Oklahoma Mixed Beverage Tax Report Form Page 2
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2WHEN TO FILE
GENERAL INFORMATION
SIGN, DATE AND DETACH THE ORIGINAL
Reports must be postmarked on or before the 15th day
Mandatory inclusion of social security and/or federal
REPORT AT THE PERFORATION AND MAIL
of the month following each reporting period. The due
employer's identification numbers is required on forms
WITH YOUR PAYMENT IN THE ENCLOSED
date for filing this report is printed in Item C.
filed with the Oklahoma Tax Commission pursuant to
RETURN ENVELOPE TO:
Title 68, of the Oklahoma Statutes and regulations
thereunder, for identification purposes, and are deemed
WHO TO CONTACT FOR ASSISTANCE
OKLAHOMA TAX COMMISSION
part of the confidential files and records of the
BUSINESS TAX DIVISION (MIXED BEV.)
If any computer printed information is incorrect, call
Oklahoma Tax Commission.
P.O. BOX 26920
(405) 521-3279. For Mixed Beverage Tax assistance,
OKLAHOMA CITY, OK 73126-0920
please call the Oklahoma Tax Commission at: (405)
The Oklahoma Tax Commission is not required to give
522-3599.
actual notice of changes in any state tax law.
WHEN TO FILE
PAYMENT
Every Mixed Beverage permit holder must file a Mixed
To assist us in processing your return accurately and
Beverage Tax Report. Reports must be filed for every
assure proper credit to your account, please send a
period even though there is no amount subject to tax
separate check with each report submitted. Please put
nor any tax due.
your Taxpayer FEI or SSN Number (Item A.) on your
check.
Change in pre-printed information:
If you checked Box D., indicate the changes only below.
ADDRESS
FEI/SSN
CITY
NAME
STATE
ZIP
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