Form 511 - Oklahoma Resident Income Tax Return - 2013 Page 2

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2013 Form 511 - Resident Income Tax Return - Page 2
Name(s) shown
Your Social
on Form 511:
Security Number:
Part Three: Tax, Credits and Payments
00
Total from line 18 ...................................................................................................................
19
19
Use tax due on Internet, mail order, or other out-of-state purchases ....................................
00
20
20
If you certify that no use tax is due, place an ‘X’ here:
(For use tax table, see page 11 of the Packet)
Balance (add lines 19 and 20) ...............................................................................................
00
21
21
Oklahoma withholding
..
00
(enclose all W-2s, 1099s or other withholding statements)
22
22
00
2013 estimated tax payments
23
(qualified farmer
) .............................
23
00
2013 payment with extension ..........................................................
24
24
00
Low Income Property Tax Credit
(enclose Form 538-H) ........................
25
25
Sales Tax Relief Credit (enclose Form 538-S)
26
(see back of Form 538-S or
TO 538-S
.................................................................
00
511 Packet for further information)
26
00
2012 or 2013 Natural Disaster Tax Credit (enclose Form 576) .......
27
27
Oklahoma Earned Income Credit
(
(see instructions)
If line 7 is equal to or more
28
than line 1, complete line 28. If line 7 is smaller than line 1, complete Schedule 511-F. If you are not
TO 511F
00
required to file, see “Not Required to File” on page 5 of the 511 Packet for instructions) ................
28
Amount paid with original return plus additional paid after it was filed
29
00
(amended return only) .....................................................................
29
Payments and credits (add lines 22-29) .............................................................................
00
30
30
Overpayment, if any, as shown on original return and/or prior amended return(s) or
31
00
as previously adjusted by Oklahoma (amended return only) ................................................
31
otal payments and credits (line 30 minus 31) ...................................................................
00
T
32
32
Part Four: Refund
00
If line 32 is more than line 21, subtract line 21 from line 32. This is your overpayment .
33
For further
33
Amount of line 33 to be applied to 2014 estimated tax
information
34
(original return only) ..................................................
00
regarding
34
estimated tax,
Schedule 511-G provides you with the opportunity to make a financial gift from your refund to a variety of Oklahoma
see page 5 of
organizations. Please place the line number of the organization from Schedule 511-G in the box below. If you give to
the 511 Packet.
more than one organization, put a “99” in the box. Enclose Schedule 511-G.
Donations from your refund
(total from Schedule 511-G)
00
35
35
Total deductions from refund (add lines 34 and 35) ...........................................
00
36
36
Amount to be refunded to you (line 33 minus line 36) .......................................
00
37
37
Direct Deposit Note:
Is this refund going to or through an account that is located outside of the United States?
Yes
No
Deposit my refund in my:
For Direct Deposit Information see the
511 Packet. If you do not have your refund
Routing
checking account
deposited directly into your bank account,
Number:
you will receive a debit card. For debit card
Account
information see “All About Refunds” in the
savings account
511 Packet.
Number:
Part Five: Amount You Owe
If line 21 is more than line 32, subtract line 32 from line 21. This is your tax due ....
00
38
38
Donation: Eastern Red Cedar Revolving Fund ........
$2
$5
$________
00
39
39
If you have an
Donation: Public School Classroom Support Fund ..
$2
$5
$________
underpayment
00
40
40
of estimated
Underpayment of estimated tax interest
tax (line 41) &
41
00
(annualized installment method
) ................
overpayment
41
(line 33), see
For delinquent payment add penalty of 5% ................ $ _________________
42
instructions.
00
plus interest of 1.25% per month ................................... $ _________________
42
00
Total tax, donation, penalty and interest (add lines 38-42) ................................
43
43
Under penalty of perjury, I declare the information contained in this document, and all
Place an ‘X’ in this box if the Oklahoma Tax Commission
attachments and schedules, is true and correct to the best of my knowledge and belief.
may discuss this return with your tax preparer..................
Taxpayer’s signature
Date
Spouse’s signature
Date
Paid Preparer’s signature
Date
Taxpayer’s
Spouse’s
Paid Preparer’s address and phone number
occupation
occupation
Daytime Phone
Daytime Phone
(optional)
(optional)
Do not staple documentation to this form. To attach items, please use a paper clip.
Paid Preparer’s PTIN
Mailing Address for this form: P.O. Box 26800, Oklahoma City, OK 73126-0800
The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.

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