Form 574 - Resident/nonresident Allocation - 2012

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State of Oklahoma
Resident/Nonresident Allocation
574
2
0
1
Allocation of Federal income and deductions when one spouse is a resident and the other is a nonresident.
2
Resident’s First Name and Initial
Last Name
State of Residence
Social Security Number
Oklahoma
Nonresident’s First Name and Initial
Last Name
State of Residence
Social Security Number
.
Be sure to enclose a copy of your Federal return and this form with your Form 511 or Form 511NR
Part I:
Federal Income
Round to the nearest dollar
from the Joint Federal Return
A
=
B
+
C
Federal Amount
Resident Amount
Nonresident Amount
1
Wages, salaries, tips, etc. ...........................................................
00
1
00
1
00
00
00
2
00
2
Taxable interest income ..............................................................
2
3
Dividend income ..........................................................................
00
3
00
3
00
00
4
00
4
00
4
Taxable refunds, credit or offsets of state income tax ................
00
00
00
5
Alimony received ........................................................................
5
5
00
6
00
6
00
6
Business income or (loss) (Federal Schedule C or C-EZ) .........
00
00
00
7
Capital gain or (loss) (Federal Schedule D) ...............................
7
7
00
8
00
8
00
8
Other gains or (losses) (Federal Form 4797) .............................
00
00
00
9
Taxable IRA distribution ...............................................................
9
9
00
10
00
10
00
10
Taxable pensions and annuities .................................................
00
00
00
11
Rental real estate, royalties, partnerships, etc. . (Federal Sch. E)
11
11
00
12
00
12
00
12
Farm income (loss) (Federal Schedule F) ..................................
00
00
00
13
Unemployment compensation ....................................................
13
13
14 Taxable Social Security benefits ................................................
00
14
00
14
00
00
00
00
15
Other income (identify: _____________________ ) ..................
15
15
00
16
00
16
00
16
Total income: add lines 1 through 15 .........................................
00
00
00
17
Educator Expenses ....................................................................
17
17
18
Certain business expenses of reservists, performing artists,
and fee-basis government officials ..............................................
00
00
00
18
18
00
00
00
19
Health savings account deduction ...............................................
19
19
00
00
00
20
Moving expenses .......................................................................
20
20
00
00
00
21
Deductible part of self-employment tax ......................................
21
21
22 Self-employed SEP, SIMPLE, and qualified plans .....................
00
00
00
22
22
00
00
00
23
Self-employed health insurance deduction .................................
23
23
00
00
00
24
Penalty on early withdrawal of savings ......................................
24
24
00
00
00
25
Alimony paid ...............................................................................
25
25
00
00
00
26
IRA deduction .............................................................................
26
26
00
00
00
27
Student loan interest deduction ..................................................
27
27
00
00
00
28
Tuition and fees ..........................................................................
28
28
00
00
00
29
Domestic production activities deduction ....................................
29
29
00
00
00
30
Total Federal adjustments to income: add lines 17 through 29 ..
30
30
00
00
00
31
Federal adjusted gross income: subtract line 30 from line 16 .....
31
31

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