Ok Court Forms by wcf20370

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									                                                  MUNICIPAL COURT REPORT                                                                              Print Form
                                                       FORENSIC FEES
                                    (Collected pursuant to Title 20 O.S. Section 1313.4) Effective July 1, 2001 Revised 6/01/2009
                                   Additional forms available on the inernet: http://www.osbi.ok.gov under Court Forms

 Name of Court:
 Telephone:
 Address:
 Person Completing Report:
 E-Mail Address and/or Fax #:                                                                      Title:


 Reporting Month for fees collected:                                                                                      Year:
            Due 15th of following month



 NUMBER OF FORENSIC FEES COLLECTED                                    X $5.00                                                       Line 1A   =

   Subtract: Administrative Fee Retained by Court - Multiply $ AMOUNT (line 1) x 5% (.05)                                           Line 2A   -

                                                                           Total Forensic Fees:                                     Line A    $



ADJUSTMENTS

 + Addition from Month(s)                                 Yr                                                                        Line B        +

 Please attach a copy of OSBI notice. For all other adjustments, please use a separate form and mark it "Amended."


 -Deductions from Month(s)                                Yr                                                                        Line C        -

 Please attach a copy of OSBI notice. For all other adjustments, please use a separate form and mark it "Amended."

                                                                                                                  REPORT TOTAL: (A+B-C)



   Comments:




                                $ 0 payment -- Complete NO ACTIVITY Report Below ( Check One)

                                      No Activity                                                No Law Enforcement


                                      No Court                                                  Other:




                    PLEASE MAKE CHECKS PAYABLE TO & MAIL REPORTS TO:
                    OSBI
                    Attn: Fee Assessments
                    6600 N Harvey
                    Oklahoma City, OK 73116-7912
                    Telephone: 1-800-522-8017

								
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