Income Tax - Oklahoma Tax Commission

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Please print or type the name and address
of the payor in the box below:
Tax Year ______
Information Return
500
Income Tax
Oklahoma Tax Commission
Revised 2003
Report payment of $100 or more in these two boxes:
Report payment of $750 or more in these four boxes:
Commission
N.E.C. Payments
Rents
Other Income (specify)
Interest
Dividends
Do not use this form to report
Payor’s Federal Identification Number
Recipient’s Identification Number
salaries and wages.
Use optional form W-2: Internal
Revenue Service.
Please print or type the recipient’s name, address, and zip code in the area below:
Please print or type the name and address
of the payor in the box below:
Tax Year ______
Information Return
500
Income Tax
Oklahoma Tax Commission
Revised 2003
Report payment of $100 or more in these two boxes:
Report payment of $750 or more in these four boxes:
Commission
N.E.C. Payments
Rents
Other Income (specify)
Interest
Dividends
Do not use this form to report
Payor’s Federal Identification Number
Recipient’s Identification Number
salaries and wages.
Use optional form W-2: Internal
Revenue Service.
Please print or type the recipient’s name, address, and zip code in the area below:
Please print or type the name and address
of the payor in the box below:
Tax Year ______
Information Return
500
Income Tax
Oklahoma Tax Commission
Revised 2003
Report payment of $100 or more in these two boxes:
Report payment of $750 or more in these four boxes:
Commission
N.E.C. Payments
Rents
Other Income (specify)
Interest
Dividends
Do not use this form to report
Payor’s Federal Identification Number
Recipient’s Identification Number
salaries and wages.
Use optional form W-2: Internal
Revenue Service.
Please print or type the recipient’s name, address, and zip code in the area below:

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