Form 511 - Oklahoma Resident Income Tax Return - 2012 Page 3
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2012 Form 511 - Resident Income Tax Return - Page 3
NOTE: Enclose this page ONLY if you have an amount shown on a schedule.
Name(s) shown
Your Social
on Form 511:
Security Number:
Schedule 511-A
See instructions for details on
Oklahoma Subtractions
qualifications and required enclosures.
BACK TO PAGE 1
00
1
Interest on U.S. government obligations ......................................................................
1
Social Security benefits taxed on your Federal Form 1040 or 1040A ..........................
2
00
2
3
Federal civil service retirement in lieu of social security ...............................................
00
3
Retirement Claim Number: Taxpayer
Spouse
4
00
Military Retirement
............................................................
(see instructions for limitation)
4
00
5
Oklahoma government or Federal civil service retirement
....
(see instructions for limitation)
5
6
00
Other retirement income ...............................................................................................
6
U.S. Railroad Retirement Board benefits .....................................................................
00
7
7
00
8
Oklahoma depletion......................................................................................................
8
9
00
Oklahoma net operating loss ........................................................................................
9
10
00
Exempt tribal income ....................................................................................................
10
11
00
Gains from the sale of exempt government obligations ...............................................
11
12
00
Oklahoma Capital Gain Deduction (enclose Form 561) ...............................................
12
13
00
Miscellaneous: Other subtractions (enter number in box for type of deduction) .
CLICK HERE TO SELECT TYPE OF DEDUCTION
13
00
14
Total subtractions (add lines 1-13, enter total here and on line 2 of Form 511) .........
14
Schedule 511-B
See instructions for details on
Oklahoma Additions
qualifications and required enclosures.
BACK TO PAGE 1
1
State and municipal bond interest ...............................................................................
00
1
2
Out-of-state losses (describe ___________________________ )
00
2
Enter as a positive number .
3
Lump sum distributions (not included in your Federal Adjusted Gross Income) ........
00
3
4
Federal net operating loss -
..........................................................
00
4
Enter as a positive number
5
00
Recapture of depletion claimed on a lease bonus or add back of excess Federal depletion .....
5
6
00
Expenses incurred to provide child care programs .....................................................
6
7
00
Recapture of Contributions to Oklahoma 529 College Savings Plan and OklahomaDream 529 Account(s) ..
7
8
00
Miscellaneous: Other additions (enter number in box for type of addition) .......
8
CLICK HERE TO SELECT TYPE OF ADDITION
9
00
Total additions (add lines 1-8, enter total here and on line 6 of Form 511) ...............
9
Schedule 511-C
See instructions for details on
Oklahoma Adjustments
qualifications and required enclosures.
1
00
Military pay exclusion - Active Duty, Reserve and National Guard
...
1
(not retirement income)
BACK TO PAGE 1
2
Qualifying disability deduction .....................................................................................
00
2
3
Political contributions (limited to $100 [$200 for joint return]) ......................................
00
3
4
Interest qualifying for exclusion (limited to $100 [$200 for joint return]) .....................
00
4
Qualified adoption expense .........................................................................................
5
00
5
6
00
Contributions to Oklahoma 529 College Savings Plan and OklahomaDream 529 Account(s) ..
6
CLICK HERE TO SELECT TYPE OF DEDUCTION
7
Miscellaneous: Other adjustments (enter number in box for type of deduction)
00
7
8
Total adjustments (add lines 1-7, enter total here and on line 8 of Form 511) ..........
00
8
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