Form 512-X - Amended Corporation Income Tax Return - State Of Oklahoma - 2004

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Tax Year_______
State of Oklahoma
512-X
Amended Corporation Income Tax Return
Oklahoma Tax Commission P.O. Box 26800, Oklahoma City, OK 73126-0800
Revision 2004
For the year January 1,________ - December 31,________,
Important!
or other taxable year beginning __________________, _______ and ending _____________________, _________.
Corporate Name:
A. Federal I.D.
Number
B. Business Code Number
Street Address:
C.Type of Business
City, State and Zip:
Office Use Only
A
Did you file an amended Federal return?
Yes
No
If “yes”, enclose copy of IRS Form 1120X or 1139 and a copy of “Statement of Adjustment”, IRS refund check or deposit slip.
B
If this return is being filed due to a Federal audit, please furnish a complete copy of the RAR.
1 Oklahoma taxable income
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
(as shown on Schedule A or B)
00
2 Tax: 6%
.
2
(4% for tax years beginning prior to Jan. 1, 1985, 5% for tax years beginning prior to Jan. 1, 1990)
00
3
Investment/New Jobs Credit
. . . . . . .
3
(please enclose Form 506)
00
4
Solar energy device
. . . . . . . . . . . . . . . . . . .
4
(enclose form 508)
00
5
Gas Used in Manufacturing
.
5
(see instructions & enclose schedule)
00
6
Hazardous Waste Disposal
. . . . . . . . . . . . .
6
(see instructions)
00
7
Other Credits
. . . . . . . . . . . . . . . . . . . . . . . . .
7
(see instructions)
00
8 Total of lines 3 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9 Balance of tax due (line 2 less line 8, but not less than zero) . . . . . . . . . . . . . . . . . . . . . .
9
00
10 A Amount paid on estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
00
A
B Amount paid with extension request . . . . . . . . . . . . . . . . . . .
10
00
B
C
. . . . . . . . .
Oklahoma withholding (enclose Form 1099, 500A or 500B)
10
00
C
(enclose form)
11 Refundable credits
. . . . . . . . . . . . . . . . . . . . . . .
11
00
12 Amount paid with original return and amount paid after it was filed
12
00
13 Less any refunds or overpayment applied . . . . . . . . . . . . . . . . .
13
00
14 Total of lines 10 through13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
00
15 Refund (line 14 less line 9) (cannot be applied to estimated tax) . . . . . . . . . . . . Refund
15
00
16 Tax Due (line 9 minus line 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tax Due
16
00
17 Interest from ______________________ to _________________________ . . . . . . . . .
17
00
18 Total tax and interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Balance Due
18
00
If the Oklahoma Tax Commission may discuss this return with your tax preparer, please check here:
Under penalties of perjury, I declare that I have filed an original return, and that I have examined this return,
Make check payable
including accompanying schedules and statements, and to the best of my knowledge and belief, this amended
to the Oklahoma
return is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of
Tax Commission
which preparer has any knowledge.
signature of preparer
date
signature of officer
date
Corporate
Seal
print name
print name
preparer’s address
title
phone number
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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