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1. Business or Trade name Telephone No. 2. Federal Identification
3. Business mailing address (no. & St.) (City or Town) (State) (Zip)
4. Type of Organization:
Partnership
Corporation
LLC
Ltd Partnership
Tribal Rated
Tribal Reim Non-Profit Rated Non-Profit Reim Gov 1% Gov Reim Other (Specify)
5. Owners/Partners/Corp Officers/Members Title Residence Address Telephone Stock Ownership%
Name-
SSN#-
Name-
SSN#-
Name-
SSN#-
6. If a Corporation, or LLC Enter Full Name State of Incorporation
or Filing
Date of filing
7. If an LLC how have you chosen to be taxed for federal tax purposes?
Sole Proprietor Partnership Corporation
8. Email Address:
9. Is your Business a nonprofit organization? Yes No Do you have a 501(c)(3) exemption? Attach Copy. Yes No
10. Date entered business in Oklahoma: 11. Date of first employment in Oklahoma: 12. Date of first payroll in Oklahoma:
13. Describe the exact nature of your business or employment activity and list the principal products
manufactured or traded in Oklahoma:
14. Did you acquire an established business in Oklahoma? Yes No
If Yes, did you acquire substantially all of the Oklahoma trade, organization, employees, business or assets? Yes No
See O.S. 40 3-111 and 3-111.1 Date of acquisition:_____________________________
Name, Address and Oklahoma account number of former owner.
15. Are you liable under the Federal Unemployment Tax Act? Yes No If Yes, enter year liable:
16. If you have previously filed reports to the Oklahoma Employment Security Commission list name and account number:
17. List addresses of all locations in Oklahoma: (1)
(2) (3)
18. Enter gross Oklahoma payroll for the current and two prior calendar years:
Calendar Year
1
st
Qtr. 2
nd
Qtr.
3
rd
Qtr.
4
th
Qtr.
19. Enter by week the number of workers you employed in Oklahoma during the same period.
Yr___
1st
wk.
2nd
wk.
3rd
wk.
4th
wk.
5th
wk.
Yr___
1st
wk.
2nd
wk.
3rd
wk.
4th
wk.
5th
wk.
Yr___
1st
wk.
2nd
wk.
3rd
wk.
4th
wk.
5th
wk.
Jan. Jan. Jan.
Feb. Feb. Feb.
Mar. Mar. Mar.
Apr. Apr. Apr.
May May May
Jun. Jun. Jun.
Jul. Jul. Jul.
Aug. Aug. Aug.
Sep. Sep. Sep.
Oct. Oct. Oct.
Nov. Nov. Nov.
Dec. Dec. Dec.
Note: Must be signed by owner, all partners, corporate officers or authorized official.
20
. Signed:_____________________________________ Title __________________________________Date_____________________
Control No.
State No FEIN
L-Date E-Date S-Date R-Date
L-Code Pred No
Auxiliary Aids and Services are available upon request to individuals with disabilities
Oklahoma Employment Security Commission
Application for Oklahoma UI Tax Account Number OES-1 (07-21)
$
$
$
$
$
$
$
$
$
$
$
$
Sole Proprietor
*Required
Instructions for preparation of form OES-1, Application for Oklahoma UI Tax Account Number
1. Enter the name by which the business is known. Examples: A & B Hardware, Whiteway Theater, McDonalds, OReillys,
Starbucks, etc. List your business telephone number.
2. Enter Your Federal Identification Account Number.
3. Enter address to which forms for reports, notices and correspondence should be mailed by Commission.
4. Enter a check mark after the word that properly describes type of ownership of your business.
5. Enter full name, residence address, telephone number and Social Security Number of all owners,
partners, corporate officers or members. Attach additional sheet if sufficient space is not provided.
All corporate officers, including officers of Sub-Chapter S corporations, are considered employees for
unemployment tax reports.
6. Enter full corporate name (as it appears on your corporate seal), date of incorporation or filing and State
which incorporated.
7. When you reported to the U.S. Internal Revenue Service that you were chartering a limited liability
company, you were required to check the box on IRS Form 8832 to inform them how you wanted to be taxed.
Your answer here should be the same as you selected for federal tax purposes.
8. Enter the email address you want contacted for your business.
9. If your answer is Yes, please attach a copy of your letter of exemption from the Internal Revenue Service.
10. Date your firm entered business in Oklahoma.
11. Enter the earliest date on which services were performed in Oklahoma.
12. Enter the date first payroll was issued for services performed in Oklahoma.
13. State what kind of business you operate in Oklahoma and the principal product manufactured or traded.
14. If your answer was Yes, please enter name and address of former owner and date acquired.
15. If Yes, enter the year you first became liable.
16. Self explanatory.
17. List addresses of all locations in Oklahoma where services are performed. If the physical location of your business is out of state, you
must still list the Oklahoma address where services are performed even if they are performed by home-based employees. Attach additional
sheet if necessary.
18. Enter gross payroll of your business by quarter for the current year and the preceding two (2) calendar
years (Oklahoma payroll only).
19. Enter by week the number of workers to whom you furnished employment in Oklahoma. Include both
full-time and part-time employees. Indicate current calendar year employment followed by employment
in preceding calendar years. A week is seven (7) consecutive calendar days beginning at 12:01 A.M.
Sunday and ending at 12:00 midnight on the next succeeding Saturday.
20. Must be signed by owner, partner, corporate officer or authorized official.
Mail completed and signed form to: Oklahoma Employment Security Commission
Attn: Employer Compliance
PO Box 52003
Oklahoma City OK 73152-2003
(405)557-5330; fax (405)557-7271