State of Oklahoma
Transmittal of Nonresident Member
OW-15-A
Withholding Exemption Affidavit
Revised 11-2015
Name of S-Corporation, Partnership, Limited Liability Company or Trust
Federal Identification Number
Address
Name of Contact Person
Contact Personʼs Phone Number with Area Code
Type of Media (check one)
Diskette CD
Paper
To assist us in processing your information accurately, please use this form as a cover for the transmittal of the
diskette or CD containing the affidavit information or for the transmittal of the paper copies of Form(s) OW-15.
Please label the diskette or CD with the name of the pass-through entity, the Federal Identification Number and
the number of records. If your information resides on more than one diskette or CD, each must be labeled:
1 of ___, 2 of ___, etc.
Attach the diskette, CD or Form(s) OW-15 to this form and mail to the address below on or before the due date
of the pass-through entityʼs income tax return, including extensions.
For those taxpayers that have received a waiver for the filing of the nonresident member information on a CD
or diskette, copies of all Nonresident Member Withholding Exemption Affidavits (Form OW-15) must be
filed with this form and mailed to the address below on or before the due date of the pass-through entity’s in-
come tax return, including extensions.
Note: This form may not be included or attached to any other documents or tax forms being mailed to the
Oklahoma Tax Commission. Please mail independently of other report/form filings.
Mail to:
Oklahoma Tax Commission
Compliance Division - Audit Section
Post Office Box 269054
Oklahoma City, Oklahoma 73126-9054