Form 512e - Oklahoma Return Of Organization Exempt From Income Tax - 2015

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Form 512E
Oklahoma Return of Organization
2015
Exempt from Income Tax
AMENDED
Section 501(c) of the Internal Revenue Code
RETURN!
For the year January 1 - December 31, 2015, or other taxable year
If this is an
Amended Return
beginning:
ending:
place an
2015
‘X’ here
,
,
Name of Organization
Federal Employer Identification Number
Address (number and street)
Date Qualified for Tax Exempt Status
OFFICE USE ONLY
City, State or Province, Country and ZIP or Foreign Postal Code
Part 2: Statement of Unrelated Business Taxable Income
(Please read instructions on pages 2-3)
Total Federal
Allocable Oklahoma
A. Total unrelated trade or business income -
applicable Federal Form(s) 990
B. Total unrelated trade or business deductions -
applicable Fed. Form(s) 990
C. Unrelated business taxable income - Enter here and on line 1 below
Income Subject to Tax
1. Unrelated business taxable income - from statement above (allocable to Oklahoma) .............
00
1
2. Other net income - enclose schedule .......................................................................................
00
2
3. Oklahoma taxable income (total of lines 1and 2) ......................................................................
00
3
Tax Computation
00
4. Tax at 6% of line 3. If Trust - See Rate Schedule on page 2 and place an ‘X’ here: ............
4
00
5. Less: Other Credits Form (total from Form 511CR) .............................................
....
5
00
6. Balance of tax due (line 4 minus line 5, but not less than zero) ................................................
6
00
7. Amount paid on 2015 estimate and amount paid with extension request .................................
7
00
8. Oklahoma withholding
(enclose Form 1099, Form 500A, Form 500B or other withholding statement).
8
00
9. Amount paid with original return and amount paid after it was filed (amended return only) .....
9
(
)
00
10. Any refunds or overpayment applied (amended return only) ....................................................
10
00
11. Total of lines 7 through 10 .........................................................................................................
11
00
12. Overpayment (if line 11 is larger than line 6 enter amount overpaid) ......................................
12
00
13. Amount of line 12 to be credited to 2016 estimated tax (original return only) ..........................
13
Line 14 instructions provide you the opportunity to make a financial gift from your refund to a variety of Oklahoma
organizations. Place the line number of the organization from the instructions to this form in the box below and enter
the amount you are donating. If giving to more than one organization, put a “99” in the box and attach a schedule
showing how you would like your donation split.
00
14. Donations from your refund..........................
$2
$5
$ ___________ ....
14
00
15. Add lines 13 and 14 and enter amount .....................................................................................
15
16. Amount to be refunded to you (line 12 minus line 15) .................................................. Refund
00
16
Direct Deposit Note:
Is this refund going to or through an account that is located outside of the United States?
Yes
No
checking account
savings account
Deposit my refund in my:
All refunds must be by direct deposit.
See Direct Deposit Information on
Routing
Account
page 3 for details.
Number:
Number:
17. Tax Due (if line 6 is larger than line 11 enter tax due) ................................................. Tax Due
00
17
18. Donation: Public School Classroom Support Fund ........
$2
$5
$ __________ ....
00
18
(For information regarding this fund, see page 3, #9)
19. For delinquent payment, add penalty of 5% ................. $ ________________________ plus
00
interest at 1 1/4% per month .......................................... $ ________________________ .......
19
00
20. Underpayment of estimated tax interest ........................................................... Annualized
20
00
21. Total tax, donation, penalty and interest due -
Balance Due
Add lines 17-20; pay in full with return..
21
Part 3: Signature and Verification
Under penalty of perjury, I declare the information contained in this document, attachments and schedules are true and correct to the best of my knowledge and belief.
Check this box if
Signature of Officer
Date
Signature of Preparer
Date
the Oklahoma Tax
or Trustee
Commission
may discuss this
Preparer’s Address
Print Name
return with your
tax preparer.
Title
Phone Number
Phone Number:
Preparer’s PTIN:
with Area Code

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