SCU
20004
Revised 10-2012
Oklahoma Consumer Use Tax Return
Do Not Use This Form For Reporting Sales Tax
E. Amended Return
A.Taxpayer
FEIN
SSN
B. Reporting Period
C. Due Date
D. Account Number
(check one, enter number below)
01
H. Page ______ of ______ Page(s)
G. Mailing
Date Out
Address Change
of Business: __________________
MM/DD/YY
F. Out of Business
-Office Use Only-
G. New Mailing Address
_________________________________________________________
_________________________________________________________
Address
Name
_________________________________________________________
_________________________________________________________
City
State
ZIP
Address
_________________________________________________________
City
State
ZIP
- - - - - - - - - - - - Dollars - - - - - - - - - - - -
- - - Cents - - -
1. Purchase price of tangible personal property purchased outside and brought into
Oklahoma for own use or consumption. (Do not include transportation charges).....................1. _______________________________ . ____________
2. Total legal deductions (explain fully on Page 2) ..................................................................... - 2. _______________________________ . ____________
3. Balance on which Use Tax is due (Line 1 less Line 2) .......................................................... = 3. _______________________________ . ____________
4. Amount of tax (4.5% of Line 3) ..................................................................................................4. _______________________________ . ____________
5. Less: Sales and/or Use Tax previously paid to another state on property included
in line 3 (Cannot exceed 4.5% tax rate) ................................................................................. - 5. _______________________________ . ____________
6. State Tax (Line 4 minus Line 5) ............................................................................................. + 6. _______________________________ . ____________
7. City/County Use Tax (sum of line(s) N. of Column M from schedule below and
supplemental pages) ............................................................................................................. + 7. _______________________________ . ____________
8. Total Tax (Line 6 plus Line 7) ................................................................................................. = 8. _______________________________ . ____________
9. Interest (1.25% per month of line 8 from date delinquent to date of payment) ..................... + 9. _______________________________ . ____________
10. Penalty (10% of line 8, if not paid within 15 days from due date)........................................ + 10. _______________________________ . ____________
11. Total State and City/County Due (Remit this amount) (Add lines 8, 9 and 10) .................= 11. _______________________________ . ____________
Distribution of Tax for Cities/Counties Schedule
M. Amount of Tax Due
K. Net Taxable Purchases
(Multiply Item K by Item L)
L. Tax Rate
(%)
I. City/County Code
J. City/County Name
- - - Whole Dollars Only - - -
- - - Dollars - - -
Cents
12
13
14
15
N. TOTAL (if more space is needed, use supplement page[s])
Signature: _____________________________________________________
Date: ___________________________
The information contained in this return and any attachments is true and correct to the best of my knowledge.
The Oklahoma Tax Commission is not required to give actual notice of changes in any State tax laws.