Form 501 Draft - Annual Information Return - State Of Oklahoma Income Tax

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Placeholder
501
Please do not
Annual Information Return
use this space
State of Oklahoma
Revised 2013
Income Tax
Summary of reports enclosed herewith.
Tax Year ______
(Do not remit payment with this form)
Please do not
use this space
Name of person or organization submitting this return
Please check one:
Corporation
Partnership
Individual
Fiduciary
Other
Draft
8/30/13
Street address or Rural Route
If this is your
final return,
Address continued
please check
here
City, State and ZIP
Federal Identification Number
Social Security Number
Number of reports enclosed (Form 500 or 1099)
Total amount of income reported with this form
Check only one box below to indicate the type of form being transmitted. A separate Form 501 is required for each type of statement reported.
W-2
1099-
1099-
1099-
G
A
G
PATR
1099-
500
1099-
1099-
INT
R
B
1099-
500-
1099-
1099-
MISC
A
C
S
1099-
500-
1099-
DIV
OID
B
I declare, under the penalties of perjury, that this form has been examined by me, and to the best of my knowledge and belief is a true, correct, and
complete return of payments of the described classes of income, made by the person or organization named above, during the calendar year.
Signature
Date
Contact person, if more information is needed:
Name:
Title
Telephone Number: (
)

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