Form Atg20121 - Oklahoma Mixed Beverage Tax Return 'Supplement' Page 2

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Form ATG20121
Oklahoma Mixed Beverage Tax Return ‘Supplement’ Instructions
Page 2
General Instructions
Complete Page 1 of Form ATG20012 “Oklahoma Mixed Beverage Tax Return”, item numbers 8 through 18 before completing the “supplement”.
Specific Item Instructions
ITEM A - Enter your taxpayer identification number.
ITEM B - Enter the month(s) and year for the mixed beverage tax being reported.
ITEM C - Enter the date the return is due.
ITEM D - Enter your Account Number
ITEM E - Check Box E if this is an amended return.
ITEM H - Enter each individual page number and the total number of pages enclosed.
Specific Line Instructions
Mixed Beverage Sales Computation (Lines 19-49)
Column I -
Enter the site number. (The site number is a unique number assigned to a specific physical location)
Column J -
Enter the ABLE number. (Liquor License Number issued by the Alcoholic Beverage Laws Enforcement (ABLE) and as-
signed to the same specific physical location)
Column K - Enter the site total gross receipts for each site listed in Column I.
Column L - Enter the taxable admission charges for each site listed in Column I.
Column M - Enter the total site tax due for each site listed in Column I. Site Tax Due is Column K plus Column L, times the rate
(13.5%).
Item N - Total:
Column K - Add lines 19 through 49, enter the total for this page. Add the total of all supplement pages to Column K, Item N on Form
ATG20012. Place combined total on Form ATG20012, Line 1.
Column L - Add lines 19 through 49, enter the total for this page. Add the total of all supplement pages to Column L, Item N on Form
ATG20012. Place combined total on Form ATG20012, Line 2.
Column M - Add lines 19 through 49, enter the total for this page. Add the total of all supplement pages to Column M, Item N on Form
ATG20012. Place combined total on Form ATG20012, Line 3.
Additional supplemental pages may be downloaded from our website at or call the Oklahoma Tax Commission at
(405) 521-3160 and request the number of Mixed Beverage Tax Return Supplement pages required.
Mandatory inclusion of Social Security and/or Federal Identification numbers is required on forms filed with the Oklahoma Tax Commis-
sion pursuant to Title 68 of the Oklahoma Statutes and regulations thereunder, for identification purposes, and are deemed part of the
confidential files and records of the Oklahoma Tax Commission.
The Oklahoma Tax Commission is not required to give actual notice of changes in any state tax law.

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