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

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Oklahoma Nonresident/

Form 511NR - 2011

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

AMENDED

Your Social Security Number

barcode. The Oklahoma Tax Commission can read the barcode, process it

RETURN!

Check box if

immediately into our system, and eliminate the need for manual data entry.

this taxpayer

If filing an Amended Return,

Ultimately, this will mean faster refunds for the taxpayer of Oklahoma.

is deceased

enclose a copy of your

Federal Amended Return

Spouse’s Social Security Number

and IRS acceptance.

(joint return only)

Please check over the form carefully and make any changes needed prior to

Check box if

this is an

printing the form. Changes made after printing the form will not be reflected in the

this taxpayer

amended

barcode and may result in a delay in the processing of your return.

is deceased

511NR:

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

Check this box if you do not have an Oklahoma filing requirement and

Check this box if you do not have an Oklahoma filling requirement and are

City, State and Zip

are filing for refund of State withholding. (see instructions)

filing for refund of your Oklahoma withholding.(see instructions)

Single

* NOTE: If claiming Special Exemption, see instructions on page 8 of 511NR Packet.

Married filing joint return

(even if only one had income)

Regular

Special

Blind

Married filing separate

Add the Totals from

Yourself

the 4 boxes.

• If spouse is also filing,

Write the Total

in the box below.

list SSN and name in box:

Total

Spouse

Head of household with qualifying person

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 _________

Resident/Part-Year Resident/Nonresident

Yourself

Spouse

Age 65 or Over?

(Please see instructions)

State of Residence: Husband _________ Wife _______

Please Round to Nearest Whole Dollar

Begin Here

to arrive at Oklahoma Adjusted Gross Income. Lines 1-19: In the Federal column, enter the amounts from your Federal Tax Return.

See the instructions to figure the amounts to report in the Oklahoma column.

Federal Amount

Oklahoma Amount

Wages, salaries, tips, etc ..............................................................

Taxable interest income ................................................................

Dividend income ...........................................................................

Taxable refunds (state income tax)...............................................

Alimony received ..........................................................................

Business income or (loss) (Federal Schedule C) .........................

Capital gains or losses (Federal Schedule D) ..............................

Other gains or losses (Federal Form 4797)..................................

Taxable IRA distribution ................................................................

Taxable pensions and annuities ...................................................

Rental real estate, royalties, partnerships, etc .............................

Farm income or (loss) ...................................................................

Unemployment compensation ......................................................

Taxable Social Security benefits

.......

(also enter on line 2 of Sch. 511NR-B)

Other income (identify: ________________________________)

Add lines 1 through 15..................................................................

Total Federal adjustments to income (identify: ______________)

Oklahoma source income (line 16 minus line 17)......................

Federal adjusted gross income (line 16 minus line 17) ............

Oklahoma additions: Schedule 511NR-A, line 8 ..........................

NR-A

Add lines (Federal 19 and 20) and then (Oklahoma 18 and 20) ..

Oklahoma subtractions: Schedule 511NR-B, line 15 ....................

NR-B

Adjusted gross income: Okla. Source (line 21 minus line 22) .........

Adjusted gross income: All Sources

(line 21 minus line 22) Also enter on line 25

Form 511nr - Oklahoma Nonresident/part-Year Income Tax Return - 2011

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