Form 511 - State Of Oklahoma Income Tax Return - 2001 Page 2
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42001 Form 511 • page 2
PART THREE:
Tax, Payments and Credits
00
Total from line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19
00
Oklahoma child care credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
20
00
Credit for taxes paid to another state (enclose Form 511TX) . . . . . . . . . . . . . . . . . . . .
21
21
00
Other credits (511CR) . . . . . . . Please list 511CR line number claimed here
22
22
00
Balance (line 19 minus lines 20, 21 and 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
23
Oklahoma withholding (enclose W-2’s & 1099’s with withholding) . .
00
24
24
00
2001 Oklahoma estimated tax payments .
(qualified farmer
)
25
25
00
2001 payment with extension . . . . . . . . . . . . . . . . . . . . . . . . . .
26
26
00
Low Income Property Tax Credit (enclose Form 538-H) . . . . .
27
27
00
Sales Tax Relief Credit (enclose Form 538-S, see instructions)
28
28
00
May 3, 1999 Tornado Tax Credit (enclose Form 510) . . . . . . . .
29
29
00
Total payments and credits (add lines 24-29) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
30
PART FOUR:
Overpaid
00
Overpayment
31
31
Overpayment (if line 30 is greater than line 23)
. .
subtract line 23 from line 30
00
32
32
Amount from line 31 to be credited to your 2002 estimated tax . . . . . . . . . . . . . . . . . .
33
Donations from your refund:
a. Oklahoma Wildlife Diversity Program . . . . . . . . $2
$5
$_________
33a
00
00
b. Low Income Health Care Fund . . . . . . . . . . . .
$2
$5
$_________
33b
00
c. Veteran Affairs Capital Improvement Program
$2
$5
$_________
33c
00
33d
d. Oklahoma Breast Cancer Program . . . . . . . . .
$2
$5
$_________
00
33e
e. Oklahoma City Bombing Memorial Fund . . . .
$2
$5
$_________
00
33f
f. Oklahoma Organ Donor Education Fund . . . .
$2
$5
$_________
00
Refund
Amount to be refunded (line 31 minus lines 32 and 33 a-f) . . . . . . . . . . . . .
34
34
PART FIVE:
Tax Due
35
Tax Due (if line 23 is greater than line 30)
. . . . . . . .
Tax Due
00
subtract line 30 from line 23
35
36
Donation: Oklahoma organ donor education fund . . . . . .
$2
$5
$______
00
36
Underpayment of estimated tax . . . . . . . . . . . . . . . . (annualized installment method
)
00
37
37
00
38
For delinquent payment (add penalty of 5% plus interest at 1.25% per month) . . . . . .
38
00
39
Total tax, donation, penalty and interest (add lines 35-38) . . . . . . . .
Balance Due
39
Direct Deposit Option:
For instructions, please see page 27
in your Individual Resident Income Tax Packet.
Check the box above
Yes! Please deposit my refund in my
checking account
savings account
if the Oklahoma Tax
Routing Number:
Account Number:
Commission may
discuss this return with
your tax preparer.
Under penalty of perjury, I declare that the information contained in this document, attachments
and schedules are true and correct to the best of my knowledge and belief.
Taxpayer’s signature
Spouse’s signature
Paid Preparer’s signature
Date
Date
Paid Preparer’s address and phone number
Taxpayer’s occupation
Spouse’s occupation
Paid Preparer’s I.D. Number
The Oklahoma Tax Commission is not required to give actual notice to taxpayers of changes in any state tax law.
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