Name and Address
Firm Name: ________________________________________________________________________
Property Address: ___________________________________________________________________
Mailing Address: ____________________________________________________________________
Phone Number: _______________________ Email Address: ______________________________
Cost of Goods Sold
This is a statement of goods, wares, and merchandise exempt from taxation under Article X, Section 6A of the Oklahoma Constitution.
Please note that inventory costs must include raw material, work in progress, nished goods, consigned and oor planned merchandise.
I, the undersigned ofcer of the above named company, corporation, or business concern do hereby declare under oath as provided by Oklahoma
Statutes that the above schedule and statements have been examined by me and to the best of my knowledge and belief is a true and complete return,
made in good faith, for the taxable year stated.
1
2
3
4
5
6
All the above described property is located in _______________________ County, Oklahoma.
January February March April May June
July September
August
October November December
7
Average Inventory
12
13
14
15
Purchases for Oklahoma Inventory
Monthly Inventory (Enter 0 for the months with no Inventory)
16
17
18
19
Sales from Oklahoma Inventory
Beginning inventory in Oklahoma .................................................................. $
Add: Total purchases for Oklahoma inventory .............................................. $
Add: Incoming freight charges related to line 2 ............................................ $
Add: Other cost (work in process, labor, and/or other related overhead) ..... $
Less: Ending inventory in Oklahoma ............................................................ $
Cost of goods sold (Sum of lines 1, 2, 3, and 4 - minus line 5) .................... $
Total Inventory (Sum of the proceeding months) ........................................... $
Average Inventory (line 8 divided by number of months in Oklahoma) ......... $
Inventory turns per year (line 6 divided by line 9) .......................................... $
Months required for turnover
(number of months in Oklahoma divided by line 10)
.. $
Note: If line 11 is more than 9.0, the exemption is not allowed.
Total purchases for Oklahoma inventory (from line 2) ................................... $
Less: Inventory purchases from Oklahoma vendors .................................... $
Inventory purchased from out-of-state vendors ............................................. $
Percent of out-of-state purchases (line 14 divided by line 12)....................... $
Total sales from Oklahoma inventory ............................................................ $
Less: Sales within Oklahoma ....................................................................... $
Sold and shipped out-of-state........................................................................ $
Percent of out-of-state sales (line 18 divided by line 16) ............................... $
Freeport Exemption
Average inventory (from line 9) ..................................................................... $
Less: Amount exempt (lower of line 15 or line 19 x line 20) ......................... $
Inventory amount not exempt ........................................................................ $
20
21
22
8
9
10
11
Signature ___________________________________________ Title ________________________________________Date _______________
Return to County Assessor - Filing Date: January 1 - March 15
State of Oklahoma
Freeport Exemption Declaration
School
District
✍
USE CURRENT YEAR FORM
OTC 901-F
Revised 11-2019
Tax Year 2020
