Form Bt-175 - Notice Of Contract - Nonresident Contractor
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1Form BT-175
Revised 5-2012
Notice of Contract
Nonresident Contractor
Oklahoma Tax Commission
Taxpayer Assistance Division
Post Office Box 26920
Oklahoma City, OK 73126-0920
Contractor Name: ___________________________
FEIN/SSN: ________________________
Address: __________________________________
City, State, ZIP: _____________________________
Phone Number: _____________________________
In accordance with the requirements of Title 68, O.S. 1991, Section 1702, as amended, notice is
hereby given that the following contract work or service is to be performed:
1. Approximate amount of the contract price: $ _____________________________________
2. The location where work is to be performed:
a. Street/Mailing Address: _________________________________________________
b. Physical location or directions to the job site: ________________________________
_____________________________________________________________________
3. Approximate date work is to commence: _______/_______/_______
4. Approximate date work is to be completed: _______/_______/_______
5. General nature of work to be performed: _______________________________________
________________________________________________________________________
________________________________________________________________________
6. Attached is a list of the names and addresses of each sub-contractor and the amount of
each subcontract.
7. I understand I must notify the Oklahoma Tax Commission in the event I let additional
subcontracts after the work begins.
I declare the information contained in this notice and any attachments is true and correct to the best
of my knowledge and belief.
Signed: ___________________________________
Date: __________________________
Title: _____________________________________
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