Form 511nr - State Of Oklahoma Income Tax Return - 2003

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2003
511nr
For the year January 1 - December 31, 2003, or other taxable year
beginning __________________, 2003 ending __________________, _________.
The due date for this form is the 15th day of the fourth month after the close of the taxable year.
State of Oklahoma Income Tax Return
Your Social Security Number
Spouse’s Social Security Number
(joint return only)
Not Required to File...
(see instructions)
Your first name and initial
Last
Print
Check this box if you do not have an Oklahoma filing
or
requirement and are filing for refund of your state
Type
If a joint return, spouse’s first name and initial
Last
withholding.
E
Regular Special
Blind
Home address (number and street, including apartment number or rural route)
X
+
+
=
Yourself
Add the
E
City, State and Zip
Totals from
the 4 shaded
+
+
=
Spouse
M
boxes.
1 _____
Single
P
Filing
Write the
=
2 _____ Married filing joint return (even if only one had income)
Number of dependent children
Total in the
Status
T
box below.
3 _____ Married filing separate. If spouse is also filing,
I
give SSN and name here: ___________________________
=
Number of other dependents
Total
4 _____ Head of household with qualifying person
O
5 _____ Qualifying widow(er) with dependent child. Year spouse died: _____
=
N
Please Note:
If you may be claimed as a dependent on another
Nonresident(s) State of Residence: ______________________
S
Residency
return, enter “0” for your regular exemption.
Status
Part-Year Resident(s) From _____________ to _____________
65 or Over?
Resident/Part-Year Resident/Nonresident
(See Instructions
Yourself
Spouse
State of Residence: Husband ___________ Wife___________
on page 5 of packet)
Please Round to Nearest Whole Dollar
Start Here:
To Arrive at Oklahoma Adjusted Gross Income.
Lines 1-19: In the Federal column, enter the amounts from your Federal Tax Return.
Federal Amount
Oklahoma Amount
See the instructions to figure the amounts to report in the Oklahoma column.
1
Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
1
2
Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
2
3
Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
3
4
Taxable refunds (state income tax) . . . . . . . . . . . . . . . . . . . . . . .
00
00
4
5
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
5
6
Business income or (loss) (Federal Schedule C) . . . . . . . . . . . .
00
00
6
7
Capital gains or losses (Federal Schedule D) . . . . . . . . . . . . . . .
00
00
7
8
Other gains or losses (Federal Form 4797) . . . . . . . . . . . . . . . .
00
00
8
9
Taxable IRA distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
9
10
Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
10
Rental real estate, royalties, partnerships, etc. . . . . . . . . . . . . . .
00
00
11
11
12
Farm income (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
12
13
Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
13
14
Taxable Social Security benefits
. .
00
00
(also enter on line 2 of Sch. 511NR-B)
14
15
Other income (identify: ______________________________ )
00
00
15
16
Add lines 1 through 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
16
17
Total Federal adjustments to income (identify: ____________ )
00
00
17
18
Oklahoma source income (line 16 minus line 17) . . . . . . . . . .
00
18
19
Federal adjusted gross income (line 16 minus line 17) . . . . .
00
19
20
Oklahoma additions: Schedule 511NR-A, line 7 . . . . . . . . . . .
00
00
20
21
Add lines (Federal 19 & 20) and then (Oklahoma 18 & 20) . . .
00
00
21
22
Oklahoma subtractions: Schedule 511NR-B, line 12 . . . . . . . .
00
00
22
23
Adjusted gross income: Okla. Source (line 21 minus line 22) . . .
00
00
23
24
Adjusted gross income: All Sources
00
00
24
(line 21 minus line 22)
Also enter on line 25

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