2017
State of Oklahoma
Tax Year
OTC
Business Personal Property • Petroleum Related
901-P
__________________________________ County
Revised 7-2016
Return to County Assessor - Filing Date: January 1 - Delinquent Penalties after March 15
Report Only Tangible Assets
RE#
PP#
FEIN: ________________________________________________________
Phone Number
Type of Business: _______________________________________________
North American Industry
Email Address
Classification System
Owner/DBA
Are other businesses included in this rendition?
Yes
No
If yes, please list: ______________________________________________
Mailing Address
Physical location if different from mailing address:
_____________________________________________________________
Please provide the name and phone number of person to contact for audit purposes:
City, State, ZIP
________________________________________________________________
Part Two: Oklahoma Taxable Fixed Assets From Schedule 904-3-P
Beginning
Additions to
Ending
Deletions to
DESCRIPTION
Total Acquisition Cost
Total Acquisition Cost
Total Acquisition Cost
Total Acquisition Cost
Leasehold Improvement
Furniture and Fixtures
Electronic Equipment
Computer Equipment
Tools/Machinery/Equipment
Processing Plants
Pipeline
Meters
Booster/Compressor Station
Valve Stations
Other
Leased to Others
★
★
Leased from Others (See Instructions)
See Instructions
Total Fixed Assets
➔
★
➔
Part Three: Oklahoma Taxable Inventory
Average Inventory
Inventories
Less Freeport Exemption
Total supplies, parts, equipment, etc,
—
stored and/or not currently in use.
(Form 901-F)
•••
Petroleum products in storage
=
Net Taxable Inventory
•••
Total Monthly Inventories from Part 6 on page 2
Assessor Use Only
School District:
Date Filed:
Penalty
%
Total Value
Assessment %
Total Assessed
Total Net Assessed
State of Oklahoma • County of ____________________________________________________________________________________________________
I, _________________________________________________________________________ under penalties of perjury, do hereby depose and say that I am ________________________________________
of _________________________________________________________________________ company; that as such I am acquainted with the books, accounts, and affairs of said company and know that the
accompanying statement to be true, correct, and complete, and that all information requested herein has been fully and correctly given. (68 O.S. Section 2945 provides penalties for false oaths)
✍
Don’t Forget
Signature of preparer if other than taxpayer
Date
Preparer’s address
to Sign
Signature of taxpayer
Date
Preparer’s identification number
Preparer’s phone number