2014 Form 511nr - Nonresident Part Year Income Tax Return
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12014 Form 511NR - Nonresident/Part-Year Income Tax Return - Page 2
Name(s) shown
Your Social
on Form 511NR:
Security Number:
Oklahoma Income Tax. (from page 1, line 19) ...................................................................
00
20
20
Credit for taxes paid to another state (enclose Form 511TX) nonresidents do not qualify
00
..
21
21
Form 511CR - Other Credits Form - List 511CR line number claimed here:
............
00
22
22
00
Line 20 minus lines 21 and 22 .............................................
...
(Do not enter less than zero)
23
23
Use tax due on Internet, mail order, or other out-of-state purchases while living in Oklahoma ..
24
24
00
If you certify that no use tax is due, place an ‘X’ here:
00
Balance (add lines 23 and 24) ..............................................................................................
25
25
Oklahoma withholding
(enclose W-2s, 1099s or withholding statement) .....
00
26
26
2014 Oklahoma estimated tax payments
27
00
If you are a qualified farmer, place an ‘X’ here:
.............
27
2014 payment with extension ...........................................................
00
28
28
Oklahoma earned income credit (Sch. 511NR-E, line 4) ..................
00
29
29
Credits from Form .............................a)
577 ....... b)
578 ........
00
30
30
Amount paid with original return plus additional paid after it was filed
31
(amended return only) ......................................................................
00
31
00
Payments and credits (add lines 26-31) ............................................................................
32
32
Overpayment, if any, as shown on original return and/or prior amended return(s) or as
33
previously adjusted by Oklahoma (amended return only) ....................................................
00
33
Total payments and credits (line 32 minus line 33) ...........................................................
00
34
34
If line 34 is more than line 25, subtract line 25 from line 34. This is your overpayment ......
00
35
35
Amount of line 35 to be applied to 2015 estimated tax
36
(original return only)
00
..
(see page 4 of 511NR Packet for further information)
36
Schedule 511NR-F provides you with the opportunity to make a financial gift from your refund to a variety of Oklahoma
organizations. Please place the line number of the organization from Schedule 511NR-F in the box below. If you give to
more than one organization, put a “99” in the box. Enclose Schedule 511NR-F.
Donations from your refund (Sch. 511NR-F, line 12) ........................
00
37
37
00
Total deductions from refund (add lines 36 and 37) .............................................................
38
38
Amount to be refunded (line 35 minus line 38)....................................................................
00
39
39
Direct Deposit Note:
Is this refund going to or through an account that is located outside of the United States?
Yes
No
Deposit my refund in my:
Verify your account and routing num-
bers are correct. If your direct deposit
Routing
checking account
fails to process or you do not choose
Number:
direct deposit, you will receive a debit
Account
card. See the 511NR Packet for direct
savings account
Number:
deposit and debit card information.
If line 25 is more than line 34, subtract line 34 from line 25. This is your tax due ...............
00
40
40
Donation: Eastern Red Cedar Revolving Fund (original return only) ................................
00
41
41
Donation: Public School Classroom Support Fund (original return only) ..........................
00
42
42
Underpayment of estimated tax interest (annualized installment method
) ..................
00
43
43
For delinquent payment add penalty of 5% ...................... $ ______________________
44
00
plus interest of 1.25% per month ......................................... $ ______________________
44
Total tax, donation, penalty and interest (add lines 40-44) ..................................................
00
45
45
Under penalty of perjury, I declare the information contained in this document, and all
Place an ‘X’ in this box if the Oklahoma Tax Commission
attachments and schedules, is true and correct to the best of my knowledge and belief.
may discuss this return with your tax preparer..................
Taxpayer’s signature
Date
Spouse’s signature
Date
Paid Preparer’s signature
Date
Paid Preparer’s address and phone number
Taxpayer’s occupation
Spouse’s occupation
Daytime Phone Number (optional)
A COPY OF FEDERAL RETURN
Paid Preparer’s PTIN
MUST BE PROVIDED.
Please remit to: Oklahoma Tax Commission, P.O. Box 26800, Oklahoma City, OK 73126-0800
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