Form 511x - Amended Oklahoma Individual Income Tax Return

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Revised 1999
19__
Amended Oklahoma Individual Income Tax Return
For the year
01-01-199 -12-31-199
-
-199
-
-
or other taxable year beginning
ending
511X
If the Oklahoma Tax Commission may discuss this return with your tax preparer, please check here.
Your First Name and Initial (if joint return, also give spouse's name and initial)
Last Name
Your Social Security Number
Present home address (number and street, including apartment number, or rural route)
Spouse's Social Security Number
City, State, and Zip
Phone Number
a.
Did you file an amended Federal return?
Yes
No
If "yes" enclose a copy of IRS Form 1040X or 1045 and a copy of the "Statement of Adjustment", IRS check, or refund deposit slip. IRS documents submitted after filing 511X may
delay the processing of your return.
b.
Filing status claimed (NOTE: Must be the same as on your Federal return - see Form 511 instructions.)
On original return
Single
Married filing joint
Married filing separate
Head of household
Qualifying widow(er)
On this return
Single
Married filing joint
Married filing separate
Head of household
Qualifying widow(er)
c.
Residency status: Resident
Beginning January 1, 1994, Part-Year Residents and Nonresidents must use Form 511-NR
d.
Number of exemptions:
Regular
Special
Blind
Dependents
Total
On original return
On this return
A. As originally
C. Office Use
Income and Deductions
reported or
B. Amended
Only
as adjusted
00
00
00
1
Federal adjusted gross income
1
.....................................................................................
00
00
00
2
Oklahoma subtractions (see instructions)
2
................................................................................
00
00
00
3
Subtract line 2 from line 1
3
..........................................................................
00
00
00
4
Out-of-state income (see instructions)
4
....................................................
00
00
00
5
Subtract line 4 from line 3
5
.........................................................................
00
00
00
6
Oklahoma additions (see instructions)
6
....................................................
00
00
00
7
Oklahoma adjusted gross income (add lines 5 and 6)
7
...............................................
00
00
00
8
Adjustments to Oklahoma adjusted gross income (see instructions)
8
.............
00
00
00
9
Subtract line 8 from line 7
9
.........................................................................
00
00
00
10
Deductions and exemptions (see instructions)
10
..................................................................
%
%
%
11
Percentage allowable (divide line 7 by line 3)(not to exceed 100 percent)
11
00
00
00
12
Multiply line 10 by line 11
12
.........................................................................
00
00
00
13
Oklahoma taxable income - (method 1) subtract line 12 from line 9
13
...........
00
00
00
14
Tax Method 1 (see instructions)
14
.........................................................................
00
00
00
15
Federal income tax liability (see instructions)
15
.....................................................................
%
%
%
16
Percentage allowable (divide line 7 by line 1) (not to exceed 100 percent)
16
00
00
00
17
Multiply line 15 by line 16
17
.........................................................................
00
00
00
18
18
..........
Oklahoma taxable income - (method 2) subtract line 17 from line 13
00
00
00
19
Tax Method 2 (see instructions)
19
.........................................................................
TAX LIABILITY
00
00
00
20
Tax - lesser of line 14 or line 19
.........................................................................
20
00
00
00
21
Oklahoma non-refundable credits (see instructions)
.................................................
21
00
00
00
22
Total tax - (subtract line 21 from line 20, not less than zero.)
...........................
22
PAYMENTS
23
.........................................................................
Oklahoma income tax withheld
00
23
00
00
24
00
00
00
......................
Oklahoma estimated tax paid plus amount paid with extension
24
00
00
00
25
.......
Amount paid with original return plus additional paid after it was filed
25
00
00
00
26
.........................................................................
Refundable credits (see instructions)
26
00
00
00
27
.........................................................................
Total of lines 23 through 26
27
REFUND OR AMOUNT YOU OWE
28
...
00
00
Overpayment (refund), if any, as shown on original return or as previously adjusted by Okla.
28
29
......................................................................................
00
00
Subtract line 28 from line 27
29
30
00
00
Refund: If line 29 is more than line 22 enter difference
.........................................................................
30
31
00
00
Tax liability: If line 22 is more than line 29 enter difference
.........................................................................
31
32
Interest @ 1 1/2 percent per month from due date to July 1, 1988 _____
1 1/4 percent per month from July 1, 1988 to _____
.........................................................................
00
00
32
33
Total amount due (add lines 31 and 32) please pay in full with this return
....................................................
00
00
33
PLEASE COMPLETE PAGE 2

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