Oklahoma Tax Exempt Form

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To The City of Oklahoma City:
By completing and signing this form I am attesting to the fact that I am
exempt from the payment of The City of Oklahoma City's hotel/motel room tax for
one of the following reasons -
PLEASE CHECK APPROPRIATE SPACE
I will be residing at this hotel/motel for at least thirty (30)
___________
consecutive days.
I am an employee of the United States government or one of
___________
its agencies and am staying at this hotel/motel on business
related to my job.
I am an employee of the state of Oklahoma or one of its
___________
agencies and am staying at this hotel/motel on business related
to my job.
I am an employee of a public school system and am staying at
___________
this hotel/motel on business related to my job.
I am an employee of a state-accredited private school and am
___________
staying at this hotel/motel on business related to my job.
I am an employee of a church and am staying at this
___________
hotel/motel on business related to my job.
I acknowledge that the above information is correct.
Signature ____________________________________________________Date __________
Name (Please Print)
______________________________________________________________
Address
________________________________________________________________________
City, State, Zip
__________________________________________________________________
Home Phone ________________________________Work Phone
_______________________
Exemption acknowledged by
_______________________________________________________
The City of
OKLAHOMA CITY
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