Form 511nr - State Of Oklahoma Income Tax Return - 2003 Page 2
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1
2
3
4
500
Adjusted gross income: All Sources (from page 1, line 24) . . . . . . . . . . . . . . . . . . . . . . .
25
25
00
26
Adjustments to adjusted gross income (Schedule 511NR-C, line 13) . . . . . . . . . . . . . . . . .
26
00
27
27
Income after adjustments (line 25 minus line 26) . . . . . . . . . . . . . . . . . . . . . . . .
00
00
28
Oklahoma standard or Federal itemized deductions . . . . . . . . .
28
00
00
29
Exemptions ($1000 x number of exemptions claimed on pg. 1)
29
00
Total deductions and exemptions (add lines 28-29) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
30
00
Taxable income:
METHOD 1
(line 27 minus line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
31
00
00
32
Tax from
Tax Table 1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
If line 24 is equal to or larger than line 19, complete line 33. If line 24 is smaller than line 19, see Schedule 511NR-D.
00
Federal income tax deduction: (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
33
Taxable income:
METHOD 2
(line 31 minus line 33) . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
34
34
Tax from
Tax Table 2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
35
35
00
Oklahoma Income Tax
36
Enter lesser of line 32 or 35 or, if using Farm Income Averaging, total from Form 573, line 42 & check here
36
If line 24 is equal to or larger than line 19, complete line 37. If line 24 is smaller than line 19, see Schedule 511NR-E.
00
Oklahoma child care credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
00
37
Subtract line 37 from line 36 (this is your tax base) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
00
38
Oklahoma Amount (from line 23)
Federal Amount (from line 24)
•
Tax percentage:
=
39
%
a)
b)
•
39
00
Multiply line 38 by line 39 (This is your Oklahoma Income Tax) . . . . . . . . . . . . . . . . . . .
40
40
00
Credit for taxes paid to another state (enclose Form 511TX)
. . . . . .
nonresidents do not qualify
41
41
00
Other nonrefundable credits (511CR) List 511CR line number claimed here
.
42
42
00
Line 40 minus lines 41 and 42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
43
00
Use Tax (see instructions on page 12)
Check here if no use tax is due . . . . . . . . . . .
44
44
00
Balance (add lines 43 and 44) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45
45
Oklahoma withholding
00
(enclose W-2s, 1099s or other withholding statements)
46
46
2003 Oklahoma estimated tax payments . .
00
(qualified farmer
)
47
47
2003 payment with extension . . . . . . . . . . . . . . . . . . . . . . . . . .
00
48
48
Oklahoma earned income credit (Schedule 511NR-F, line 4) . .
00
49
49
Total payments (add lines 46- 49) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
50
50
Overpayment (if line 50 is greater than line 45)
00
subtract line 45 from line 50
Overpayment
51
51
Amount from line 51 to be credited to your 2004 estimated tax
00
00
52
52
Donations from your refund
.
00
(Schedule 511NR-G, line 10)
00
53
53
Total deductions from refund (add lines 52 and 53) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
54
54
Amount to be refunded (line 51 minus line 54) . . . . . . . . . . . . . . . . . . . . . . . .
00
Refund
55
55
Tax due (if line 45 is greater than line 50)
. . . . . . . . .
subtract line 50 from line 45
Tax Due
00
56
56
Donation: Oklahoma organ donor education fund . . . . . .
$2
$5
$______ . . . .
00
57
57
Underpayment of estimated tax . . . . . . . . . . . . . . . (annualized installment method
) . .
00
58
58
Delinquent payment (add penalty of 5% plus interest at 1.25% per month) . . . . . . . .
00
59
59
Total tax, penalty and interest (add lines 56-59) . . . . . . . . . . . . . . . .
Balance Due
00
60
60
Direct Deposit Option:
For instructions, please see page 11 in your Tax Packet.
Yes! Please deposit my refund in my
checking account
savings account
Check this box if the
Tax Commission may discuss this
Routing
Account
Number:
Number:
return with your tax preparer.
Under penalty of perjury, I declare that the information contained in this document and all attachments are true and correct to the best of my knowledge and belief.
Taxpayer’s signature
Spouse’s signature
Paid Preparer’s signature
Date
Taxpayer’s occupation
Date
Spouse’s occupation
Paid Preparer’s address and phone number
Daytime Phone Number (optional)
A COPY OF YOUR FEDERAL RETURN
Paid Preparer’s SSN, EIN or PTIN
MUST BE ENCLOSED.
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