Form 511nr - State Of Oklahoma Income Tax Return - 2006
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5511nr
For the year January 1 - December 31, 2006, or other taxable year
beginning ______________, 2006 ending ______________, ______.
State of Oklahoma Income Tax Return
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Your Social Security Number
Spouse’s Social Security Number
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(joint return only)
Your first name and middle initial
Last
Print
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Nonresident or Part-Year Resident
or
Type
If a joint return, spouse’s first name and middle initial
Last
Not Required to File...
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Check this box if you do not have an Oklahoma
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filing requirement and are filing for refund
Home address (number and street, including apartment number or rural route)
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of your Oklahoma withholding. (see instructions)
City, State and Zip
Regular
Special
E
Blind
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+
+
=
see
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Yourself
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instructions
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1 _____ Single
Add the
Filing
E
Totals from
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Status
2 _____ Married filing joint return (even if only one had income)
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the 4 shaded
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+
see
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Spouse
M
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boxes.
instructions
3 _____ Married filing separate. If spouse is also filing,
P
give SSN and name here: ___________________________
Write the
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Number of dependent children
Total in the
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4 _____ Head of household with qualifying person
T
box below.
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5 _____ Qualifying widow(er) with dependent child
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Number of other dependents
Please list year spouse died here: ____________________
Total
O
Please Note:
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If you may be
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Nonresident(s) State of Residence: ______________________
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N
Residency
claimed as a dependent on another
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Status
Part-Year Resident(s) From _____________ to _____________
S
return, enter “0” for your regular exemption.
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Resident/Part-Year Resident/Nonresident
65 or Over?
State of Residence: Husband ___________ Wife___________
(See instructions
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Yourself
Spouse
on page 7 of packet)
Start Here:
To Arrive at Oklahoma Adjusted Gross Income.
Please Round to Nearest Whole Dollar
Lines 1-19: In the Federal column, enter the amounts from your Federal Tax Return.
Federal Amount
Oklahoma Amount
See the instructions to figure the amounts to report in the Oklahoma column.
1
Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
1
Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
00
2
3
Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
3
4
Taxable refunds (state income tax) . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
4
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
00
00
5
6
Business income or (loss) (Federal Schedule C) . . . . . . . . . . . . . .
00
00
6
7
Capital gains or losses (Federal Schedule D) . . . . . . . . . . . . . . . . .
00
00
7
8
Other gains or losses (Federal Form 4797) . . . . . . . . . . . . . . . . . .
00
00
8
9
Taxable IRA distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
9
10
Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
10
11
Rental real estate, royalties, partnerships, etc. . . . . . . . . . . . . . . . .
00
00
11
12
Farm income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
12
13
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
13
14
Taxable Social Security benefits
. . . . .
00
00
(also enter on line 2 of Sch. 511NR-B)
14
15
Other income (identify: _________________________________ )
00
00
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16
Add lines 1 through 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
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17
Total Federal adjustments to income (identify: _______________ )
00
00
17
18
Oklahoma source income (line 16 minus line 17) . . . . . . . . . . . . .
00
18
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Federal adjusted gross income (line 16 minus line 17) . . . . . . .
19
00
19
20
Oklahoma additions: Schedule 511NR-A, line 7 . . . . . . . . . . . . . .
00
00
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20
21
Add lines (Federal 19 and 20) and then (Oklahoma 18 and 20) . . .
00
00
21
Oklahoma subtractions: Schedule 511NR-B, line 14 . . . . . . . . . . .
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22
00
00
22
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23
Adjusted gross income: Okla. Source (line 21 minus line 22) . . . . . .
00
00
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Adjusted gross income: All Sources
. .
00
00
(line 21 minus line 22)
Also enter on line 25
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