Form 511nr - Oklahoma Nonresident/part-Year Income Tax Return - 2009 Page 2

Download a blank fillable Form 511nr - Oklahoma Nonresident/part-Year Income Tax Return - 2009 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 511nr - Oklahoma Nonresident/part-Year Income Tax Return - 2009 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

#1695#

2009 Form 511NR - Nonresident/Part-Year Income Tax Return - Page 2

Name(s) shown

Your Social

on Form 511NR:

Security Number:

Adjusted gross income: All Sources (from page 1, line 24) ..................................

Oklahoma

Standard

Oklahoma Adjustments (Schedule 511NR-C, line 8) ...............................................

NR-C

Deduction:

• Single or

Income after adjustments (line 25 minus line 26) ....................................................

Married Filing

Oklahoma standard or Federal itemized deductions .........

Separate:

Exemptions

.....

($1000 x number of exemptions claimed on page 1)

$4,250

Total deductions and exemptions (add lines 28-29) ................................................

• Married

Filing Joint

Oklahoma Taxable Income: (line 27 minus line 30) ..............................................

or Qualifying

Oklahoma Income Tax from Tax Table.....................................................................

Widow(er):

If using Farm Income Averaging, enter tax from Form 573, line 23 and enter a “1” in box.

$8,500

If paying the Health Savings Account additional 10% tax, add additional tax here and enter a “2” in box.

• Head of

STOP AND READ: If line 24 is equal to or larger than line 19, complete line 33. If line 24 is smaller than line 19, see Schedule 511NR-D.

Household:

Oklahoma child care/child tax credit (see instructions) ...........................................

$6,375

NR-D

Subtract line 33 from line 32 (This is your tax base) ...............................................

Itemized

Tax percentage:

Oklahoma Amount (from line 23)

Federal Amount (from line 24)

•

Deductions:

•

Enclose a

copy of the

Oklahoma Income Tax. Multiply line 34 by line 35 ................................................

Federal Sch.

Credit for taxes paid to another state (enclose Form 511TX)

nonresidents do not qualify

Other nonrefundable credits (511CR) -

List 511CR line number claimed here:

Line 36 minus lines 37 and 38 .................................................................................

Use Tax. Check here if no use tax is due:

........................................................

If filng an

amended

Balance (add lines 39 and 40) .................................................................................

return,

Oklahoma withholding

(enclose W-2s, 1099s or withholding statement) ..

complete

WORKSHEET

2009 Oklahoma estimated tax payments ..........................

worksheet

If you are a qualified farmer, check here:

on page 5 of

Form 511NR.

2009 payment with extension ............................................

Oklahoma earned income credit (Sch. 511NR-E, line 4) ...

NR-E

Total payments and credits (add lines 42-45) ......................................................

For further

If line 46 is more than line 41, subtract line 41 from line 46. This is your overpayment .

information

Amount of line 47 to be applied to 2010 estimated tax .....

regarding

Donations from your refund

(Sch. 511NR-F, line 10)

estimated tax,

Total deductions from refund (add lines 48 and 49) ................................................

see page 3 of

instructions.

Amount to be refunded (line 47 minus line 50).......................................................

Want a Faster Refund?

Is this refund going to or through an account that is located outside of the United States?

Yes

(See Page 32 of instructions to see if you qualify for Direct Deposit)

Elect to have your refund directly deposited

into your checking or savings account.

Deposit my refund in my:

checking account

savings account

Only one refund can be deposited per

Routing Number:

account per tax season. For more

Account Number:

information, see page 32 of instructions.

If line 41 is more than line 46, subtract line 46 from line 41. This is your tax due .52

Underpayment of estimated tax interest ......

.....53

(annualized installment method

)

Delinquent payment (add penalty of 5% plus interest at 1.25% per month) ... 54

Total tax, penalty and interest (add lines 52-54) ............................................. 55

Under penalty of perjury, I declare the information contained in this document and all attachments is true and correct to the best of my knowledge and belief.

Taxpayer’s signature

Spouse’s signature

Paid Preparer’s signature

Date

Paid Preparer’s address and phone number

Date

Taxpayer’s occupation

Date

Spouse’s occupation

Daytime Phone Number (optional)

Check box if OTC may discuss this return with your preparer.

COPY OF FEDERAL RETURN