Form 574 - Resident/nonresident Allocation - 2004
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1
2Tax Year 2004
Oklahoma Tax Commission
574
Resident/Nonresident Allocation
Allocation of Federal income and deductions when one spouse is a resident and the other is a nonresident.
Resident’s first name and initial
Last name
Social Security Number
Nonresident’s first name and initial
Last name
State of Residence
Social Security Number
.
Be sure to enclose a copy of your Federal return and this form with your Form 511 or Form 511NR
Part I:
Federal Income
Round to the nearest dollar
from the Joint Federal Return
A
=
B
+
C
Federal Amount
Resident Amount
Nonresident Amount
1
Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
1
1
2
Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
2
2
3
Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
3
3
4
Taxable refunds, credit or offsets of state income tax . . . . . . . . .
00
00
00
4
4
5
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
5
5
6
Business income or (loss) (Federal Schedule C or C-EZ) . . . . . .
00
00
00
6
6
7
Capital gain or (loss) (Federal Schedule D) . . . . . . . . . . . . . . . .
00
00
00
7
7
8
Other gains or (losses) (Federal Form 4797) . . . . . . . . . . . . . . .
00
00
00
8
8
9
Taxable IRA distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
9
9
10
Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
10
10
11
Rental real estate, royalties, partnerships, etc. . (Federal Sch. E)
00
00
00
11
11
12
Farm income (loss) (Federal Schedule F) . . . . . . . . . . . . . . . . . .
00
00
00
12
12
13
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
13
13
14
Taxable Social Security benefits . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
14
14
15
Other income (identify: _____________________ ) . . . . . . . . . .
00
00
00
15
15
16
Total income: add lines 1 through 15 . . . . . . . . . . . . . . . . . . . . . .
00
00
00
16
16
17
Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
17
17
18
Certain business expenses of reservists, performing artists,
and fee-basis government officials. . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
18
18
19
IRA deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
19
19
20
Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
20
20
21
Tuition and fees deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
21
21
22
Health savings account deduction . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
22
22
23
Moving expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
23
23
24
One-half of self-employment tax . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
24
24
25
Self-employed health insurance deduction. . . . . . . . . . . . . . . . . .
00
00
00
25
25
26
Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . .
00
00
00
26
26
27
Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . .
00
00
00
27
27
28
Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
00
28
28
29. Total Federal adjustments to income: add lines 17 through 28 . .
00
00
00
29
29
30. Federal adjusted gross income: subtract line 29 from line 16 . . .
00
00
00
30
30
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