Form Stt20010 - Pklahoma Telephone Access Line Surcharge Return
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1STT 20010
Oklahoma Telephone Access Line Surcharge Return
Revised 10-2012
Taxpayer Copy/Worksheet
A. Taxpayer FEIN/SSN
B. Reporting Period
C. Due Date
D. Account Number
1. Total number of access lines .....
_____________________________
2. Exempt access lines .................
_____________________________
3. Total number of access lines
subject to surcharge ..................
_____________________________
- - - - - - - Dollars - - - - - - -
- Cents -
4. Amount Due (Line 3 X $0.05)....
___________________ . ________
5. Interest ......................................+ ___________________ . ________
6. Penalty ......................................+ ___________________ . ________
7. Total Due ...................................= ___________________ . ________
Use this worksheet to calculate surcharge, then enter the figures on the coupon below.
Instructions for Completing Oklahoma Telephone Access Line Surcharge Return
ITEM F. (Out of Business) – If out of business, check Box F
LINE 4. (Amount Due) – Multiply Line 3 by the tax rate
Who Must File
Every vendor who is responsible for collecting/remitting
and give the Date Out of Business.
shown.
payment of Oklahoma Telephone Access Line Surcharge
ITEM G. (Mailing Address Change) – check Box G to notify
LINE 5. (Interest) – If this return and remittance is post-
must file a Tax Return. Returns must be filed for every
us of address change. Write new address in Section G.
marked after the due date in Item C, the tax is subject
period even though there is no amount subject to tax nor
NOTE: Changes to location address must be submitted on
any tax due.
to 1.25% interest per month from the due date (Item C)
the Notification of Business Address Change Form (BT-
until it is paid. Multiply the amount on Line 4 by .0125 for
When To File
115-C-W), available at
each month or part thereof that the return is late.
Returns must be postmarked on or before the 20th day of
the month following each quarter.
Specific Line Instructions
LINE 6. (Penalty) – If this tax return and remittance
LINE 1. (Total Number of Access Lines) – Enter the total
How to File by Paper
is not postmarked within 15 days of the due date, a
number of access lines serviced by you for this reporting
If filing by paper, make checks or money orders payable to
one-time 10% penalty is due. Multiply the tax amount on
period.
the Oklahoma Tax Commission and mail with your return
Line 4 by 0.10 to determine the penalty.
coupon to:
LINE 2. (Total Exempt Access Lines) – Enter the total
LINE 7. (Total Due) – Total the return. Add lines 4, 5
amount of exempt lines you are reporting for this period. All
Oklahoma Tax Commission
and 6.
Post Office Box 26850
certificates, receipts and/or invoices verifying each exemp-
Oklahoma City, OK 73126-0850
tion must be kept on file.
Specific Item Instructions
LINE 3. (Net Number of Access Lines Subject to Sur-
If you recieved this form by mail, make sure the preprinted
charge) – Subtract Line 2 from Line 1 to arrive at number
information in Items A, B, C and D are correct. If incorrect,
of lines.
contact the Oklahoma Tax Commission’s Taxpayer As-
sistance Division at (405) 521-3160.
Please Detach Here and Return Coupon Below
Do not fold, staple, or paper clip
Do not tear or cut below line
Oklahoma Telephone Access Line
STT
Surcharge Return
A. Taxpayer FEIN/SSN
B. Reporting Period
C. Due Date
D. Account Number
E. Amended
Return
1. Total number of access lines .....
G. Mailing
Date Out
_____________________________
of Business: ________________
Address Change
MM/DD/YY
2. Exempt access lines .................
_____________________________
F. Out of Business
-Office Use Only-
3. Total number of access lines
subject to surcharge ..................
_____________________________
G.
___________________________________________________
- - - - - - - Dollars - - - - - - -
- Cents -
Name
4. Amount Due (Line 3 X $0.05)....
___________________ . ________
___________________________________________________
Address
5. Interest ......................................+ ___________________ . ________
___________________________________________________
6. Penalty ......................................+ ___________________ . ________
City
State
ZIP
7. Total Due ...................................= ___________________ . ________
Signature: _________________________________ Date: _______________
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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