Form 511nr - Oklahoma Nonresident/part-Year Income Tax Return - 2014

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Form 511NR
PRINT FORM
RESET FORM
2014
Oklahoma Nonresident/
Part-Year 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
Your Social Security Number
AMENDED
Place an ‘X’ in this box
barcode. The Oklahoma Tax Commission can read the barcode, process it
RETURN!
if this taxpayer
immediately into our system, and eliminate the need for manual data entry.
Place an ‘X’ in this
Ultimately, this will mean faster refunds for the taxpayer of Oklahoma.
is deceased
box if this is an
Spouse’s Social Security Number
Place an ‘X’ in this box
Please check over the form carefully and make any changes needed prior to
amended 511NR.
(joint return only)
See Schedule
printing the form. Changes made after printing the form will not be reflected in
if this taxpayer
the barcode and may result in a delay in the processing of your return.
NR-G
511NR-G.
is deceased
Please mail your tax return to the following address.
Your first name, middle initial and last name
Oklahoma Tax Commission - PO Box 269045
Oklahoma City OK 73126-9045
If a joint return, spouse’s first name, middle initial and last name
If you need assistance, please contact us at 405-521-3160
Mailing address (number and street, including apartment number, rural route or PO Box)
Not Required to File
Place an ‘X’ in this box if you do not have an Oklahoma filing
Check this box if you do not have an Oklahoma filling requirement and are
City, State and ZIP
requirement and are filing for refund of State withholding.
filing for refund of your Oklahoma withholding.(see instructions)
(see instructions)
* NOTE: If claiming Special Exemption, see instructions on page 8 of 511NR Packet.
1
Single
2
Married filing joint return
Regular
Special
Blind
(even if only one had income)
*
Add the Totals from
Married filing separate
3
Yourself
the 4 boxes.
=
+
+
• If spouse is also filing, list
Write the Total
Name:
in the box below.
name and SSN in the boxes:
SSN:
Total
Spouse
+
+
=
4
Head of household with qualifying person
=
5
Qualifying widow(er) with dependent child
Number of dependent children
=
• Please list the year spouse died in box at right:
Note: If you may
be claimed as a
dependent on another
return, enter “0”
Number of other dependents
=
Nonresident(s) State of Residence: ________________
for your regular
exemption.
Part-Year Resident(s) From ___________ to _________
Spouse
Resident/Part-Year Resident/Nonresident
Yourself
Age 65 or Over?
(Please see instructions)
State of Residence: Yourself _________ Spouse _______
Please Round to Nearest Whole Dollar
Complete Schedule 511NR-1 “Income Allocation for Nonresidents and Part-Year Residents”
to arrive at
Oklahoma Source Income (line 1) and Federal adjusted gross income (line 2).
Federal Amount
Oklahoma Amount
Oklahoma source income (Schedule 511NR-1, line 18) ................
1
00
00
NR-1
1
Federal adjusted gross income (Schedule 511NR-1, line 19) ......
2
00
00
2
3
00
00
Oklahoma additions: Schedule 511NR-A, line 7 ..............................
NR-A
3
4
Add lines (Federal 2 and 3) and then (Oklahoma 1 and 3) ..............
00
00
4
5
00
00
Oklahoma subtractions: Schedule 511NR-B, line 15 ........................
NR-B
5
Adjusted gross income: Okla. Source (line 4 minus line 5) .................
6
00
00
6
Adjusted gross income: All Sources
7
00
...
7
(line 4 minus line 5) Also enter on line 8
Adjusted gross income: All Sources (from line 7) ..................................................
Oklahoma
8
00
8
Standard
9
Oklahoma Adjustments (Schedule 511NR-C, line 7) ................................................
00
9
NR-C
Deduction:
10
00
• Single or
Income after adjustments (line 8 minus line 9) ........................................................
10
Married Filing
11
00
Oklahoma standard or Federal itemized deductions .........
11
Separate:
12
00
$6,200
Exemptions
.........
12
($1,000 x number of exemptions claimed above)
13
• Married
00
Total deductions and exemptions (add lines 11 and 12) ..........................................
13
Filing Joint
Oklahoma Taxable Income: (line 10 minus line 13) ..............................................
14
00
14
or Qualifying
15
Widow(er):
Oklahoma Income Tax from Tax Table.....................................................................
15
$12,400
If using Farm Income Averaging, enter tax from Form 573, line 22 and enter a “1” in box.
• Head of
If paying the Health Savings Account additional 10% tax, add additional tax here and enter a “2” in box.
00
Household:
STOP AND READ: If line 7 is equal to or larger than line 2, complete line 16. If line 7 is smaller than line 2, see Schedule 511NR-D.
$9,100
Oklahoma child care/child tax credit (see instructions) ...........................................
16
16
NR-D
00
Itemized
(Do not enter less than zero)
17
Subtract line 16 from line 15 (This is your tax base)
....
17
Deductions:
00
Enclose a
Oklahoma Amount (from line 6)
Federal Amount (from line 7)
18
Tax percentage:
copy of the
a)
b)
%
0.00%
18
Federal
Oklahoma Income Tax. Multiply line 17 by line 18 ................................................
Schedule
19
00
19

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