Form 511 - Oklahoma Resident Income Tax Return - 2015 Page 2
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52015 Form 511 - Resident Income Tax Return - Page 2
Name(s) shown
Your Social
on Form 511:
Security Number:
Part Three: Tax, Credits and Payments
00
Total from line 18 ...................................................................................................................
19
19
Use tax due on Internet, mail order, or other out-of-state purchases ....................................
00
20
20
If you certify that no use tax is due, place an ‘X’ here:
(For use tax table, see page 11 of the Packet)
Balance (add lines 19 and 20) ...............................................................................................
00
21
21
Oklahoma withholding
..
00
(enclose all W-2s, 1099s or other withholding statements)
22
22
00
2015 estimated tax payments
.......................
23
(qualified farmer
)
23
00
2015 payment with extension ..........................................................
24
24
00
Low Income Property Tax Credit
(enclose Form 538-H) ........................
25
25
Sales Tax Relief Credit (enclose Form 538-S)
26
(see back of Form 538-S or
.................................................................
00
511 Packet for further information)
26
00
Natural Disaster Tax Credit (enclose Form 576) .............................
27
27
Oklahoma Earned Income Credit
(
(see instructions)
If line 7 is equal to or more
28
than line 1, complete line 28. If line 7 is smaller than line 1, complete Schedule 511-F. If you are not
00
..............
required to file, see “Not Required to File” on page 5 of the 511 Packet for instructions)
28
00
Credits from Form .............................a)
577 ....... b)
578 .......
29
29
Amount paid with original return plus additional paid after it was filed
30
00
(amended return only) .....................................................................
30
Payments and credits (add lines 22-30) .............................................................................
00
31
31
Overpayment, if any, as shown on original return and/or prior amended return(s) or
32
00
as previously adjusted by Oklahoma (amended return only) ................................................
32
otal payments and credits (line 31 minus 32) ...................................................................
00
T
33
33
Part Four: Refund
00
If line 33 is more than line 21, subtract line 21 from line 33. This is your overpayment .
34
For further
34
Amount of line 34 to be applied to 2016 estimated tax
information
35
(original return only) ..................................................
00
regarding
35
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 to
the 511 Packet.
more than one organization, put a “99” in the box. Enclose Schedule 511-G.
Donations from your refund
(total from Schedule 511-G)
00
36
36
Total deductions from refund (add lines 35 and 36) ...........................................
00
37
37
Amount to be refunded to you (line 34 minus line 37) .......................................
00
38
38
Direct Deposit Note:
Is this refund going to or through an account that is located outside of the United States?
Yes
No
Deposit my refund in my:
Verify your account and routing num-
bers are correct. If your direct deposit
Routing
checking account
fails to process or you do not choose
Number:
direct deposit, you will receive a debit
card. See the 511 Packet for direct
Account
savings account
deposit and debit card information.
Number:
Part Five: Amount You Owe
If line 21 is more than line 33, subtract line 33 from line 21. This is your tax due ....
00
39
39
Donation: Public School Classroom Support Fund (original return only) .....................
If you have an
00
40
40
underpayment
Underpayment of estimated tax interest
41
of estimated
(annualized installment method
) ................
00
tax (line 41) &
41
overpayment
For delinquent payment add penalty of 5% ................ $ _________________
42
(line 34), see
00
plus interest of 1.25% per month ................................... $ _________________
instructions.
42
00
Total tax, donation, penalty and interest (add lines 39-42) ................................
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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
occupation
Daytime Phone
Daytime Phone
(optional)
(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.
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