Form 511nr - Oklahoma Nonresident/part-Year Income Tax Return - 2009
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Oklahoma Nonresident/
Form 511NR - 2009
Part-Year Income Tax Return
This form has been enhanced to complete all calculations, and to print a two
dimensional (2D) barcode. The data entered on the form will be contained in the
Your Social Security Number
barcode. The Oklahoma Tax Commission can read the barcode, process it
immediately into our system, and eliminate the need for manual data entry.
AMENDED
Ultimately, this will mean faster refunds for the taxpayer of Oklahoma.
RETURN!
Check
Check box if this is
box if this
Spouse’s Social Security Number
(joint return only)
Please check over the form carefully and make any changes needed prior to
an amended
taxpayer is
511NR:
printing the form. Changes made after printing the form will not be reflected in the
deceased
barcode and may result in a delay in the processing of your return.
Please mail your tax return to the following address.
M.I.
Last name
Your first name
Oklahoma Tax Commission - PO Box 269045
Oklahoma City OK 73126-9045
If a joint return, spouse’s first name
M.I. Last name
If you need assistance, please contact us at 405-521-3160
Mailing address (number and street, including apartment number, rural route or PO Box)
Not Required to File
Check this box if you do not have an Oklahoma filing requirement and
Check this box if you do not have an Oklahoma filling requirement and are
City
State
Zip
are filing for refund of State withholding. (see instructions)
filing for refund of your Oklahoma withholding.(see instructions)
1
Single
Regular
Special
Blind
Add the Totals from
2
Married filing joint return
see
(even if only one had income)
+
+
=
the 4 boxes.
Yourself
instructions
3
Married filing separate
Write the Total
in the box below.
• If spouse is also filing,
see
Total
+
+
=
Spouse
instructions
list SSN and name in box:
=
4
Head of household with qualifying person
=
Number of dependent children
5
Qualifying widow(er) with dependent child
Note: If you may be
claimed as a dependent
• Please list the year spouse died in box at right:
on another return,
=
Number of other dependents
enter “0” for your regular
exemption.
Nonresident(s) State of Residence: _________________
Part-Year Resident(s) From ___________ to __________
Yourself
Spouse
Age 65 or Over?
(Please see instructions)
Resident/Part-Year Resident/Nonresident
State of Residence: Husband _________ Wife________
Please Round to Nearest Whole Dollar
Begin Here:
To Arrive at Oklahoma Adjusted Gross Income. Lines 1-19: In the Federal column, enter the amounts from your Federal Tax Return.
See the instructions to figure the amounts to report in the Oklahoma column.
Federal Amount
Oklahoma Amount
Wages, salaries, tips, etc ..............................................................
00
00
1
1
Taxable interest income ................................................................
00
00
2
2
Dividend income ...........................................................................
00
00
3
3
Taxable refunds (state income tax)...............................................
00
00
4
4
Alimony received ..........................................................................
00
00
5
5
Business income or (loss) (Federal Schedule C) .........................
00
00
6
6
Capital gains or losses (Federal Schedule D) ..............................
00
00
7
7
Other gains or losses (Federal Form 4797)..................................
00
00
8
8
Taxable IRA distribution ................................................................
00
00
9
9
Taxable pensions and annuities ...................................................
00
00
10
10
Rental real estate, royalties, partnerships, etc .............................
00
00
11
11
Farm income or (loss) ...................................................................
00
00
12
12
Unemployment compensation ......................................................
00
00
13
13
00
00
Taxable Social Security benefits
.......
14
(also enter on line 2 of Sch. 511NR-B)
14
00
00
Other income (identify: ________________________________)
15
15
Add lines 1 through 15..................................................................
00
00
16
16
00
00
Total Federal adjustments to income (identify: ______________)
17
17
Oklahoma source income (line 16 minus line 17)......................
00
18
18
00
Federal adjusted gross income (line 16 minus line 17) ............
19
19
Oklahoma additions: Schedule 511NR-A, line 8 ..........................
00
00
20
NR-A
20
00
00
Add lines (Federal 19 and 20) and then (Oklahoma 18 and 20) ..
21
21
00
00
Oklahoma subtractions: Schedule 511NR-B, line 15 ....................
22
NR-B
22
Adjusted gross income: Okla. Source (line 21 minus line 22) .........
00
23
23
00
Adjusted gross income: All Sources
24
(line 21 minus line 22) Also enter on line 25
24
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