Form 511x - Amended Resident Individual Income Tax Return

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511x
State of Oklahoma
Amended Resident Individual Income Tax Return
Revised 2002
_____
Tax Year
Part-year and nonresidents must use Form 511NR.
For the year January 1 - December 31, or other taxable year beginning ___________________, _______ ending ___________________, _______.
Your first name and initial (if joint return, spouse’s first name and initial)
Last name
Your Social
Security Number
Spouse’s Social
Present home address (number and street, including apartment number or rural route)
Security Number
Did you file an amended Federal return?
Yes
No
City, State and Zip
If “yes” enclose a copy of IRS Form 1040X or 1045 and a copy
of the “Statement of Adjustment”, IRS check, or refund slip.
Phone Number
(
)
IRS documents submitted after filing Form 511X may delay
the processing of your return.
Filing status claimed:
(Note: Generally, your filing status 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)
Number of Exemptions:
Regular
Special
Blind
Dependents
Total
On original return:
+
+
+
=
On this return:
+
+
+
=
As Originally Reported
Amended
A
B
C
Office Use Only
income and deductions...
or as Adjusted
00
00
00
1
1
Federal adjusted gross income .................................................................
00
00
00
2
2
Oklahoma subtractions
....................................................
(see instructions)
00
00
00
3
3
Subtract line 2 from line 1 .........................................................................
00
00
00
4
4
Out-of-state income
.........................................................
(see instructions)
00
00
00
5
5
Subtract line 4 from line 3 ..........................................................................
00
00
00
6
6
Oklahoma additions
..........................................................
(see instructions)
00
00
00
7
7
Oklahoma adjusted gross income (add lines 5 and 6) ..............................
00
00
00
8
8
Adjustments to Oklahoma adjusted gross income
...........
(see instructions)
00
00
00
9
9
Subtract line 8 from line 7 ..........................................................................
00
00
00
10
10
Deductions and exemptions ......................................................................
%
%
%
11
11
Percentage allowable (divide line 7 by line 3)
....
(not to exceed 100 percent)
00
00
00
12
12
Multiply line 10 by line 11 ...........................................................................
00
00
00
13
13
Oklahoma taxable income - (method 1) subtract line 12 from 9 ................
00
00
00
14
14
Tax Method 1
....................................................................
(see instructions)
00
00
00
15
15
Federal income tax liability
...............................................
(see instructions)
%
%
%
16
16
Percentage allowable (divide line 7 by line 1)
....
(not to exceed 100 percent)
00
00
00
17
17
Multiply line 15 by line 16 ..........................................................................
00
00
00
18
18
Oklahoma taxable income - (method 2) subtract line 17 from 13 .............
00
00
00
19
19
Tax Method 2
....................................................................
(see instructions)
tax liability...
00
00
00
20
20
Tax - lesser of line 14 or 19 ........................................................................
00
00
00
21
21
Oklahoma non-refundable credits
.....................................
(see instructions)
00
00
00
22
22
Total tax - (subtract line 21 from line 20, not less than zero) .....................
payments...
00
00
00
23
23
Oklahoma income tax withheld ..................................................................
00
00
00
24
24
Oklahoma estimated tax paid plus amount paid with extension ................
00
00
00
25
25
Amount paid with original return plus additional paid after it was filed ......
00
00
00
26
26
Refundable credits
...........................................................
(see instructions)
00
00
00
27
27
Total of lines 23 through 26 ........................................................................
refund or amount you owe...
00
00
28
28
Overpayment, if any, as shown on original return or as previously adjusted by Oklahoma ...............
00
00
29
29
Subtract line 28 from line 27 ..............................................................................................................
00
00
30
30
Refund: If line 29 is more than line 22 enter difference ......................................................................
00
00
31
31
Tax liability: If line 22 is more than line 29 enter difference ................................................................
00
00
32
32
Interest: 1.25% per month from _________________ to __________________ ..........................
00
00
33
33
Total amount due (add lines 31 and 32) please pay in full with this return ......................................
If the Oklahoma Tax Commission may discuss this return with your tax preparer, please check here:

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