Form 511x - Amended Oklahoma Individual Income Tax Return Page 2

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PAGE 2
Instructions for Form 511X
Beginning January 1, 1994, Part-Year Residents and Nonresidents must use Form 511-NR
All entries in column "B" must be substantiated by an enclosed document, or your refund may be delayed.
Line
Number
Enter subtractions to Federal adjusted gross income such as interest on U. S. Government obligations (no IRS
2
interest), income exempt by statute such as Oklahoma Teachers, Oklahoma Public Employees, Oklahoma Firefighters,
Oklahoma Police and Civil Service Retirements, Social Security, Railroad Retirement, other retirement and Depletion
adjustments. (See instructions for Form 511, Lines 2, 3, 4, 5 and 6.) NOTE: Enclose supporting documents for column
"B" including depletion spread sheets.
Out-of-state income must be identified as to type and site location. This does not include out-of-state wages.
4
NOTE: Enclose supporting documents for Column "B" including Oil and Gas spread sheets.
Enter all income taxable in Oklahoma that was not taxed on Federal return; out-of-state losses; state and municipal
6
bond interest (not specifically exempt); and lump sum distributions not included in Federal adjusted gross income.
NOTE: Enclose supporting documents for column "B".
Enter all adjustments to Oklahoma Adjusted Gross Income such as military pay exclusion, political contribution,
8
interest qualifying for dividend exclusion, and moving expense deduction. NOTE: Attach supporting documents for
column "B"
For tax years after 12-31-91 and before 1-1-94 reduce itemized deductions by allowed Federal moving expense.
10
Use appropriate Tax Table for years after 12-31-91, for prior years use tax rate schedules for applicable year.
14 & 19
Federal income tax liability from Federal return. NOTE: Do not include self-employment taxes.
15
Enclose a copy of your Federal return, for verification.
Enter all non-refundable credits to Oklahoma taxes such as child care, taxes paid another state (residents only), solar
21
energy, investment/new jobs credit (enclose Form 506) etc. NOTE: Must enclose supporting Oklahoma and IRS forms
or documents for entries in column "B".
Enclose a schedule of payments by amount and date paid. Underpayment penalty & interest is based on the tax on the
25
original return (do not include).
Oklahoma refundable credits: health insurance credit (enclose Form 534); low income property tax credit (enclose
26
Form 538-H); and sales tax relief credit (enclose Form 538-S).
This includes all amounts refunded to you, applied to next year's estimated tax and donated from your refund (for
28
example, to the Wildlife Diversity Program).
Total amount of overpayment must be refunded. None can be placed in Estimated Tax for the following year.
30
Explain below or attach a separate schedule, if necessary, explaining the changes to income, deductions, and credits:
Enter the line reference from page 1 for which you are reporting a change and give the reason for each change in column "B"
The Oklahoma Tax Commission is not required to give actual notice to taxpayer of changes in any state tax law.
Please Mail to:
If you checked the box on the top of page one of this form
Oklahoma Tax Commission
allowing the Tax Commission to discuss this return with
P.O. Box 26800
your tax preparer, please provide the preparer's phone
(
)
Oklahoma City, OK 73126-0800
number here:
Under penalties of perjury, I declare that I have filed an original return and that I have examined this return including accompanying
PLEASE
schedules and statements, and to the best of my knowledge and belief 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.
SIGN HERE
Spouse's signature (if filing jointly, both must sign)
Your signature
Date
Date
Preparer's Social Security Number
Preparer's
Check if
PAID
signature
Self-employed
Employer Identification Number
Firm's name
PREPARER'S
(or yours if self-employed)
Address
Zip
USE ONLY

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