Form 511 - Oklahoma Resident Income Tax Return - 2012

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Oklahoma Resident Income Tax Return
Form 511 - 2012
Your Social Security Number
Place an ‘X’ in this
This form has been enhanced to complete all calculations, and to print a two
box if this taxpayer
dimensional (2D) barcode. The data entered on the form will be contained in the
is deceased
barcode. The Oklahoma Tax Commission can read the barcode, process it immediately
into our system, and eliminate the need for manual data entry. Ultimately, this will mean
Spouse’s Social Security Number
(joint return only)
faster refunds for the taxpayer of Oklahoma.
Place an ‘X’ in this
box if this taxpayer
is deceased
Please check over the form carefully and make any changes needed prior to printing the
form. Changes made after printing the form will not be reflected in the barcode and may
result in a delay in the processing of your return.
Your first name, middle initial and last name
Please mail your tax return to the following address.
Oklahoma Tax Commission
If a joint return, spouse’s first name, middle initial and last name
PO Box 269045
Oklahoma City OK 73126-9045
Mailing address (number and street, including apartment number, rural route or PO Box)
If you need assistance, please contact us at 405-521-3160
Not Required to File
City, State and Zip
Place an ‘X’ in this box if you do not have sufficient gross
income to require you to file a Federal return.
(see instructions)
Single
1
* NOTE: If claiming Special Exemption, see instructions on page 7 of 511 Packet.
Married filing joint return
2
(even if only one had income)
*
Regular
Special
Blind
Married filing separate
Add the Totals from
3
Yourself
+
+
=
the 4 boxes.
Write the Total
• If spouse is also filing,
in the box below.
list SSN and name in box:
Total
+
+
=
Spouse
4
Head of household with qualifying person
=
5
Qualifying widow(er) with dependent child
=
Number of dependent children
• Please list the year spouse died in box at right:
Note: If you may be
claimed as a dependent
on another return,
=
Spouse
enter “0” for your
Yourself
Number of other dependents
Age 65 or Over?
(Please see instructions)
regular exemption.
Part One: To Arrive at Oklahoma Adjusted Gross Income
Round to Nearest Whole Dollar
00
Federal adjusted gross income (from Federal 1040, 1040A, or 1040EZ) . .
If you are
1
1
not required
00
Oklahoma Subtractions (enclose Schedule 511-A) . . . . . . . . . . . . . . . . . . .
2
to file, see
SCH-A
2
page 5 of the
00
Line 1 minus line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3
511 Packet.
Out-of-state income, except wages. Describe (4a)
00
4
(Enclose Federal schedule with detailed description; see instructions)
4b
If line 7 is
00
Line 3 minus line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
different than
5
5
line 1, enclose
00
Oklahoma Additions (enclose Schedule 511-B) . . . . . . . . . . . . . . . . . . . . . .
a copy of
6
SCH-B
6
your Federal
00
Oklahoma adjusted gross income (line 5 plus line 6) . . . . . . . . . . . . . . . .
return.
7
7
Part Two: Oklahoma Taxable Income, Tax and Credits
00
Oklahoma Adjustments (enclose Schedule 511-C) . . . . . . . . . . . . . . . . . . .
Oklahoma
8
8
SCH-C
Standard
00
Oklahoma income after adjustments (line 7 minus line 8) . . . . . . . . . . . . . .
9
Deduction:
9
• Single or
STOP AND READ: If line 4b is zero, complete lines 10-11. If line 4b is more than zero, see Schedule 511-D and do not complete lines 10-11.
Married Filing
00
Oklahoma standard deduction or Federal itemized deductions . . . . . . . . . .
10
Separate:
10
$5,950
00
Exemptions ($1,000 x total number of exemptions claimed above). . . . . . . .
11
11
• Married
00
Total deductions and exemptions
(add lines 10 and 11 or amount from Sch. 511-D, line 5) .
12
Filing Joint
SCH-D
12
or Qualifying
00
Oklahoma Taxable Income (line 9 minus line 12) . . . . . . . . . . . . . . . . . . .
13
Widow(er):
13
klahoma Income Tax from Tax Table (see pages 20-31 of instructions)
$11,900
O
14
00
If using Farm Income Averaging, enter tax from Form 573, line 22 and enter a “1” in box.
• Head of
14
If paying the Health Savings Account additional 10% tax, add additional tax here and enter a “2” in box.
Household:
STOP AND READ: If line 7 is equal to or larger than line 1, complete line 15. If line 7 is smaller than line 1, complete Schedule 511-E.
$8,700
00
Oklahoma child care/child tax credit (see instructions) . . . . . . . . . . . . . . . .
15
SCH-E
15
Itemized
00
Credit for taxes paid to another state (enclose Form 511TX). . . . . . . . . . . .
Deductions:
16
16
Enclose copy
00
Form 511CR - Other Credits Form.
..
of the Federal
List 511CR line number claimed here
17
17
Schedule A.
Income Tax (line 14 minus lines 15-17) Do not enter less than zero . . . .
18
00
18
DO NOT PAY THIS AMOUNT. PAYMENT IS FIGURED ON LINE 39.

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