Individual Form 511ez - State Of Oklahoma Income Tax Return - 1998
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1For Office Use Only
1998
This form must be filed on or before April 15, 1999.
Individual Form 511ez
This form is for the tax year January 1 through December 31, 1998.
State of Oklahoma
Your Social Security Number
Spouse’s Social Security Number
Income Tax Return
This form is for use by residents only. If you are a part-year or non-resident, please use Form 511NR. For further information, please see instructions.
Regular Special
Blind
Add the
Please
E
Totals from
+
+
=
Use
Yourself
the 4 shaded
Print first name and initial (If joint return, give first name and initial of both)
Last name
Label
X
boxes
•
E
Print
Write the
+
+
=
Spouse
Present home address (number and street, including apartment number or rural route)
Total in the
or
M
box below
Type
and also
City, State and Zip
P
=
Number of dependent children
on line 5.
1 _____ Single
T
Filing
2 _____ Married filing joint return (even if only one had income)
=
Status
Number of other dependents
I
3 _____ Married filing separate. If spouse is also filing, give SSN and name
•
here _________________________________________________
O
Same
4 _____ Head of household with qualifying person
Please Note:
as
N
If you may be claimed as a
=
Federal
5 _____ Qualifying widow(er) with dependent child (year spouse died 19___)
dependent on another return,
S
Yourself
Spouse
enter “0” exemptions for yourself.
E
65 or Over?
(See Instructions)
dollars
• cents
00
Adjusted gross income from your Federal tax return. This is also your Oklahoma Adjusted Gross Income . .
1
1
00
2
Interest qualifying for exclusion (limited to $100 single, $200 joint) . . . . . . . . . . . . . . . . . .
2
00
3
Partial military pay exclusion (limited to $1,500) (do not include retirement) . . . . . . . . .
3
00
Oklahoma standard deduction or Federal itemized deduction (see instructions) . . .
4
4
00
Exemptions: Total number claimed above _______ x $1,000 . . . . . . . . . . . . . . .
5
5
Total: Add lines 2, 3, 4 and 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
6
6
00
Oklahoma Taxable Income: Method 1 (subtract line 6 from line 1 and enter amount here) . . . . . . . . . . . .
7
7
00
00
Tax from Tax Table 1 (based on line 7)
8
8
00
Federal Income Tax (amount paid, not the amount withheld) (see instructions) . . . . . . . . . . . . . . . . . . . . . . .
9
9
00
Oklahoma Taxable Income: Method 2 (subtract line 9 from line 7 and enter amount here) . . . . . . . . . . . .
10
10
00
00
Tax from Tax Table 2 (based on line 10)
11
11
00
Oklahoma Income Tax - Enter the lesser of line 8
or line 11
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
12
00
Oklahoma child care credit (20% of Federal credit allowed) (enclose a copy of your Federal return) . . . . . . .
13
13
00
Balance (subtract line 13 from line 12. If zero or less, enter “0”) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
14
00
Oklahoma Income Tax Withheld (enclose all W-2’s and any 1099’s having withholding) . . . . . . . . . . . . . . . . .
15
15
00
Low Income Sales Tax Refund/Credit (enclose Form 538-S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
16
00
Total: Add lines 15 and 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
17
00
If line 17 is larger than line 14, enter the amount you have overpaid (subtract line 14 from line 17) . . . . . . . .
18
18
Oklahoma Wildlife Diversity Program
Veterans Affairs Capital Improvement Program
Complete
00
00
19a
19c
this area if
$2
$5
$ _______
$2
$5
$ _______
you wish to
Low Income Health Care Fund
Oklahoma Breast Cancer Research Program
donate from
00
00
19b
19d
$2
$5
$ _______
$2
$5
$ _______
your refund:
00
Total deductions from refund amount (add lines 19A, 19B, 19C and 19D) . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19
00
Amount to be refunded to you (subtract line 19 from line 18) . .
. .
Refund
20
20
check out Direct Deposit Option below
00
If line 14 is larger than line 17, enter the tax due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax Due
21
21
Direct Deposit Option:
(Please see packet instructions on page 5)
Please check here if the
Yes! Please deposit my refund in my
checking account
savings account
OTC may discuss this return
Routing Number:
Account Number:
with your tax preparer
Under penalty of perjury, I declare that the information contained in this document and any attachments are true and correct to the best of my knowledge and belief.
Taxpayer’s signature
date
Spouse’s signature
date
Paid Preparer’s signature
I.D. Number
Taxpayer’s occupation
Spouse’s occupation
Paid Preparer’s address and phone number
The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.
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