State of Oklahoma
Tax Year 2014
Natural Disaster Tax Credit
576
(For residential real property owners only)
Read all information on the back of this form prior to completing the fields below. Keep a copy of this
form to file with your return for the next four years.
Social Security Number
Name (as shown on your income tax return)
Name of property owner(s)
Address of Property
-if different from above
Parcel Identification Number or Account Number
Legal Description of Property
(include county)
Enter the qualifying natural disaster which damaged or destroyed your Oklahoma residence. To qualify, a
Presidential Major Disaster Declaration must have been issued, unless the natural disaster was a tornado
occurring in calendar year 2012 or 2013 in which case a Presidential Major Disaster Declaration is not
Qualifying Oklahoma natural disasters for which a Presidential Major Disaster Declaration was
required.
issued can be found on FEMA’s website at
. The Declaration Type is ‘Major Disaster
Declarations’.
Oklahoma Natural Disaster
Date of Natural Disaster
Credit Computation
1
Enter the allowed ad valorem property tax paid on the property and on
improvements the first year after the improvement is complete ........................ ______________________
(If you increased the size of your home, see Line 1 instructions on the back of the
form to determine the amount to enter on this line)
2
Enter the ad valorem property tax paid on the property and on
improvements in year prior to the damage or destruction .................................. ______________________
Note: You must be the owner of record for each tax year the credit is claimed.
Refundable credit available for tax year 2014. (Subtract line 2 from line 1) ....... ______________________
3
Refundable credit available for tax year 2015. (Multiply line 3 by 80%) ............. ______________________
4
Refundable credit available for tax year 2016. (Multiply line 4 by 80%) ............. ______________________
5
Refundable credit available for tax year 2017. (Multiply line 5 by 80%) ............. ______________________
6
Refundable credit available for tax year 2018. (Multiply line 6 by 80%) ............. ______________________
7
The filing of this form authorizes the Oklahoma Tax Commission to verify the information contained herein with the applica-
ble County Assessorʼs and/or Treasurerʼs office.