Please print or type the name and address
State of Oklahoma
of the payor in the box below:
Information Return
500
Tax Year ________
Report payment of $100 or more in these two boxes:
Report payment of $750 or more in these four boxes:
Commission
N.E.C. Payments
Rents
Other Income (specify)
Interest
Dividends
Payor’s Federal Identification Number
Recipient’s Identification Number
Do not use this form to report
salaries and wages.
Use optional Form W-2: Internal
Please print or type the recipient’s name, address, and ZIP in the area below:
Revenue Service.
Please print or type the name and address
State of Oklahoma
of the payor in the box below:
Information Return
500
Tax Year ________
Report payment of $100 or more in these two boxes:
Report payment of $750 or more in these four boxes:
Commission
N.E.C. Payments
Rents
Other Income (specify)
Interest
Dividends
Payor’s Federal Identification Number
Recipient’s Identification Number
Do not use this form to report
salaries and wages.
Use optional Form W-2: Internal
Please print or type the recipient’s name, address, and ZIP in the area below:
Revenue Service.
Please print or type the name and address
State of Oklahoma
of the payor in the box below:
Information Return
500
Tax Year ________
Report payment of $100 or more in these two boxes:
Report payment of $750 or more in these four boxes:
Commission
N.E.C. Payments
Rents
Other Income (specify)
Interest
Dividends
Payor’s Federal Identification Number
Recipient’s Identification Number
Do not use this form to report
salaries and wages.
Use optional Form W-2: Internal
Please print or type the recipient’s name, address, and ZIP in the area below:
Revenue Service.