. Taxpayer FEIN/SSN
B. Reporting Period
C. Due Date
0 0
1.
Total Gross Receipts
(Whole dollars only)
2.
Taxable Admission
0 0
+
Charges
(Whole dollars only)
=
3.
Tax
4.
Discount (1.%)
+
5.
Interest
+
6.
Penalty
7.
Adjustments
(debit/credit)
D. Change
E. Final
=
8.
TOTAL DUE
Report
INSTRUCTIONS FOR COMPLETING OKLAHOMA MIXED BEVERAGE GROSS RECEIPTS TAX REPORT
GENERAL INSTRUCTIONS
LINE 3. (TAX) - Multiply the total of Lines 1 and 2 by
both penalties.
Please write only in the white areas using a #2 pencil or
preprinted tax rate shown.
pen with black ink to make your entries. If any
LINE 7. (ADJUSTMENTS) - Enter the aditional tax
preprinted information on this report is incorrect, place
LINE 4. (DISCOUNT) - If this report and remittance is
being paid with this report, or the tax credit being
an "X" in Box D and enter the correct information on
postmarked by the due date shown in Item C. you are
taken. If your net adjustment is an addition, write the
back of the form in the space provided. If you type your
eligible for a 1% discount for timely payment. Multiply
amount on Line 7. If your net adjustment is a credit,
report, please type "XXX" over "000" in box J. at the
Line 3 (Tax) by .01 if timely paid.
write the amount on Line 7 and mark a minus in the
top of the report below. Use the alignment box
immediately after "Total Gross Receipts" (Line 1.) to
LINE 5. (INTEREST) - If this report and remittance is
box to the left of the line.
align your typewriter for typing the numbers in the
postmarked after the due date shown in Item C. the tax
handprint boxes.
is subject to 1.25% interest per month from the due
LINE 8. (TOTAL DUE) - Total the report: Line 3
date (Item C) until it is paid. Multiply the amount on
minus Line 4, plus Line 5 and Line 6, plus or minus
Line 3 by .0125 for each month or part thereof the
Line 7.
SPECIFIC INSTRUCTIONS
report is late.
If you no longer sell mixed beverages in Oklahoma or
are out of business, place an "X" in box E. below. You
LINE 6. (PENALTY) - If remittance is not postmarked
must return your permit to the Oklahoma Tax
within 15 calendar days of the due date shown in Item
Commission.
C, a 10% penalty is due. Multiply the tax amount on
Line 3 by .10. Also, if this report is not postmarked by
LINE 1. (TOTAL GROSS RECEIPTS) - Enter the
the 15th of the month following the tax period ending
combined total of mixed beverage gross receipts and
date ( Item B), a $5.00 per day penalty will be due
retail value of discounted or complimentary drinks.
from that date until the report is postmarked. Multiply
each day the report is late by $5.00 to determine the
LINE 2. (TAXABLE ADMISSION CHARGES) - Enter
penalty. The delinquent report penalty shall not exceed
the gross receipts from taxable admission charges.
an amount equal to twice the tax due (Line 3) or
$300.00 whichever is greater. Enter the total amount of
INSTRUCTIONS CONTINUED ON BACK
both penalties.
SPECIAL NOTE: To insure that your report will be properly
processed, please print all figures within boxes as shown.
PLEASE DETACH HERE AND RETURN REPORT BELOW
Write only in white areas
ATG
8500101
J.
000
OKLAHOMA MIXED BEVERAGE TAX REPORT
-------- DOLLARS --------
CENTS
A. Taxpayer FEIN/SSN
B. Reporting Period
C. Due Date
0 0
1.
Total Gross Receipts
(Whole dollars only)
OFFICE USE ONLY
2.
Taxable Admission
0 0
M
M
D
D
+
Charges
(Whole dollars only)
F.C.
P.T.
D. Change
E. Final Report
=
3.
Tax
4.
Discount
+
5.
Interest
+
6.
Penalty
7.
Adjustments
I declare that the information contained in this document and any attachments is true and correct to the
(debit/credit)
best of my knowledge and belief
=
SIGN
8.
TOTAL DUE
HERE:
Date
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