Form 511nr - Oklahoma Income Tax Return - 2005
ADVERTISEMENT
1
2
3
4
52005
511nr
For the year January 1 - December 31, 2005, or other taxable year
beginning _________________, 2005 ending _________________, ________.
The due date for this form is the 15th day of the fourth month after the close of the taxable year.
State of Oklahoma Income Tax Return
•
Your Social Security Number
Spouse’s Social Security Number
•
(joint return only)
Your first name and middle initial
Last name
Print
•
or
Type
If a joint return, spouse’s first name and middle initial
Last name
•
Regular
Regular
Regular
Special
Special
Special
Regular
Regular
Special
Special
Blind
Blind
Blind
Blind
Blind
E
Home address (number and street, including apartment number or rural route)
see
•
•
X
+
+
=
Yourself
instructions
E
Add the
City, State and Zip
Totals from
M
•
see
•
the 4 shaded
+
+
=
Spouse
instructions
P
boxes.
•
T
1 _____
Single
Write the
Filing
•
•
I
=
Number of dependent children
Total in the
2 _____
Married filing joint return (even if only one had income)
Status
•
box below.
3 _____
Married filing separate. If spouse is also filing,give SSN and name on
O
on line below:
N
•
Total
Total
Total
Total
Total
=
Number of other dependents
_______________________________________________________
S
•
•
=
4 _____
Head of household with qualifying person
Please Note:
•
If you may be claimed as a dependent
5 _____
Qualifying widow(er) with dependent child. Year spouse died: ____________
on another return, enter “0” for your regular exemption.
•
Nonresident(s) State of Residence: ______________________
Residency
•
Not Required to File...
Part-Year Resident(s) From _____________ to _____________
(see instructions)
Status
•
Resident/Part-Year Resident/Nonresident
Check this box if you do not have an Oklahoma filing
•
requirement and are filing for refund of state withholding.
State of Residence: Husband ___________ Wife___________
65 or Over?
•
•
Yourself
Spouse
(See instructions in packet)
Start Here:
To Arrive at Oklahoma Adjusted Gross Income.
Lines 1-19: In the Federal column, enter the amounts from your Federal Tax Return.
Please Round to Nearest Whole Dollar
See the instructions to figure the amounts to report in the Oklahoma column.
Federal Amount
Oklahoma Amount
1 1 1 1 1
Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
1 1 1 1 1
2 2 2 2 2
Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
2 2 2 2 2
3 3 3 3 3
Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
3 3 3 3 3
4 4 4 4 4
Taxable refunds (state income tax) . . . . . . . . . . . . . . . . . . . . . . .
00
00
4 4 4 4 4
5 5 5 5 5
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
5 5 5 5 5
6 6 6 6 6
Business income or (loss) (Federal Schedule C) . . . . . . . . . . . .
00
00
6 6 6 6 6
7 7 7 7 7
Capital gains or losses (Federal Schedule D) . . . . . . . . . . . . . . .
00
00
7 7 7 7 7
8 8 8 8 8
Other gains or losses (Federal Form 4797) . . . . . . . . . . . . . . . .
00
00
8 8 8 8 8
9 9 9 9 9
Taxable IRA distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
9 9 9 9 9
10
10
Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
10
10
10
10
10
10
10
10
11
11
11
11
11
Rental real estate, royalties, partnerships, etc. . . . . . . . . . . . . . .
00
00
11
11
11
11
11
12
12
12
12
12
Farm income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
12
12
12
12
12
13
13
13
13
13
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
13
13
13
13
13
14
14
14
14
14
Taxable Social Security benefits
. .
00
00
(also enter on line 2 of Sch. 511NR-B)
14
14
14
14
14
15
15
15
15
15
Other income (identify: ______________________________ )
00
00
15
15
15
15
15
16
16
Add lines 1 through 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
16
16
16
16
16
16
16
16
17
17
17
17
17
Total Federal adjustments to income (identify: ____________ )
00
00
17
17
17
17
17
18
18
18
18
18
Oklahoma source income (line 16 minus line 17) . . . . . . . . . .
00
18
18
18
18
18
•
19
19
19
19
19
Federal adjusted gross income (line 16 minus line 17) . . . . .
00
19
19
19
19
19
20
20
20
20
20
Oklahoma additions: Schedule 511NR-A, line 7 . . . . . . . . . . .
00
•
00
20
20
20
20
20
21
21
21
21
21
Add lines (Federal 19 & 20) and then (Oklahoma 18 & 20) . . .
00
00
21
21
21
21
21
•
22
22
Oklahoma subtractions: Schedule 511NR-B, line 13 . . . . . . . .
00
00
22
22
22
22
22
22
22
22
•
23
23
23
Adjusted gross income: Okla. Source (line 21 minus line 22) . . .
00
00
23
23
23
23
23
23
23
•
24
24
24
24
24
Adjusted gross income: All Sources
00
00
(line 21 minus line 22)
24
24
24
24
24
Also enter on line 25
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial