Form 512-S - Oklahoma Small Business Corporation Income Tax Return - 2012

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Oklahoma Small Business

Form 512-S - 2012

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, 2012, or other taxable year

If this is an

Amended Return

beginning:

ending:

place an

2012

‘X’ here

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,

place an ‘X’ 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 2012 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 2013 estimated tax .......................

Line 11 instructions provide you the opportunity to make a financial gift from your refund to a variety of Oklaho-

ma organizations. Place the line number of the organization from the line 11 instructions in the box below and

enter the amount you are donating. If giving 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 (add lines 10 and 11) ......................................................................................................

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 must be by direct

Routing

checking account

deposit. See Direct Deposit

Number:

Information on page 12 of the

Account

512S Packet for details.

savings account

Number:

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

Donation: Public School Classroom Support Fund .....

$ _________ .....

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, donation, penalty and interest (add lines 14 - 17) ..................... Balance Due

If the Oklahoma Tax Commission may discuss this return with your tax preparer, place an ‘X’ here:

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,

Make check payable to the

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.

Oklahoma Tax Commission

Signature of Officer

Date

Signature of Preparer

Date

Corporate

Printed Name of Officer

Preparer’s Address

Seal

Title

Area Code and Phone Number

Preparer’s PTIN