Form 500-A - Information Return - 2008
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1Please print or type the name and address
State of Oklahoma: Production Payments
of the payor in the box below:
Information Return
500-A
Tax Year ________
* Note: All payments with Oklahoma withholding must be reported.
Report payments of $10 or more
Report payment of $750 or more in these five boxes (*see note):
in this box (*see note):
Royalty
Lease Bonus
Delay Rental
Working Interest
Lease
Other - please specify
Payor’s Federal Identification Number
Recipient’s Identification Number
State Code:
State Withholding:
Please print or type the recipient’s name, address, and zip in the area below:
County Code:
Do not use this form to report salaries
and wages. Use optional Form W-2:
Internal Revenue Service.
Please print or type the name and address
State of Oklahoma: Production Payments
of the payor in the box below:
Information Return
500-A
Tax Year ________
* Note: All payments with Oklahoma withholding must be reported.
Report payments of $10 or more
Report payment of $750 or more in these five boxes (*see note):
in this box (*see note):
Royalty
Lease Bonus
Delay Rental
Working Interest
Other - please specify
Lease
Payor’s Federal Identification Number
Recipient’s Identification Number
State Code:
State Withholding:
Please print or type the recipient’s name, address, and zip in the area below:
County Code:
Do not use this form to report salaries
and wages. Use optional Form W-2:
Internal Revenue Service.
Please print or type the name and address
State of Oklahoma: Production Payments
of the payor in the box below:
Information Return
500-A
Tax Year ________
* Note: All payments with Oklahoma withholding must be reported.
Report payments of $10 or more
Report payment of $750 or more in these five boxes (*see note):
in this box (*see note):
Royalty
Lease Bonus
Delay Rental
Working Interest
Other - please specify
Lease
Payor’s Federal Identification Number
Recipient’s Identification Number
State Code:
State Withholding:
Please print or type the recipient’s name, address, and zip in the area below:
County Code:
Do not use this form to report salaries
and wages. Use optional Form W-2:
Internal Revenue Service.
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Parent category: Financial