Form Stw20009 - Voluntary Tire Recycling Fee Return
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1STW 20009
Voluntary Tire Recycling Fee Return
Revised 10-2012
Taxpayer Copy/Worksheet
A.Taxpayer
FEIN
SSN
B. Reporting Period
C. Due Date
(check one, enter number below)
1. Total number of tires to pick up ..
_____________________________
- - - - - - - Dollars - - - - - - -
- Cents -
2. Tires at 19
/
inches or smaller
1
2
($2.50 per tire) ............................+ ___________________ . ________
3. Tires larger than 19
/
inches
1
2
($3.50 per tire) ............................+ ___________________ . ________
4. Motorcycle tire fee
($1.00 per tire) ............................+ ___________________ . ________
5. Agricultural tire fee
(See instructions) .......................+ ___________________ . ________
6. Total Due Voluntary ..................= ___________________ . ________
Use this worksheet to calculate Fee, then enter the figures on the coupon below.
Instructions For Completing Voluntary Tire Recycling Fee Return
Who Must File
Specific Item Instructions
LINE 4. (Motorcycle Tire Fee) - Enter the total amount
Persons wishing to have tire carcasses processed, but
ITEM A. (Taxpayer FEIN/SSN) – Check the box next to
of fees collected on motorcycle tires. The fee per tire is
who are not engaged in the business of selling tires; or
the type of identification number being used, and enter
$1.00.
the taxpayer identification number.
Tire dealers who have been engaged in selling tires and
LINE 5. (Agricultural Tire Fee) - Enter the total amount
who have collected and remitted the tire fees, as needed,
ITEM B. (Reporting Period) – Enter the month(s) and
of fees collected on agricultural tires that are not more
on each transaction on which a fee was due, but who have
year for the Voluntary Tire Recycling Fee being reported.
than 14 inches wide and 44 inches in diameter. The fee
accepted tires from Oklahoma residents for disposal or
for agricultural tires is $0.05 per pound (minimum $2.50
have otherwise come into possession of tire carcasses
ITEM C. (Due Date) - Enter the date the return is due.
per tire).
generated in Oklahoma, for which no fees have been paid
into the Tire Indemnity Fund.
Specific Line Instructions
LINE 6. (Total Due Voluntary) - Total the return; lines 2
When To File
LINE 1. (Total Number of Tires to Pick Up) –
through 5.
Returns must be postmarked on or before the 20th day of
Enter the total number of tires to be picked up.
the month following each reporting period.
LINE 2. (Tires at 19
/2 Inches or Smaller) - Enter the total
1
How to File by Paper
amount of fees collected on motor vehicle tires with a tire
If filing by paper, make checks or money orders payable to
rim of 19
/2 inches or smaller. The fee per tire is $2.50.
1
the Oklahoma Tax Commission and mail with your return
coupon to:
LINE 3. (Tires Larger than 19
/2 Inches) - Enter the total
1
amount of fees collected on motor vehicle tires with a tire
Oklahoma Tax Commission
Voluntary Tire Fee Remittance
rim larger than 19
/2 inches. The fee per tire is $3.50.
1
Post Office Box 26920
Oklahoma City, OK 73126-0920
Please Detach Here and Return Coupon Below
Do not fold, staple, or paper clip
Do not tear or cut below line
Voluntary Tire Recycling Fee Return
STW
D. Amended
A.Taxpayer
FEIN
SSN
B. Reporting Period
C. Due Date
Return
(check one, enter number below)
1. Total number of tires to pick up ..
_____________________________
- - - - - - - Dollars - - - - - - -
- Cents -
-Office Use Only-
2. Tires at 19
/
inches or smaller
1
2
($2.50 per tire) ............................+ ___________________ . ________
___________________________________________________
3. Tires larger than 19
/
inches
1
2
Name
($3.50 per tire) ............................+ ___________________ . ________
___________________________________________________
4. Motorcycle tire fee
Address
($1.00 per tire) ............................+ ___________________ . ________
___________________________________________________
City
State
ZIP
5. Agricultural tire fee
(See instructions) .......................+ ___________________ . ________
Signature: _________________________________ Date: _______________
6. Total Due Voluntary ..................= ___________________ . ________
The information contained in this return and any attachments is true and correct to the best of my knowledge.
Please remit only one check per coupon.
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