Form 511nr - State Of Oklahoma Income Tax Return 2000

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For Office Use Only
Nonresident
or
2000 Form 511NR:__
Part-Year
This form must be filed on or before the 15th day of the fourth month
Resident
after the close of the taxable year.
For the year January 1 - December 31, 2000, or other taxable year beginning _____________, 2000 ending _____________, ______.
State of Oklahoma
Your Social Security Number
Income Tax Return
Spouse’s Social Security Number
Regular Special
Blind
Print first name and initial (If joint return, give first name and initial of both)
Last name
Add the
Please
E
Totals from
+
+
=
Use
Yourself
the 4 shaded
Label
X
boxes
Present home address (number and street, including apartment number or rural route)
E
Print
Write the
+
+
=
Spouse
Total in the
or
City, State and Zip
M
box below
Type
and also
P
=
Number of dependent children
on line 33.
1 _____ Single
T
2 _____ Married filing joint return (even if only one had income)
=
Number of other dependents
I
Filing
3 _____ Married filing separate. If spouse is also filing, give SSN and name
here _________________________________________________
O
Status
Please Note:
4 _____ Head of household with qualifying person
N
If you may be claimed as a
=
5 _____ Qualifying widow(er) with dependent child (year spouse died _____)
dependent on another return,
S
enter “0” exemptions for yourself.
E
Residency
Nonresident(s) State of Residence: _________________________
Status
65 or Over
Part-Year Resident(s) From _______________ to ______________
(See Instructions on page 4 of packet)
Resident/Part-Year Resident/Nonresident
Please
Yourself
Spouse
check One
State of Residence: Husband ____________ Wife ____________
START HERE
to Arrive at Oklahoma Adjusted Gross Income.
Round to the Nearest Dollar
Lines 1 through 19: In the Federal column, enter all of the amounts from your Federal Tax
federal amount
oklahoma amount
Return. See the instructions to figure the amounts to report in the Oklahoma column.
Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
00
1
Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
00
2
Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
00
00
3
Taxable refunds (state income tax) . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
00
00
4
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
00
00
5
Business income or (loss) (Federal Schedule C) . . . . . . . . . . . . . . . .
6
00
00
6
Capital gains or losses (Federal Schedule D) . . . . . . . . . . . . . . . . . . .
7
00
00
7
Other gains or losses (Federal Form 4797) . . . . . . . . . . . . . . . . . . . .
8
00
00
8
Taxable IRA distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
00
9
Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
10
10
Rental real estate, royalties, partnerships, etc. . . . . . . . . . . . . . . . . . .
00
00
11
11
Farm income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
12
12
00
00
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
13
Taxable Social Security benefits (also enter on line 25 below) . . . . .
00
00
14
14
00
00
Other income (identify: __________________________________ )
15
15
00
00
Add lines 1 through 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
16
00
00
Total Federal adjustments to income (identify: ________________ )
17
17
00
18
Oklahoma source income (line 16 minus line 17) . . . . . . . . . .
18
00
19
Federal adjusted gross income (line 16 minus line 17) . . . . .
19
oklahoma additions and subtractions (see instructions)
20
State and municipal bond interest (not specifically exempt) . . . . . . .
20
00
00
21
00
00
21
Other additions (identify: ________________________________ )
22
00
00
22
Add lines (Fed. 19, 20 and 21) and then (Okla. 18, 20 and 21)
23
00
00
23
Interest on U.S. obligations (exempt under Federal statute) . . . . . . .
24
00
24
Nonresident military wages (exempt under Federal statute) . . . . . . .
25
00
00
25
Taxable Social Security (from line 14) . . . . . . . . . . . . . . . . . . . . . . . .
26
00
00
26
Pensions exempt by statute included in line 10 above . . . . . . . . . . .
27
00
00
27
Other retirement income (see instructions for worksheet) . . . . . . . .
28
00
00
28
Other substractions: Enter number for type of deduction
(see instructions)
29
00
00
29
Total Oklahoma subtractions (add lines 23 through 28) . . . . . .
30
00
30
Adjusted gross income: Okla. Source (line 22 minus line 29) .
31
Adjusted gross income: All Sources (line 22 minus line 29)
31
00
Enter here and on line 42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
deductions and exemptions
32
Oklahoma standard or Federal itemized deduction (see instructions)
32
00
33
Total number of exemptions claimed above ______ x $1,000 . . . . .
33
00
34
Total (add lines 32 and 33) Enter total here and on line 53 . . . . . . . .
34
00

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