Form Bt 144 C 1 PDF Details

In the realm of tax compliance for coin-operated devices within Oklahoma, the Oklahoma Tax Commission Form BT-144-C-1 emerges as a pivotal document. Aimed specifically at business owners seeking to purchase decals for their coin-operated devices, this form does not serve as a permit or license application, but rather as a means to comply with decal requirements for a set period ending June 30, 2011. With an emphasis on ensuring that all coin-operated devices operated within the state are duly registered and visibly display the required decal, this form facilitates the order and acquisition of various decal types, each with its specific price point depending on the device's category. Furthermore, it introduces special decals with adjusted pricing for devices operated seasonally or at specific events such as fairs and carnivals. Detailed instructions guide the applicant through providing essential information such as the owner's contact details, device account number, and decal needs per device type, alongside stipulations for the inclusion of penalties for sealed machines. The BT-144-C-1 form reaffirms the Oklahoma Tax Commission's commitment to tax compliance, while simplifying the process for business owners to ensure their coin-operated devices are in operation legally and transparently within the designated period.

QuestionAnswer
Form NameForm Bt 144 C 1
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesBT 144 C1 otc form bt 144 c 1

Form Preview Example

Oklahoma Tax Commission

Form BT-144-C-1

Application To Purchase Coin-Operated Device Decal(s)

for Period Ending June 30, 2011.

This form is used to purchase decals ONLY!

It is NOT used to apply for permit or license.

See Oklahoma Business Registration Packet A for

permit/license application.

Decal applications for period July 1, 2011 through June 30, 2012

will be available on July 1, 2011.

STC0008-1092-BT BT-144-C-1 Revised 4-2011

State of Oklahoma - Oklahoma Tax Commission

Application to Purchase Coin-Operated Device Decal(s)

for Period Ending June 30, 2011

Oklahoma Tax Commission

2501 Lincoln Boulevard

Oklahoma City, OK 73194-1000

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ofice Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved

 

Owner’s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEI/SSN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disapproved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Decals

 

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Coin Device Account Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

Number and Type of Devices Operated - Half Price

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

Type Decal

 

 

Half Price

 

 

Number of Decals

 

 

Amount

 

 

 

 

 

 

 

 

 

B

 

Type A Decal

 

$

75.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

 

 

 

 

 

 

 

 

 

Type B Decal

 

$

5.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type C Decal

 

$

7.50

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Beginning Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type D Decal

 

$

2.50

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

Type E Decal

 

$

1.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

Special Decals (for 30 day periods) See Instructions

 

 

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type Decal

Number of Decals

 

Number of Periods

 

 

 

 

 

Price

 

 

Amount

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type A Decal

 

 

 

 

 

 

 

 

 

 

 

 

 

$15.00 per period

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ending Number

Type B Decal

 

 

 

 

 

 

 

 

 

 

 

 

 

$1.00 per period

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type C Decal

 

 

 

 

 

 

 

 

 

 

 

 

 

$1.50 per period

 

$

 

 

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type D Decal

 

 

 

 

 

 

 

 

 

 

 

 

 

$0.50 per period

 

$

 

 

 

 

 

 

 

B

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

 

Type E Decal

 

 

 

 

 

 

 

 

 

 

 

 

 

$0.20 per period

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

Reason:

 

(a) Fair, Carnival, etc.

 

 

 

 

(b) Place of Amusement, Seasonal

 

 

 

 

 

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location of Devices:

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Number (Do NOT use P.O. Box or rural route number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

 

Zip:

 

 

 

 

 

 

 

 

 

 

Amount Received

 

 

Inclusive month(s) for special decals:

 

/

 

 

 

 

 

 

 

 

through

 

 

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month

 

Year

 

 

 

 

 

 

 

Month

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued By

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

Number of Machines

 

 

 

 

 

 

 

 

Penalty

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Penalty for Sealed Machine

 

 

 

 

X $100.00 = $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Received By

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Amount Remitted for Decal Fees and Penalty

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

A decal must be irmly afixed to each coin operated device placed in operation or on

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Received

 

 

 

 

 

 

 

location, and must be visible to and readable by the public. All decals expire on June 30.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Mailed

 

 

Signature/Title (or Sole Owner, Partner, or Corp Oficer)

Date of Application

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mandatory inclusion of social security and/or federal identiication numbers are required on forms iled with the Oklahoma Tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commission pursuant to Title 68 of the Oklahoma Statutes and regulations thereunder, for identiication purposes, and are

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

deemed part of the conidential iles and records of the Oklahoma Tax Commission.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Oklahoma Tax Commission is not required to give actual

 

 

 

 

 

 

 

 

 

Please put your FEI/SSN on your check to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

notice to taxpayers of changes in any state tax law.

 

 

 

 

 

 

 

 

 

assure proper credit to your account.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS – APPLICATION TO PURCHASE COIN-OPERATED DEVICE DECALS

Section 1:

Enter the Owner’s Name, mailing address and phone number.

Enter the Owner’s FEI or SSN number

Enter the Owner’s Coin Device Account number. (If you do not have an account number you must complete Oklahoma Business Registration Packet A.)

Section 2:

Provide the number of decals you are ordering for each decal type.

Section 3:

Provide the number of special decals you are ordering for each decal type. Special decals are for limited use. OTC Rule 710:25-1-7 states ……” In those instances where a coin-operated device will be available for use by the public for a limited

period of time less than one (1) year, such as in connection with fairs, carnivals and places of amusements that operate only during certain seasons of the year, the Commission will issue a special decal for one or more calendar months. The fee for

each calendar month will be computed on the basis of one-tenth (1/10th) of the annual rate for the type of device operated. Each special decal must be irmly afixed, as deined by 710:25-1-1(b), to the device for which it is purchased, in the same manner as other decals, and may not be transferred to any other machine.”

Section 4:

Check the box for the reason for purchasing Special Decals.

Provide the Location of the devices.

Provide the months for the special decals.

Section 5:

Enter the amount of penalty due if any of your machines have been sealed.

Section 6:

Enter the total amount due.

Section 7:

Sign and date the application.

When you are inished, mail completed form to:

Oklahoma Tax Commission

Taxpayer Assistance Division

Post Ofice Box 26920

Oklahoma City, OK 73126-0920

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How to fill in Form Bt 144 C 1 part 1

2. Just after finishing the previous section, go on to the next part and enter all required particulars in these blank fields - Type Decal Type A Decal Type B, per period, Reason, a Fair Carnival etc, b Place of Amusement Seasonal, A B C D E, Location of Devices Address, Street Number Do NOT use PO Box or, City, State, Zip, Amount Received, Inclusive months for special decals, through, and Month.

b Place of Amusement Seasonal, Reason, and Amount Received of Form Bt 144 C 1

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