Fillable Form 511-Bat - Oklahoma Business Activity Tax

ITI

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Oklahoma Business Activity Tax

Form 511-BAT-2012

for Individuals Who Have A Sole Proprietorship

or Report Farm Income

Your Social Security Number:

NAICS Code (This is shown in Box B of your

primary Federal Schedule C/C-EZ or Schedule F)

Your first name, middle initial and last name

Mailing address (number and street, including apartment, or rural route)

Check this box if you began

City, State and Zip

doing business in Oklahoma

during 2012 ....................................

General Information

Every sole proprietor or farmer, except single-member limited liability companies (LLCs), doing business in Oklahoma is

required to file a Form 511-BAT. All LLCs, including those that are disregarded entities for Federal income tax purposes,

are now required to file Form BT-190. If filing a joint income tax return and both spouses are doing business in Oklahoma,

complete one Form 511-BAT.

If you began doing business in Oklahoma prior to January 1, 2012 you are subject to an annual Business Activity Tax of

$25. This tax will be entered on Form 511, line 21 or Form 511NR, line 41. When timely paid, you are entitled to a nonre-

fundable income tax credit on Form 511, line 17 or Form 511NR, line 38; see Form 511CR, line 43 for more information.

All individuals complete Part 1. If you are not required to file an Oklahoma individual income tax return, also complete Part

2 below. The tax is due the same date as the individual income tax return, April 15, 2013.

Part 1 - Income and Deductions

Round to Nearest Whole Dollar

Total Revenue ....................................................................................................... 1

Allowable Ordinary Trade or Business Expenses ................................................. 2

Net Revenue (line 1 minus line 2) ......................................................................... 3

NOTE: If you are filing an Oklahoma income tax return, do not complete part 2. Instead enclose this form with your

return. The Business Activity Tax of $25 will be entered on Form 511, line 21 or Form 511NR, line 41.

Part 2 - Business Activity Tax

(if you are not filing an Oklahoma Individual Income Tax Return)

If you are not filing an Oklahoma Individual Income Tax Return and you began your business prior to January 1, 2012, you must pay

the Business Activity Tax of $25 with this form.

Enter the Business Activity Tax here............................................................................

Under penalties of perjury, I declare that I have examined this return, including any accompanying schedules and statements, and to the best of my knowledge and

Signature:

belief, 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.

Your signature

Date

Signature of preparer

Date

Printed name

Your printed name

Phone number

Preparer’s address

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