Form 511nr - State Of Oklahoma Income Tax Return - 2003 Page 3
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52003 Form 511NR • page 3
Name(s) shown on Form 511NR
Your Social
Security Number
Oklahoma Additions
Schedule 511NR-A
See instructions for detail on qualification and enclosures.
federal amount
oklahoma amount
State and municipal bond interest . . . . . . . . . . . . . . . . . .
1
00
00
Lump sum distributions
. . . . .
2
(not included in your Federal AGI)
00
00
Federal net operating loss . . . . . . . . . . . . . . . . . . . . . . .
3
00
00
Recapture depletion claimed on a lease bonus or
4
00
00
add back of excess Federal depletion . . . . . . . . . . . . . . .
00
00
Expenses incurred to provide Okla. child care programs
5
Losses from the sale of exempt government obligations or
6
00
00
other additions (describe __________)
Enter as a positive number
Total additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
00
(add lines 1-6, enter total here and on line 20 of Form 511NR)
Oklahoma Subtractions
Schedule 511NR-B
See instructions for detail on qualification and enclosures.
federal amount
oklahoma amount
Interest on U.S. government obligations . . . . . . . . . . . . .
1
00
00
Taxable Social Security
. . . . . . . . . .
2
00
00
(from Form 511NR, line 14)
Oklahoma or Federal government retirement
3
00
00
. . . . . . . . . . . . . . . . . . . . . . . . . .
(see instructions for limitation)
00
00
Other retirement income . . . . . . . . . . . . . . . . . . . . . . . . .
4
00
00
U.S. Railroad Retirement Board Benefits . . . . . . . . . . . . .
5
00
00
Additional depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
00
Oklahoma net operating loss . . . . . . . . . . . . . . . . . . . . . .
7
00
00
Exempt tribal income . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
00
Gains from the sale of exempt government obligations . .
9
00
00
Nonresident military wages . . . . . . . . . . . . . . . . . . . . . . . .
10
00
00
Miscellaneous: Other subtractions . . . . . . . . . . . . . . . . . .
11
(enter number in box for the type of deduction
)
00
00
Total subtractions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
(add lines 1-11, enter total here and on line 22 of Form 511NR)
Adjustments to AGI
Schedule 511NR-C
See instructions for detail on qualification and enclosures.
00
Partial military pay exclusion (not retirement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
Qualifying disability deduction (residents and part-year residents only) . . . . . . . . . . . . .
2
00
Political contribution (limited to $100 single or $200 joint) . . . . . . . . . . . . . . . . . . . . . . .
3
00
Interest qualifying for exclusion (limited to $100 single or $200 joint) . . . . . . . . . . . . .
4
00
Qualified adoption expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
00
Indian employment exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
Contributions to an Oklahoma 529 College Savings Plan account(s) . . . . . . . . . . . . . . .
7
00
Qualified medical savings account (not deducted on your Federal return) . . . . . . . . . . .
8
00
Agricultural commodity processing facility exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
Accelerated Oklahoma depreciation for swine or poultry producers . . . . . . . . . . . . . . .
10
00
Discharge of indebtedness for farmers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
00
Oklahoma Police Corps Program Scholarship or Stipend . . . . . . . . . . . . . . . . . . . . . . . .
12
Total Adjustments (add lines 1-12, enter total here and on line 26 of Form 511NR) . . .
13
00
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