Oklahoma Tax Commission
Transmittal of Tax Returns Reported on Magnetic Media
Form G-141/OTX0013
General Instructions
Complete and detach the form below as it must accompany each tax filing by Compact Disc (CD) or cartridge.
Please label CD or cartridge as directed in specific tax type instructions. If your return resides on more than one CD or
cartridge, each must be labeled, 1 of ________ , 2 of ________ , etc.
Payment
To assist us in processing your return accurately and assure proper credit to your account, please send a separate check
with each report submitted. Please put your OTC Account Number (item 2) on your check.
Mandatory inclusion of Social Security and/or Federal Empolyer’s Identification numbers is required on forms filed with
the Oklahoma Tax Commission pursuant to Title 68 of Oklahoma Statutes and regulations thereunder, for identification
purposes, and are deemed part of the confidential files and records of the Oklahoma Tax Commission.
The Oklahoma Tax Commission is not required to give actual notice of changes in any state tax law.
Please sign and date this return. If you have any questions, please call the Oklahoma Tax Commission at (405) 521-3160.
Mail all returns to:
Oklahoma Tax Commission
P.O. Box 26940
Oklahoma City, OK 73126-0940
OTX0013
G-141
Revised 2-2012
Oklahoma Tax Commission - Transmittal of Magnetic Media Tax Return
Type of Tax
Total Number of Records
Total Amount Reported
OTC Account Number
Period Reported
Original
Replacement
CD/Cartridge Identification number(s) _______________________
Correction
Test
_____________________________________________________
_______________________________________________
Media Type:
CD
Cartridge
FEIN/SSN
Number of Media Volumes in this Shipment __________________
_______________________________________________
Name of Taxpayer
_____________________________________________________
_______________________________________________
Name of Contact Person
Address
_____________________________________________________
_______________________________________________
Address
City
State
Zip
_____________________________________________________
I declare the information contained on this magnetic media is true and
City
State
Zip
correct to the best of my knowledge and belief.
_____________________________________________________
Signature
Date
Telephone Number
Total Amount Paid $ ____________________________________
1
2
