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I T W

3000301

Oklahoma Employers Withholding Tax Return

ITW0003-04-01-BT

OW-9

Taxpayer Copy/Worksheet

Revised 4-01

A. Taxpayer FEI

B. Reporting Period

C. Due Date

- - - - - - - - - - - - - - - - - - - - - - - - - - - Dollars - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cents - - - - -

1. Wages Paid

2. Tax

3. Adjustments

4. Interest

5. Penalty

6. Total Due

Use this worksheet for figuring your tax, then

enter the figures on the original report below

Instructions for completing Oklahoma Employers Withholding Tax Return

Please write only in the white areas.

LINE 5. (Penalty) - If this report and remittance is

ITEM E. Enter number of employees as of your last

postmarked after the last day of the month when

payroll period in boxes provided.

due, multiply the amount on line 2 by 5%, with an

If any preprinted information on this report is incorrect,

LINE 1. (Wages Paid) - Enter the total Oklahoma wages

additional 5%, for each additional month or

place an “X” in Box F and enter the correct information on

paid this period.

fraction thereof, not to exceed a maximum total

back of the form in space provided. Please use a #2 pencil

penalty of more than 25%.

or pen with black ink to mark your entries on this form. If

LINE 2. (Tax Withheld) - Enter the amount of Oklahoma

you type your report, please type an “XXX” over “000”

Income Tax withheld from the wages of your employees

LINE 6. (Total Due) - Total the amounts on lines 2

in Box J. at the top of the report. Use the small box

this period.

through 5.

immediately to the left of Item E. (Number of Employ-

LINE 3. (Adjustments) - Explain your net adjustment in

ees) to align your typewriter for typing the numbers in

Sign, date, and detach the original report at the

the space provided on the back of this form. If your net

the handprint boxes of the report.

perforation and mail with remittance in the

adjustment is an addition, write the amount on Line 3. If

enclosed return envelope to:

your net adjustment is a credit, write the amount on Line

OUT OF BUSINESS: If this is your last report as an

OKLAHOMA TAX COMMISSION

3 and mark a minus in the box to the left of Line 3

employer, mark an “X” in the Box G and complete the

P.O. BOX 26860

below.

statement on the back of your report. Furnish the

information about the disposition of the business, i.e., to

OKLAHOMA CITY, OK 73126-0860

LINE 4. (Interest) - If this report and remittance is

whom the business was sold and if not sold, will it be

postmarked after the due date, multiply the amount on

reopened, and if so, when, etc.

line 2 by 1.25% for each month, from due date until

INSTRUCTIONS CONTINUED ON BACK

paid.

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

Do not fold, staple, or paper clip

Write only in white areas

I T W

3000301

000

Oklahoma Employers Withholding Tax Report

A. Taxpayer FEI

B. Reporting Period

C. Due Date

D. Filing Frequency

Number of

M M D D

Employees

- - - - - - - - - - - - - - - - - - - - - - - - - - - Dollars - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cents - - - - -

-Office Use Only-

F.C.

P.T.

F. Change G. Out of Business

1. Wages Paid

2. Tax Withheld

3. Adjustments

4. Interest

5. Penalty

I declare that the information contained in this report and any attachments

6. Total Due =

is true and correct to the best of my knowledge and belief.