Form 512e - Return Of Organization Exempt From Income Tax - 2002
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1Tax Year 2002
Return of Organization
512e
Exempt from Income Tax
Section 501 (c) of the Internal Revenue Code
Oklahoma Tax Commission, P.O. Box 26800, Oklahoma City, Oklahoma 73126-0800
2002
For the year January 1 - December 31, or other taxable year beginning ___________________, ______ ending ___________________, ______.
Federal
Name of Organization
Identification
Number
Address (number and street)
Date Qualified
OFFICE USE ONLY
for Tax Exempt Status:
City, State and Zip
Enter the name and address used on your return for prior year (if same, write “same”). If none filed, give reason.
Statement of Unrelated Business Taxable Income
(Please read instructions on the back of this form)
Total Federal
Allocable Oklahoma
A. Total unrelated trade or business income - Federal Form(s) 990 ........
B. Total unrelated trade or business deductions - Federal Form(s) 990 ..
C. Unrelated business tax income - Enter here and on line 1 below ........
Income Subject to Tax
1. Unrelated business taxable income - from statement above (allocable Oklahoma) ..................
00
1 1 1 1 1
2. Other net income - enclose schedule ........................................................................................
00
2 2 2 2 2
3. Oklahoma taxable income (total of lines 1and 2) .......................................................................
00
3 3 3 3 3
Tax Computation
4. Tax at 6% of Line 3 (If Trust - See Rate Schedule on page 2) ...................................................
00
4 4 4 4 4
5. Tax paid on estimate ..................................................................................................................
00
5 5 5 5 5
6. Oklahoma withholding on royalty payments (enclose Form 1099 or Form 500A) .....................
00
6 6 6 6 6
7. Add lines 5 and 6 and enter amount ..........................................................................................
00
7 7 7 7 7
8. Overpayment (if line 7 is larger than line 4) enter amount overpaid ..........................................
00
8 8 8 8 8
9. Amount of Line 8 to be credited to the following year estimated tax .........................................
00
9 9 9 9 9
Deductions from refund:
If you wish to donate from your tax refund, check and enter the amount
10. Oklahoma Wildlife Diversity Program...................
$2
$5
$________ ..................
00
10
10
10
10
10
11. Veterans Affairs Capital Improvement Program...
$2
$5
$________ ..................
00
11
11
11
11
11
12. Oklahoma Breast Cancer Program......................
$2
$5
$________ ..................
00
12
12
12
12
12
13. Oklahoma City Bombing Memorial Fund.............
$2
$5
$________ ..................
00
13
13
13
13
13
14. Oklahoma School for the Deaf/Blind....................
$2
$5
$________ ..................
00
14
14
14
14
14
15. Add lines 9 through 14 and enter amount ..................................................................................
00
15
15
15
15
15
16. Amount to be refunded to you (Line 8 minus line 15)
...................................................Refund
00
16
16
16
16
16
17. Tax due (if line 4 is larger than line 7) enter tax due
...................................................Tax Due
00
17
17
17
17
17
18. For delinquent payment, add penalty of 5% _____ plus interest at 1 1/4% per month ..............
00
18
18
18
18
18
19. Underpayment of estimated tax interest ....................................................................................
00
19
19
19
19
19
20. Total tax, penalty and interest due - Add line 17, 18 and 19 pay in full with return .....
Balance
00
20
20
20
20
20
Signature and Verification
Under penalty of perjury, I declare that the information contained in this document, attachments and schedules are true and correct to the best of my knowledge and belief.
Signature of Officer
Signature of Individual or
or Trustee
Firm Preparing this Return
Title
Address
Date
Date
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