Form 511x - Oklahoma Amended Resident Individual Income Tax Return - 2012
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Form 511X - 2012
Oklahoma Amended Resident
Individual Income Tax Return
This form has been enhanced to complete all calculations, and to print a two
dimensional (2D) barcode. The data entered on the form will be contained in the
Part-year and nonresidents must use Form 511NR to amend.
barcode. The Oklahoma Tax Commission can read the barcode, process it
immediately into our system, and eliminate the need for manual data entry.
Tax Year 2012
Ultimately, this will mean faster refunds for the taxpayer of Oklahoma.
Please check over the form carefully and make any changes needed prior to
Your Social Security Number
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.
Check box if
this taxpayer
If a Joint Return, Spouse’s
Please mail your tax return to the following address.
is deceased
Social Security Number
Oklahoma Tax Commission
PO Box 269045
Your first name, middle initial and last name
Oklahoma City OK 73126-9045
If you need assistance, please contact us at 405-521-3160
If a joint return, spouse’s first name, middle initial and last name
Did you file an amended Federal return?
Present home address (number and street, including apartment number or rural route)
Yes
No
Enclose a copy of IRS Form 1040X or 1045 AND a copy of the “Statement of
City, State and Zip
Adjustment”, IRS check, or deposit slip. IRS documents submitted after filing
Form 511X may delay the processing of your return.
•
Filing status claimed: (Note: Generally, your filing status must be the same as on your Federal return. See Form 511 instructions.)
On original return:
1. Single
2. Married filing joint
3. Married filing separate
4. Head of Household
5. Qualifying widow(er)
On this return:
1. Single
2. Married filing joint
3. Married filing separate
4. Head of Household
5. Qualifying widow(er)
•
Number of Exemptions:
Not Required to File...
Regular
Special
Blind
Dependents
Total
On original return:
+
+
+
=
Check this box if you do not
On this return:
+
+
+
=
have sufficient gross income
to require you to file a Federal Return.
•
Check if you or your spouse are 65 or over:
Yourself
Spouse
A:
B:
C:
Income and Deductions...
As Originally
Amended
Office Use Only
Reported or as
Previously Adjusted
1
Federal adjusted gross income ...................................
00
1
00
00
2
Oklahoma subtractions (enclose Schedule 511X-A) ...
00
2
00
00
SCH-A
3
Subtract line 2 from line 1 ............................................
00
00
00
3
4
Out-of-state income (see instructions).........................
00
4
00
00
5
Subtract line 4 from line 3 ............................................
00
5
00
00
6
Oklahoma additions (enclose Schedule 511X-B) ........
00
6
00
00
SCH-B
7
00
7
00
00
Oklahoma adjusted gross income (add lines 5 and 6)
8
Adjustments to Oklahoma adjusted gross income
(enclose Schedule 511X-C) .........................................
8
00
00
00
SCH-C
9
Subtract line 8 from line 7 ............................................
00
9
00
00
10
Deductions plus exemptions .......................................
00
10
00
00
11
Percentage allowable (divide line 7 by line 3)
(not to exceed 100 percent) ........................................
11
%
%
%
12
Multiply line 10 by line 11 ............................................
12
00
00
00
13
Oklahoma taxable income
subtract line 12 from 9 ................................................
13
00
00
00
Tax Liability...
14
Income Tax from Tax Table (see instructions) . . . . . .
If using Farm Income Averaging, enter tax from Form 573 and
enter a “1” in the box. If paying Health Savings Account additional
14
00
00
00
10% tax, add additional tax here and enter a “2” in the box . . . . .
15
A. Oklahoma child care credit . . . . . . . . . . . . . . . . . . .
00
A
00
00
B. Credit for taxes paid to another state
B
00
00
00
(enclose 511TX)
C. Other credits. List Form 511CR line number here
C
00
00
00
D. Subtotal: Income tax (line 14 minus lines 15A-C) .
D
00
00
00
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