Form 511nr - Oklahoma Income Tax Return - 2001 Page 2
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1
2
3
42001 Form 511NR • Page 2
00
Adjusted gross income: All Sources (from page 1, line 24) . . . . . . . . . . . . . . . . . . . . . . .
25
25
00
Adjustments to adjusted gross income (511NR Schedule C, line 12) . . . . . . . . . . . . . . . . .
26
26
00
Oklahoma income after adjustments (line 25 minus line 26) . . . . . . . . . . . . . . . . . . . . . . . .
27
27
00
Oklahoma standard or Federal itemized deductions . . . . . . . . .
28
28
00
Exemptions ($1000 x number of exemptions claimed on pg. 1)
29
29
00
Total deductions and exemptions (add lines 28-29) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
30
00
Oklahoma taxable income:
METHOD 1
(line 27 minus line 30) . . . . . . . . . . . . . . . . . .
31
31
00
Tax from
Tax Table 1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
32
00
If line 24 is equal to or larger than line 19, complete line 33. If line 24 is smaller than line 19, see 511NR Schedule D.
Federal income tax deduction: (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
33
33
Oklahoma taxable income:
METHOD 2
(line 31 minus line 33) . . . . . . . . . . . . . . . . . .
00
34
34
Tax from
Tax Table 2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
35
35
00
Oklahoma Income Tax
36
36
Enter lesser of line 32 or 35 or, if using Farm Income Averaging, total from Form 573, line 42 & check here
00
Oklahoma child care credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
37
00
Subtract line 37 from line 36 (this is your tax base) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
38
Income percentage: Oklahoma Amount (from line 23)
Federal Amount (from line 24)
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
Balance (line 40 minus lines 41 and 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
43
00
00
Oklahoma withholding
. . . .
44
(enclose W-2’s and 1099’s having withholding)
44
00
00
2001 Oklahoma estimated tax payments . .
45
(qualified farmer
)
45
00
00
2001 payment with extension . . . . . . . . . . . . . . . . . . . . . . . . . .
46
46
00
Total payments (add lines 44- 46) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
47
47
Overpayment
00
Overpayment (if line 47 is greater than line 43)
subtract line 43 from line 47
48
48
00
Amount from line 48 to be credited to your 2002 estimated tax . . . . . . . . . . . . . . . . . . . . .
49
49
Donations from your refund:
50
Oklahoma Wildlife Diversity Program
Veterans Affairs Capital Improvement Program
Oklahoma City Bombing Memorial Fund
50a
50c
50E
$2
$5
$ _____
00
$2
$5
$ _____
00
$2
$5
$ _____
00
Low Income Health Care Fund
Oklahoma Breast Cancer Research Program
Oklahoma Organ Donor Education Fund
50b
50d
50f
$2
$5
$ _____
00
$2
$5
$ _____
00
$2
$5
$ _____
00
00
51
Amount to be refunded (line 48 minus lines 49 and 50
-
) . . . . . . . . . . . . . . .
Refund
51
A
F
00
52
Tax Due
Tax due (if line 43 is greater than line 47)
. . . . . . . . .
subtract line 47 from line 43
52
00
53
Donation: Oklahoma organ donor education fund . . . . . .
$2
$5
$______ . . . .
53
00
54
Underpayment of estimated tax . . . . . . . . . . . . . . . (annualized installment method
) . .
54
00
55
Delinquent payment (add penalty of 5% plus interest at 1.25% per month) . . . . . . . .
55
00
56
Total tax, penalty and interest (add lines 52-55) . . . . . . . . . . . . . . . .
Balance Due
56
Direct Deposit Option:
For instructions, please see page 11 in your Tax Packet.
Check the box above
Yes! Please deposit my refund in my
checking account
savings account
if the Tax Commission
may discuss this return
Routing
Account
Number:
Number:
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
A COPY OF YOUR FEDERAL RETURN MUST BE ENCLOSED.
Paid Preparer’s SSN, EIN or PTIN
Please remit to:
Oklahoma Tax Commission, P.O. 26800, Oklahoma City, OK 73126-0800
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