Form 511ef - Oklahoma Individual Income Tax Declaration For Electronic Filing - 2014

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Do not mail Oklahoma Tax Return - Form 511 or Form 511NR

2014

Form 511EF

See instructions on Page 2 to determine if you are required to send Form 511EF to the OTC.

Oklahoma Individual Income Tax Declaration for Electronic Filing

Your first name and middle initial

Last name

Your social

security number

If a joint return, spouse’s first name and middle initial

Last name

Spouse’s social

security number

Mailing address (number and street, including apartment number, rural route or PO Box)

Filing status

City, State, ZIP

Total number of exemptions

Part One

Tax Return Information (whole dollars only)

1 Oklahoma Adjusted Gross Income (511, Line 7) or

Adjusted Gross Income: All Sources (511NR, Line 7) .....................................................

2 Oklahoma Income Tax and Use Tax (511, Line 21 or 511NR, Line 25

)

...............................

3 Oklahoma Income Tax Payments and Credits (511, Line 33 or 511NR, Line 34) ...............

4 Refund (511, Line 38 or 511NR, Line 39) ............................................................................

5 Balance Due (511, Line 44 or 511NR, Line 45) ..................................................................

For a balance due return with an electronic payment complete line 6b below. The due date

for an electronic payment is 4-20-15. For a balance due return with a non-electronic payment

enclose a payment with the 511-V and submit on or before the due date of 4-15-15.

Part Two

Declaration of Taxpayer

I consent that my refund be directly deposited as designated in the electronic portion of my 2014 Oklahoma income tax return.

If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund.

I authorize the Oklahoma State Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit)

entry to the financial institution account indicated in the tax preparation software for payment of my Oklahoma taxes owed on this return.

I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information

necessary to answer inquiries and resolve issues related to the payment.

If I have filed a balance due return, I understand that if the Oklahoma Tax Commission (OTC) does not receive full and timely payment of my tax liability, I

will remain liable for the tax liability and all applicable interest and penalties.

Under penalties of perjury, I declare I have compared the information contained on my return, with information I have provided to my Electronic Return

Originator (ERO), and the amounts described in Part One above, agree with the amounts shown on the corresponding lines of my 2014 Oklahoma income

tax return. To the best of my knowledge and belief, my return is true, correct, and complete. I consent that my return, including this declaration and accom-

panying schedules and statements, be sent to the OTC by my ERO.

Sign

Here:

Your Signature

Date

Spouse’s Signature (If joint return, both must sign)

Date

Part Three

Declaration of Electronic Return Originator (ERO) and Paid Preparer

I declare I have reviewed the above taxpayer’s return and the entries on Form 511EF are complete and correct to the best of my knowledge. (EROs who are

collectors are not responsible for reviewing the taxpayer’s return; however, they must ensure Form 511EF accurately reflects the data on the return.) I have

obtained the taxpayer’s signature on Form 511EF and I have provided the taxpayer with a copy of all forms and information to be filed with the OTC, and have

followed all other requirements described in Pub. 1345, Handbook for Electronic Filers of Individual Income Tax Returns (Tax Year 2014). If I am also a Paid

Preparer, under penalties of perjury I declare I have examined the above taxpayer’s return and accompanying schedules and statements, and to the best of

my knowledge and belief, they are true, correct, and complete. This Paid Preparer declaration is based on all information of which I have any knowledge.

ERO Use

Only

ERO or Paid Preparer’s Signature

Date

PTIN

Paid Preparer

Use Only

Paid Preparer Signature

Date

PTIN

Firm name (or yours if self-employed),

address and ZIP