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Get OK OES-33 2004-2024

THIS IS A FILLABLE FORM INSTRUCTIONS FOR COMPLETING FORM OES-33 Firm Name Enter legal entity and firm name. Account No. Enter registration number as assigned by the Oklahoma Employment Security Commission Address Enter proper mailing address city state and zip code Enter amount of refund claimed. Signature 1 If employer is a sole proprietor the application must be signed by the owner 2 If the employer is a Corporation the application must be signed by the president treasurer or other principal officer signed by a duly authorized member of the organization. OES-33 Rev. 9-04 State of Oklahoma OKLAHOMA EMPLOYMENT SECURITY COMMISSION P. O. Box 52003 Oklahoma City OK 73152-2003 RESET REFUND APPLICATION See reverse side for instructions City State ZIP Code AMOUNT OF REFUND CLAIMED. O. Box 52003 Oklahoma City OK 73152-2003 RESET REFUND APPLICATION See reverse side for instructions City State ZIP Code AMOUNT OF REFUND CLAIMED. NOTE DO NOT USE THIS CREDIT on subsequent reports. Using this credit on subsequent reports could cause interest charges at a later date. Firm Date Title Subscribed and sworn to before me this day of 20 Notary Public My Commission Expires FOR COMMISSION USE ONLY Refund is hereby granted denied in the amount of for the following reason Verified Date. O. Box 52003 Oklahoma City OK 73152-2003 RESET REFUND APPLICATION See reverse side for instructions City State ZIP Code AMOUNT OF REFUND CLAIMED. NOTE DO NOT USE THIS CREDIT on subsequent reports. Using this credit on subsequent reports could cause interest charges at a later date. NOTE DO NOT USE THIS CREDIT on subsequent reports. Using this credit on subsequent reports could cause interest charges at a later date. Firm Date Title Subscribed and sworn to before me this day of 20 Notary Public My Commission Expires FOR COMMISSION USE ONLY Refund is hereby granted denied in the amount of for the following reason Verified Date. O. Box 52003 Oklahoma City OK 73152-2003 RESET REFUND APPLICATION See reverse side for instructions City State ZIP Code AMOUNT OF REFUND CLAIMED. NOTE DO NOT USE THIS CREDIT on subsequent reports. Using this credit on subsequent reports could cause interest charges at a later date. Firm Date Title Subscribed and sworn to before me this day of 20 Notary Public My Commission Expires FOR COMMISSION USE ONLY Refund is hereby granted denied in the amount of for the following reason Verified Date. .

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