Form 511nr - Oklahoma Nonresident/part-Year Income Tax Return - 2009 Page 5
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2009 Form 511NR - Nonresident/Part-Year Income Tax Return - Page 5
NOTE: Enclose this page ONLY if you have an amount shown on a schedule.
Name(s) shown
Your Social
on Form 511NR:
Security Number:
Worksheet for Amended Returns Only
(Form 511NR, Page 2, Line 42)
When amending Form 511NR you must adjust Form 511NR, line 42 (Oklahoma Income Tax Withheld) by
subtracting any previous overpayments or adding any tax previously paid. Use worksheet below.
BACK TO PAGE 2
1. Oklahoma income tax withheld
00
2. Amount paid with the original return plus additional paid after it was filed
00
(Do not include payments of underpayment of estimated tax interest)
3. Add lines 1 and 2
00
4. Overpayment, if any, shown on original return or as previously adjusted by Oklahoma
00
5. Subtract line 4 from line 3. Enter here and on line 42 of the amended Form 511NR
00
Donations from Refund
Schedule 511NR-F
This schedule allows you to make a donation from your refund to a variety of Oklahoma organizations. Information regarding each pro-
gram, their mission, how funds are utilized, and their mailing address are shown on the back of this form (Schedule 511NR-F Informa-
tion). If you are not receiving a refund, but would like to make a donation to one of these organizations, Schedule 511NR-F Information
lists the mailing address to mail your donation to the organization.
Please check the box associated with the dollar amount you are wishing to have deducted from your refund and donated to that orga-
nization. Then carry that figure over into the column at the right. When you carry your figure back to line 49 of Form 511NR, please list
the line number of the organization(s) to which you donated. If you donate to more than one organization, please write a “99” in the box
at line 49 of Form 511NR.
BACK TO PAGE 2
00
Oklahoma Wildlife Diversity Program ...............
$2
$5
$
...
1
?
1
00
Low Income Health Care Fund .........................
$2
$5
$
...
2
?
2
00
Oklahoma Breast and Cervical Cancer Fund ...
$2
$5
$
...
3
?
3
Oklahoma Silver Haired Legislature and
4
00
Alumni Association Programs ...........................
$2
$5
$
...
4
?
Support of Programs for Volunteers to Act
5
as Court Appointed Special Advocates
00
for Abused or Neglected Children.....................
$2
$5
$
...
?
5
00
Oklahoma Pet Overpopulation Fund ................
$2
$5
$
...
6
?
6
00
Support of the Oklahoma National Guard ........
$2
$5
$
...
7
7
?
00
Oklahoma Leukemia and Lymphoma Fund ......
$2
$5
$
...
8
?
8
Support of Programs for Regional Food Banks
9
00
in Oklahoma .....................................................
$2
$5
$
...
?
9
00
Total donations (add lines 1-9, enter total here and on line 49 of Form 511NR) ...........
10
10
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