Oklahoma Business Registration Application For Nonresident Contractors Form Page 15

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Oklahoma Business Registration
Application for Nonresident Contractors
BTRG
AP
Business Name
FEIN/SSN:
Indicate the reason(s) for filing this form as a nonresident contractor:
I.
A
New Business
B
Other (explain)
Contact Information:
II.
1. Business Phone ( )
Business Fax ( )
Name
Email Address
III.
Ownership Information:
2. How is this business owned?
A
B
C
Individual (Sole Proprietor)
General Partnership
Limited Partnership
D
E
F
Oklahoma Corporation
Foreign Corporation
Limited Liability Company
G
Other (explain)
3. Federal Employer’s Identification Number (FEIN)
4. Name of Individual, Partnership, Corporation or Limited Liability Company
Social Security Number, if individual
Mailing Address
City
State
Zip
County
5. Names of Partners/Responsible Corporate Officers/Managing Members:
See instructions.
(If Social Security Number is not provided below, the application will be returned for completion.)
{
Name (Last, First, Middle Initial)
Social Security Number
Title
A
Mailing Address
City, State and Zip
County
{
Title
Name (Last, First, Middle Initial)
Social Security Number
B
Mailing Address
County
City, State and Zip
{
Name (Last, First, Middle Initial)
Social Security Number
Title
C
Mailing Address
County
City, State and Zip
Application continued on page B...
A

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