State of Oklahoma
Corporation Income Tax Return
Form 512 - 2012
For the year January 1 - December 31, 2012, or other taxable year
beginning:
ending:
2012
,
,
Name of Corporation:
Street Address:
City, State and Zip:
If this is a final return, place an ‘X’ here:
Extension
Type of Return Filed
A. Federal Employer
Identification Number
Separate
Consolidated
If you have applied for an extension
Oklahoma
or
(page 3 of
from the IRS, place an ‘X’ here and
instructions)
enclose a copy.
B. Business Code Number
Federal
or
$
.00
Notice:
Enter the amount of Oklahoma net operating loss as shown on Sch. A, line 29(a) or Sch. B, line 6(d)
1 Oklahoma taxable income
. . . . . . . .
00
(as shown on Schedule A or B or, if consolidated, from Form 512-TI)
1
2 Tax: 6% of line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
2
3 Less: Other Credits Form (total from Form 511CR)
. . . . . . . . . . .
. .
00
(see instructions)
3
00
4 Balance of tax due (line 2 minus line 3, but not less than zero) . . . . . . . . . . . . . . . . . . . . . . . .
4
00
5 Amount paid on 2012 estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
00
6 Amount paid with extension request . . . . . . . . . . . . . . . . . . . . . . . .
6
00
7 Oklahoma withholding
. . .
7
(enclose Form 1099, 500-A or other withholding statement)
8 Total payments (add lines 5, 6 and 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
8
9 Overpayment (line 8 minus line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
9
00
10 Amount of line 9 to be credited on 2013 estimated tax . . . . . . . . . .
10
Line 11 instructions provide you the opportunity to make a financial gift from your refund to a variety of Okla-
homa 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.
00
11
11 Donations from your refund . .
$2
$5
$ _______ .
00
12 Total (add lines 10 and 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
00
13 Amount of line 9 to be refunded to you (line 9 minus line 12) . . . . . . . . . . . . . . . . . . . . . Refund
13
Direct Deposit Note:
Is this refund going to or through an account that is located outside of the United States?
Yes
No
Deposit refund in my:
All refunds must be by direct
Routing
checking account
deposit. See Direct Deposit
Number:
Information on page 15 of the 512
Account
Packet for details.
savings account
Number:
14 Tax Due (line 4 minus line 8) .............................................................................. Tax Due
00
14
15 Donation: Public School Classroom Support Fund .......
$2
$5
$ _________ ...
00
15
00
16 Underpayment of estimated tax interest (enclose Form OW-8-P) ..........................................
16
17 For delinquent payment add penalty of 5% $ ____________
plus interest of 1.25% per month $ ______________________ ...........................................
00
17
18 Total tax, donation, penalty and interest (add lines 14 - 17) ........................Balance Due
00
18
If the Oklahoma Tax Commission may discuss this return with your tax preparer, place an ‘X’ here:
Enclose a copy
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,
of Federal return
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.
Signature of Officer
Date
Signature of Preparer
Date
Corporate
Title
Preparer’s Address
Seal
Phone Number
Phone Number
Preparer’s PTIN
Remit to Oklahoma Tax Commission - Post Office Box 26800 - Oklahoma City, OK 73126-0800
The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.