Oklahoma Nonresident Royalty
Withholding Tax Return
10002
10002
Use this worksheet to calculate tax, then enter the figures on the coupon below.
A. Taxpayer FEIN
-Office Use Only-
Oklahoma Nonresident Royalty Withholding Tax Return
The information contained in this return and any attachments is true and correct to the best of my knowledge.
Please Detach Here and Return Coupon Below
Do not fold, staple, or paper clip
D. Filing Frequency
C. Due DateB. Reporting Period
1. Royalty Interest ___________________________ . __________
2. Tax Withheld ..... ___________________________ . __________
3. Interest........(+) ___________________________ . __________
4. Penalty........(+) ___________________________ . __________
5. Total Due ...(=) ___________________________ . __________
- - - - - - - - - - - Dollars - - - - - - - - - -
F. Out of BusinessE. Address Change
Do not tear or cut below line
G. Amended Report
Date Out
of Business: __________________
Signature: _____________________________________ Date: ______________
Please remit only one check per coupon.
- - Cents - -
H. Number of
Nonresident Royalty Owners: ___________
1. Royalty Interest ___________________ . ______
2. Tax Withheld ..... ___________________ . ______
3. Interest........(+) ___________________ . ______
4. Penalty........(+) ___________________ . ______
5. Total Due ...(=) ___________________ . ______
Revised 6-2016
WTR
MM/DD/YY
WTR
When to File
Withholding amounts are due on or before the 30th
day of the month following the end of each calendar
quarter for payments made to nonresident royalty
interest owners. Reports must be postmarked on or
before such date.
Electronically
File and pay electronically by using OkTAP, located at
www.tax.ok.gov.
Paper
If ling by paper, make checks or money orders pay-
able to the Oklahoma Tax Commission and mail with
your report to: (This address is for payments ONLY)
Oklahoma Tax Commission
Post Ofce Box 26860
Oklahoma City, OK 73126-0860
Do NOT mail correspondence to the address above.
Instructions for completing Oklahoma Nonresident Royalty Withholding Tax Return
A. Taxpayer FEIN B. Reporting Period C. Due Date
___________________________________________________
Name
___________________________________________________
Address
___________________________________________________
City State ZIP
E.
Specific Line Instructions
LINE 1. (Royalty Interest) - enter total Oklahoma
royalty interest paid to nonresident royalty owners from
which withholding was required this period.
LINE 2. (Tax Withheld) - multiply line 1 by 5%.
LINE 3. (Interest) - if this return and remittance is led
after the due date, multiply the amount on line 2 by
1.25% for each month, from due date until paid.
LINE 4. (Penalty) - If this return and remittance is led
after the last day of the month when due, multiply the
amount on line 2 by 10%.
LINE 5. (Total Due) - Total the amounts on lines 2
through 4.
If you must contact us in writing, include your Name and
Account Number, and mail your correspondence to:
Oklahoma Tax Commission
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
Specific Item Instructions
ITEM E. (Address Change) - Check Box E to notify us
of address change. Write new address in section E.
ITEM F. (Out of Business) - If this is your last return
as a remitter, check Box F and give the Date Out of
Business.
ITEM G. (Amended Report) - Check to correct a
previously led return. In Item B include the reporting
period you are amending. Enter total corrected
amounts on lines 1, 2 and 5 of the return and not the
amount of the adjustment.
ITEM H. (Number of Nonresident Royalty Owners)
- Enter the number of nonresident royalty interest
owners as of your last quarter.
- - - - - - Dollars - - - - - - - Cents -
