Fillable Form 511 - Oklahoma Resident Income Tax Return

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2012 Form 511 - Resident Income Tax Return - Page 2

Name(s) shown

Your Social

on Form 511:

Security Number:

Part Three: Tax, Credits and Payments

Total from line 18 ................................................................................................

For use tax

Use tax due on Internet, mail order, or other out-of-state purchases .................

table, see

If you certify that no use tax is due, place an ‘X’ here

page 11 of the

511 Packet.

Business Activity Tax (enclose Form 511-BAT) ..................................................

Balance (add lines 19, 20 and 21) ......................................................................

Enclose all

Oklahoma withholding .................................................

W-2s, 1099s

or other

2012 estimated tax payments

.....

(qualified farmer

)

withholding

2012 payment with extension ......................................

statements.

Low Income Property Tax Credit

(enclose Form 538-H) ..

See back

Sales Tax Relief Credit (enclose Form 538-S) ............

TO 538-S

of Form 538-S

Oklahoma Earned Income Credit

(see instructions)

or 511 Packet

(

If line 7 is equal to or more than line 1, complete line 28. If line 7 is

for further

smaller than line 1, complete Schedule 511-F. If you are not required to

TO 511F

information.

file, see “Not Required to File” on page 5 of the 511 Packet for instructions) ......

otal payments and credits (add lines 23-28) .................................................

Part Four: Refund

If line 29 is more than line 22, subtract line 22 from line 29. This is your overpayment .

For further

information

Amount of line 30 to be applied to 2013 estimated tax

regarding

estimated tax,

Schedule 511-G provides you with the opportunity to make a financial gift from your refund to a variety of Oklahoma

see page 5 of

organizations. Please place the line number of the organization from Schedule 511-G in the box below. If you give

the 511 Packet.

to more than one organization, put a “99” in the box. Enclose Schedule 511-G.

Donations from your refund

(total from Schedule 511-G)

Total deductions from refund (add lines 31 and 32) ...........................................

Amount to be refunded to you (line 30 minus line 33) .......................................

Direct Deposit Note:

Is this refund going to or through an account that is located outside of the United States?

Yes

Deposit my refund in my:

For Direct Deposit Information see the

511 Packet. If you do not have your refund

Routing

checking account

deposited directly into your bank account,

Number:

you will receive a debit card. For debit card

Account

information see “All About Refunds” in the

savings account

Number:

511 Packet.

Part Five: Amount You Owe

If line 22 is more than line 29, subtract line 29 from line 22. This is your tax due ....

Donation: Eastern Red Cedar Revolving Fund ........

$________

If you have an

Donation: Public School Classroom Support Fund ..

$________

underpayment

of estimated

Underpayment of estimated tax interest (annualized installment method

) ..

tax (line 38) &

overpayment

For delinquent payment (add penalty of 5% plus interest at 1.25% per month) .

(line 30), see

instructions.

Total tax, donation, penalty and interest (add lines 35-39) ................................

Under penalty of perjury, I declare the information contained in this document, and all

Place an ‘X’ in this box if the Oklahoma Tax Commission

attachments and schedules, is true and correct to the best of my knowledge and belief.

may discuss this return with your tax preparer..................

Taxpayer’s signature

Date

Spouse’s signature

Date

Paid Preparer’s signature

Date

Taxpayer’s

Spouse’s

Paid Preparer’s address and phone number

occupation

Daytime Phone

(optional)

Do not staple documentation to this form. To attach items, please use a paper clip.

Paid Preparer’s PTIN

Mailing Address for this form: P.O. Box 26800, Oklahoma City, OK 73126-0800

The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.

Form 511 - Oklahoma Resident Income Tax Return - 2012 Page 2

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