Form 511x Draft - Oklahoma Amended Resident Individual Income Tax Return - 2012 Page 2
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2012 Form 511X - Page 2
Amended Resident Income Tax Return
Draft
A:
B:
C:
As Originally
Reported or as
Office Use Only
Amended
9/12/12
Previously Adjusted
16 Enter total tax from line 15D .........................................
00
00
00
16
17
Use Tax due on Internet, mail order, or other out-of-state purchases
00
00
00
17
18 Business Activity Tax .....................................................
00
00
00
18
19 Total Tax: Add lines 16, 17 and 18. Enter total here ......
00
00
00
19
Payments...
20 Oklahoma income tax withheld .....................................
00
20
00
00
21 Oklahoma estimated tax paid plus amount paid
with extension ...............................................................
00
21
00
00
22 Amount paid with original return plus additional paid
after it was filed .............................................................
00
22
00
00
23 Refundable credits (see instructions) ............................
00
23
00
00
24 Total of lines 20 through 23 ...........................................
00
24
00
00
Refund or Amount You Owe...
25 Overpayment, if any, as shown on original return or as previously adjusted
by Oklahoma (see instructions) ....................................................................
00
00
25
26 Subtract line 25 from line 24 .........................................................................
26
00
00
27 Refund: If line 26 is more than line 19 enter difference (see instructions) ....
27
00
00
Want a Faster Refund?
Is this refund going to or through an account that is located outside of the United States?
Yes
No
Deposit refund in my:
Elect to have your refund directly deposited
into your checking or savings account.
Routing
checking account
Number:
If you do not choose direct deposit, you will
receive a debit card. For more information
Account
see the instructions for line 27.
savings account
Number:
28 Tax liability: If line 19 is more than line 26 enter difference ...........................
28
00
00
29 Interest: 1.25% per month from _______________ to ________________
29
00
00
30 Total amount due (add lines 28 and 29).Please pay in full with this return
00
00
30
If you are changing your Oklahoma return due to a change to your
STOP
Federal return, enclose proof that the IRS approved the change.
Explain the changes to income, deductions, and/or credits below or, if necessary, attach a
Please check here if the Oklahoma Tax
Commission may discuss this return with
separate schedule. Enter the line reference number for which you are reporting a change
and give the reason for each change in Column “B”.
your tax preparer.
The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.
Remit to: Oklahoma Tax Commission, PO Box 26800, Oklahoma City, Oklahoma 73126-0800
Under penalties of perjury, I declare I have filed an original return and I have examined this return including accompanying schedules and statements, and to the best of my knowledge this amended return
is true, correct and complete.
Declaration of preparer (other than taxpayer) is based on all information of which the preparer has any knowledge.
Taxpayer signature
Date
Preparer’s signature
Date
Preparer’s printed name
Spouse’s signature (if filing jointly both must sign)
Date
Preparer’s Address
Daytime Phone Number (optional)
(
)
Preparer’s ID Number
Phone Number (if box is checked above)
(
)
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