Form 511nr - Oklahoma Income Tax Return - 2005 Page 3
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52005 Form 511NR • page 3
Name(s) shown on Form 511NR
Your Social
Security Number
Oklahoma Additions
Schedule 511NR-A
See instructions for detail on qualification and enclosures.
federal amount
oklahoma amount
State and municipal bond interest . . . . . . . . . . . . . . . . . .
1 1 1 1 1
00
00
•
Lump sum distributions
. . . . .
2 2 2 2 2
(not included in your Federal AGI)
00
•
00
Federal net operating loss . . . . . . . . . . . . . . . . . . . . . . .
3 3 3 3 3
00
00
•
Recapture depletion claimed on a lease bonus or
4 4 4 4 4
00
00
•
add back of excess Federal depletion . . . . . . . . . . . . . . .
00
00
Expenses incurred to provide Okla. child care programs
•
5 5 5 5 5
Miscellaneous: Other additions
6 6 6 6 6
•
00
00
(describe ______________________)
Enter as a positive number
Total additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 7 7 7 7
00
00
(add lines 1-6, enter total here and on line 20 of Form 511NR)
Oklahoma Subtractions
Schedule 511NR-B
See instructions for detail on qualification and enclosures.
federal amount
oklahoma amount
Interest on U.S. government obligations . . . . . . . . . . . . .
1 1 1 1 1
00
00
•
Taxable Social Security
. . . . . . . . . .
2 2 2 2 2
00
00
(from Form 511NR, line 14)
•
Oklahoma or Federal government retirement
3 3 3 3 3
00
00
•
. . . . . . . . . . . . . . . . . . . . . . . . . .
(see instructions for limitation)
•
00
00
Other retirement income . . . . . . . . . . . . . . . . . . . . . . . . .
4 4 4 4 4
00
•
00
U.S. Railroad Retirement Board Benefits . . . . . . . . . . . . .
5 5 5 5 5
00
•
00
Additional depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 6 6 6 6
00
00
•
Oklahoma net operating loss . . . . . . . . . . . . . . . . . . . . . .
7 7 7 7 7
00
00
Exempt tribal income . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 8 8 8 8
•
00
00
Gains from the sale of exempt government obligations . .
9 9 9 9 9
•
00
00
Nonresident military wages . . . . . . . . . . . . . . . . . . . . . . . .
10
10
10
10
10
00
00
Oklahoma Capital Gain Deduction
Form 561NR).
11
11
11
11
11
(Enclose
•
•
00
00
Miscellaneous: Other subtractions . . . . . . . . . . . . . . . . . .
12
12
12
12
12
(enter number in box for the type of deduction
)
00
00
Total subtractions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
13
13
13
13
(add lines 1-12, enter total here and on line 22 of Form 511NR)
Oklahoma Adjustments
Schedule 511NR-C
See instructions for detail on qualification and enclosures.
00
Partial military pay exclusion (not retirement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 1 1 1 1
•
00
Qualifying disability deduction (residents and part-year residents only) . . . . . . . . . . . . .
2 2 2 2 2
•
00
Political contribution (limited to $100 single or $200 joint) . . . . . . . . . . . . . . . . . . . . . . .
3 3 3 3 3
•
00
Interest qualifying for exclusion (limited to $100 single or $200 joint) . . . . . . . . . . . . .
•
4 4 4 4 4
00
Qualified adoption expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
5 5 5 5 5
00
•
Indian employment exclusion (Enclose Federal Form 8845) . . . . . . . . . . . . . . . . . . . . .
6 6 6 6 6
00
•
Contributions to an Oklahoma 529 College Savings Plan account(s) . . . . . . . . . . . . . . .
7 7 7 7 7
00
Qualified medical savings account (not deducted on your Federal return) . . . . . . . . . . .
8 8 8 8 8
00
Agricultural commodity processing facility exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 9 9 9 9
00
Accelerated Oklahoma depreciation for swine or poultry producers . . . . . . . . . . . . . . . .
10
10
10
10
10
00
Miscellaneous: Other adjustments (enter number in box for the type of deduction
)
11
11
11
11
11
00
Total Adjustments (add lines 1-11, enter total here and on line 26 of Form 511NR) . . .
12
12
12
12
12
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