Form 512-S - Corporation Income Tax Return - Oklahoma Small Business - 2015 Page 4

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2015 Form 512-S - Page 4
Part 5: Shareholders’ Pro Rata Share of Income
Enter the information for each shareholder. If there are more than 3 shareholders, use Form 512-S-SUP to enter the additional shareholders. Use as many
Forms 512-S-SUP as needed.
Shareholder 1
Shareholder 2
Shareholder 3
1
Name and address
of each shareholder
Name:
Address:
City, State, ZIP:
2
SSN or FEIN
3
Ownership Percentage
4
Distributable Federal Income
(Part 3, Column A, line 18 times Part 5
line 3)
5
Distributable Oklahoma Income
(Part 3, Column B, line 18 times Part 5
line 3**)
6
Oil and Gas Depletion (Federal)
7
Oil and Gas Depletion (Oklahoma)
8
Amount of Credit
9
Type of Credit
10 Amount of Withholding
11
Type of Withholding
Nonresident Shareholder
12
Is a signed Form 512-SA attached?
If nonresident agreement (Form 512-SA)
Yes
No
Yes
No
Yes
No
is NOT attached, the S Corporation will be
taxed on the income reported in line 13.
13
Nonresident Share of Income to Tax
if line 12 is NO (enter the distributable
Oklahoma income from line 5)
Total: Nonresident Share of Income to Tax
14
Add amounts shown in line 13 above for all Shareholders, and if applicable, from Form 512-S-SUP.
Enter here and on Page 1, Part 1, line 1a ............................................................................................................$
**NOTE: The amount shown in Part 3, Column B, line 18, Oklahoma net distributable income, may not be the amount to be entered on the shareholder’s Oklahoma
income tax return. This amount includes all allowable shareholder’s income, losses, and deductions. Some of these items may be limited on the Federal
return. If these items are allowed in full or part on your Federal income tax return, they will be allowed to the same extent on your Oklahoma return.
Notice: Forms required to compute withholding and credits must be enclosed with corporate return. Examples of these include: Form 1099 MISC, Form 500A: Non-
resident Royalty Withholding, Form 511CR: Other Credits, Form 506: Investment/New Jobs Credit and Form 529: Small Business Guaranty Fee Credit. Schedules or
authorization must be furnished.
Note: Enclose a complete copy of your Federal Return.
Part 6:
Additional Information
Location of Principal Accounting Records
Address
City
State
Zip
Has the Internal Revenue Service redetermined your tax liability for prior years?
Yes
No What years? ____________________
Did you file amended returns for the years stated above?
Yes
No
N/A
Has the statute of limitations been extended by consent for any prior years?
Yes
No What years? ____________________
Business name _________________________________________________
Date business began in Oklahoma ________________
Principal location(s) in Oklahoma _________________________________________________________________________________
Mail to: Oklahoma Tax Commission, PO Box 26800, Oklahoma City, Oklahoma 73126-0800

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