2005
ITI-C
Oklahoma Income Tax
EF-V
Payment Voucher
Federal Identification Number
Reporting Period
Due Date
M M D D Y Y
M M D D Y Y
Penalty and interest may be assessed if
to
payment is not sent by this date.
M M D D Y Y
Mail payment and voucher to:
Oklahoma Tax Commission
Entity Name
P.O. Box 26890
Oklahoma City, OK 73126-0890
Address
$
Balance Due
$
Amount of Payment
City, State, Zip