OTC 901-IP                                                   State of Oklahoma 
Tax Year 2024
    Revised 11-2023 Intangible Personal Property Exemption

RE#                                      PP#                      FEIN:   ___________________________________________________________
Phone Number                                                      Type of Business:  __________________________________________________
                                                                  North American Industry
Email Address                                                     Classification System
                                                                  Are other businesses included in this rendition?                 Yes No
Owner/DBA
                                                                  If yes, please list:  __________________________________________________
Mailing                                                           Physical location if different from mailing address:
Address
                                                                  _________________________________________________________________
                                                                  Please provide the name and phone number of person to contact for audit purposes:
City, State, ZIP
                                                                  _____________________________________________________________________

                                      Reporting and Documentation
                                      Locally Assessed Personal Property
Beginning January 1, 2013, the Oklahoma Constitution, Section 6A of Article 10, exempts any intangible personal property from 
ad valorem tax. The taxpayer must identify any intangible personal property which the taxpayer claims has been valued and assessed. If 
the intangible personal property has not been valued and assessed by the county assessor there is not a valid claim for exemption. Docu-
mentation must be submitted with this form establishing the existence, value and prior assessment of any intangible personal 
property claimed to be exempt.
Return to County Assessor by March 15th.

                                      INTANGIBLE PERSONAL PROPERTY LISTING
                                                                                                                                   Taxpayer’s Estimate of
                Asset Description                            Original Cost             Net Book
                                                                                                                                   Fair Market Value

                                      Totals

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 to the best of my knowledge. (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