Form Cop20001 PDF Details

In order to ensure the accuracy of information on your tax return, the Internal Revenue Service has developed Form Cop20001. This form is used to certify that all the information contained in your return is true and correct. By signing this form, you are declaring under penalty of perjury that everything on your return is accurate. So if you're looking to file a fraudulent tax return, you'll want to leave this form blank! Otherwise, be sure to fill it out completely and honestly, because perjury can result in some serious penalties. Thanks for reading!

QuestionAnswer
Form NameForm Cop20001
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCOP20001 fax number whitewright public library form

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OKLAHOMA TAX COMMISSION

FORM COP20001

APPLICATION TO PURCHASE COIN-OPERATED DEVICE DECAL(S)

FOR PERIOD ENDING JUNE 30, 2015.

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.

THIS FORM IS FOR DECALS PURCHASED

FROM JULY 1, 2014 THROUGH DECEMBER 31, 2014,

FOR DECALS EXPIRING JUNE 30, 2015.

COP 20001

Revised 5-2014

COIN-OPERATED DEVICE DECAL ORDER FORM

____________________________________________________________________

___________________________________

Owner’s Name

FEIN/SSN

____________________________________________________________________

___________________________________

Mailing Address

Telephone Number

____________________________________________________________________

___________________________________

City, State, Zip

Coin Device Account Number

INSTRUCTIONS FOR COMPLETING COIN-OPERATED DEVICE DECAL ORDER FORM

This form is used to purchase decals ONLY! It is NOT used to apply for a permit or license.

See Oklahoma Business Registration Packet A for a permit/license application.

Annual Decals: July 1 through June 30

A.Music, Amusement or Vending (25 cents or more)

B.Vending (less than 25 cents)

C.Bulk Vending (25 cents or more) with 2-5 mechanisms

D.Bulk Vending (25 cents or more)

E.Bulk Vending ( less than 25 cents)

Seasonal Decals: Number of Periods = Months in Operation

SA. Music, Amusement or Vending (25 cents or more) SB. Vending (less than 25 cents)

SC. Bulk Vending (25 cents or more) with 2-5 mechanisms SD. Bulk Vending (25 cents or more)

SE. Bulk Vending ( less than 25 cents)

Sealed Machines: $100.00 Penalty per machine.

Total all lines for the Grand Total due.

Complete any address changes in the space provided.

If mailing address change, place an ‘X’ in the

Mailing Address Change box. This form cannot be used for any changes in ownership. Those changes

require completion of the Oklahoma Business Registration Packet A.

Sign and date Coin-Operated Device Decal Order Form.

Decals may be purchased at the Oklahoma City or Tulsa Tax Commission ofice locations or mail

completed form and payment to:

Oklahoma Tax Commission

Coin Device Decals

Post Ofice Box 26920

Oklahoma City, OK 73126-0920

A decal must be irmly afixed to each coin

operated device placed in operation or on location, and must be visible to and readable by the public.

Do not fold, staple, or paper clip

Please Detach Here and Return Coupon Below

 

Do not tear or cut below line

 

 

 

 

 

 

 

 

 

 

 

COP

20001

 

 

 

 

 

 

 

 

 

COIN-OPERATED DEVICE DECAL ORDER FORM

 

 

Mailing Address Change

 

 

__________________________________

2015

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_____________________

 

Annual

 

 

 

 

Coin Device Account Number

 

Decal Expiration Year

 

Number of Decals

 

Total Due

 

 

Decals:

 

 

 

 

 

 

 

___________________________________

_____________________

 

A.

___________________ x $

75.00 = ____________________

Owner’s Name

 

FEIN/SSN

 

B.

___________________ x $

10.00 = ____________________

__________________________________________________________

 

C.

___________________ x $

15.00 = ____________________

 

D.

___________________ x $

5.00 = ____________________

Mailing Address (REQUIRED)

 

 

 

__________________________________________________________

 

E.

___________________ x $

2.00 = ____________________

Seasonal

Number of

Number of

Total Due

City, State, Zip

 

 

 

 

 

 

 

Decals:

Decals

Periods

 

__________________________________________________________

 

SA.

___________

x __________ x $7.50 = ________________

Physical Address (REQUIRED)

 

 

 

SB.

___________

x __________ x $1.00 = ________________

 

 

 

 

 

__________________________________________________________

 

SC.

___________

x __________ x $1.50 = ________________

City, State, Zip

 

 

 

SD.

___________

x __________ x $0.50 = ________________

 

 

 

 

 

__________________________________________________________

 

SE.

___________

x __________ x $0.20 = ________________

 

 

 

 

 

 

 

Telephone Number

 

 

 

Inclusive dates of events: ___________________ to __________________

 

 

 

 

 

Signature: _____________________________________ Date: ______________

 

Penalty for Sealed Machines _________

x $100.00 = __________________

The information contained in this order form and any attachments is true and correct to the best of my knowledge.

Grand Total Due (=) __________________________

How to Edit Form Cop20001 Online for Free

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Step 1: Press the "Get Form" button in the top area of this page to get into our PDF editor.

Step 2: With our online PDF editing tool, it is possible to accomplish more than merely complete blanks. Express yourself and make your documents look perfect with custom text added, or modify the file's original input to perfection - all that accompanied by the capability to incorporate almost any pictures and sign the document off.

When it comes to blanks of this precise document, here is what you need to know:

1. Complete your Form Cop20001 with a number of essential blank fields. Note all of the important information and ensure absolutely nothing is left out!

Form Cop20001 conclusion process outlined (part 1)

2. Once your current task is complete, take the next step – fill out all of these fields - COP CoinOperated Device Decal, Coin Device Account Number, Decal Expiration Year, Owners Name, FEINSSN, Mailing Address REQUIRED, City State Zip, Physical Address REQUIRED, City State Zip, Telephone Number, Signature Date The information, Mailing Address Change, Number of Decals, Annual Decals A x B x C x, and Total Due with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage number 2 for submitting Form Cop20001

It is possible to make a mistake while completing the City State Zip, therefore make sure that you go through it again before you'll finalize the form.

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