OES-24(REV. 9/19)                OKLAHOMA EMPLOYMENT SECURITY COMMISSION
                                                 P O BOX 52003
                                        OKLAHOMA CITY OK 73152-2003

                           EMPLOYER'S REPORT ON TERMINATION OF BUSINESS

1. Name                                                                            Account No. 

2. Address

3. Email for point of contact

4. Date of termination of employment:                                     In Whole                                           In Part

  a. Name and location of business terminated:

   b. Name and location of business retained:

5. Explain the nature of change in ownership, or transfer of business

6. Is anyone continuing the business you are terminating?            Yes                                     No

   a.  If "YES" Give the Name, Address and Contact Information of Successor.

   b. Date of succession:                       

   c. Has the successor taken over substantially all of the trade, organization, employees, business or assets?
                                                                     Yes                                   No

7. Are you using the services of an Employee Leasing Company or Professional Employer Organization?
                                                                     Yes                                   No
   If "YES"  provide a copy of the contract for services and point of contact information.

8. Bankruptcy Case #                             Chapter                     Date Filed                                                 

 Date of First Creditors Meeting                       
                                                              Attorney:

9. Remarks

          Signed:                                             Title:               Date:                                                

          Phone:                                              Email

          Termination of business does not terminate your coverage. All future Oklahoma payrolls must be reported until
          you legally terminate coverage in accordance with the provisions of Section 3-202 of the law.  Please visit the
          EZTAXEXPRESS website for further information or assistance with your unemployment tax account.
           
                                                                                                                         Barcode area

OES-24  Rev. 10-16-19