Form 511nr - Oklahoma Income Tax Return - 2001 Page 3

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2001 Form 511NR • page 3
Name(s) shown on Form 511NR
Your Social
Security Number
Oklahoma Additions
511nr
Schedule A
See instructions for detail on qualification and enclosures.
federal amount
oklahoma amount
00
00
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 . . . . . . .
4
00
00
Losses from the sale of exempt government obligations or
5
other additions (describe _______________________)
00
00
Total additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
(add lines 1-5, enter total here and on line 20 of Form 511NR)
Oklahoma Subtractions
511nr
Schedule B
See instructions for detail on qualification and enclosures.
federal amount
oklahoma amount
Interest on U.S. government obligations . . . . . . . . . . . . .
00
00
1
Taxable Social Security
. . . . . . . . . .
00
00
2
(from Form 511NR, line 14)
Oklahoma or Federal government retirement . . . . . . . . .
00
00
3
Other retirement income . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
4
U.S. Railroad Retirement Board Benefits . . . . . . . . . . . . .
00
00
5
Additional depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
6
Oklahoma net operating loss . . . . . . . . . . . . . . . . . . . . .
00
00
7
Exempt tribal income . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
8
Gains from the sale of exempt government obligations .
00
00
9
Nonresident military wages . . . . . . . . . . . . . . . . . . . . . . . .
00
00
10
Miscellaneous: Other subtractions . . . . . . . . . . . . . . . . . .
00
00
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
511nr
Schedule 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
Political contribution (limited to $100 single or $200 joint) . . . . . . . . . . . . . . . . . . . . . . .
00
3
Interest qualifying for exclusion (limited to $100 single or $200 joint) . . . . . . . . . . . . .
00
4
00
Qualified medical savings account (not deducted on your Federal return) . . . . . . . . . . .
5
00
Qualified adoption expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
Agricultural commodity processing facility exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
Accelerated Oklahoma depreciation for swine or poultry producers . . . . . . . . . . . . . . .
8
00
Indian employment exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
Discharge of indebtedness for farmers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Oklahoma Police Corps Program Scholarship or Stipend . . . . . . . . . . . . . . . . . . . . . . . .
00
11
Total Adjustments (add lines 1-11, enter total here and on line 26 of Form 511NR) . . .
00
12

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