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State of Oklahoma
Claim for Credit/Refund of Sales Tax
                                                                                                                                                                                                   538 s
                                                                                                                                                                                                                                        2




                                                                                                                                                                                              FORM
                                                                                                                                                         Instructions on reverse.
 Taxpayer Social
                                                                                                                                                                                                                                        0
                                                                                                                                                         Please read carefully as
Security Number
                                                                                                                                                                                                                                        0
                                                                                                                                                         an incomplete form may
 Spouse’s Social                                                                                                                                            delay your refund.
                                                                                                                                                                                                                                        8
Security Number
                                                                                                                                                        Part 1: Taxpayer Information
 Taxpayer first name, middle initial and last name
                                                                                                                                                        Physical address in 2008 (if different than shown in mailing address section)

 Spouse’s first name, middle initial and last name (if a joint return)

                                                                                                                                                             Check if you or your spouse have a physical disability
                                                                                                                                                         constituting a substantial handicap to employment (submit proof)
 Mailing address (number and street, including apartment number, or rural route)

                                                                                                                                                               Check if you or your spouse are 65 years of age or over
 City, State and Zip
                                                                                                                                                         Oklahoma resident for the entire year?                yes         no

 Part 2: Dependent and Exemption Information                                                                                      Note: Do not enter the taxpayer or spouse as a dependent.
                                                                                                                                                                                   Qualified Exemptions...
                                                                                               See Instructions
 1. Dependents                                                                                                                                              5.Yearly
   (first name, initial, last name) If you have
                                                                                                                                            4. Relationship Income
                                                                2. Age 3. Social Security Number                                                                                    A. Yourself ............................
   additional dependents, please attach schedule.

                                                                                                                                                                                    B. Spouse ............................
                                                                                                                                                                                    C. Number of your
                                                                                                                                                                                       dependent children ..
                                                                                                                                                                                    D. Number of other
                                                                                                                                                                                      dependents .............
                                                                                                                                                                                    E. Total exemptions
                                                                                                                                                                                       claimed (add A-D) ..

 Part 3: Gross Income:                                         Enter taxable and nontaxable gross income and assistance received by ALL members of your household in the year 2008.
See “Total gross household income” definition on back for examples of income.
                                                                                                                                                                                                 Yearly Income
 1. Enter total wages, salaries, fees, commissions, bonuses, and tips                                                                                                                  You may not enter negative amounts.
        (including nontaxable income from your W-2s) ........................................................................                                                      1                                               00
 2. Enter total interest and dividend income received .....................................................................                                                        2                                               00
 3. Total of all dependents’ income (from Part 2, column 5) ............................................................                                                           3                                               00
 4. Social Security payments (total including Medicare) .................................................................                                                          4                                               00
 5. Railroad Retirement benefits .....................................................................................................                                             5                                               00
 6. Other pensions, annuities and IRAs ..........................................................................................                                                  6                                               00
 7. Alimony ......................................................................................................................................                                 7                                               00
 8. Unemployment benefits .............................................................................................................                                            8                                               00
 9. 2007 Earned Income Credit (EIC) received in 2008 and Advanced EIC received in 2008.........                                                                                    9                                               00
10. Nontaxable sources of income (specify) ________________________________ ...................                                                                                   10                                               00
                                                                                                                                                                                       You may not enter negative amounts.
11. Enter gross (positive) income from rental, royalties, partnerships, estates & trusts, and gains
        from the sale or exchange of property (taxable & nontaxable) (enclose Federal return including schedules) ...                                                             11                                               00
12. Enter gross (positive) income from business and farm (enclose Federal return including schedules) .....                                                                       12                                               00
13. Other income -including income of others living in your household (specify) _________________                                                                                 13                                               00
14. Total gross household income (Add lines 1-13) ....................................................................... 14                                                                                                       00
        If line 14 is over income limits shown in steps 2 and 3 on back of this form, no credit is allowed.

 Part 4: Sales Tax Credit Computation                                                                      (For households with gross income below allowable limits, see steps 2 and 3 on back of form.)

15. Total qualified exemptions claimed in Box E above                                                                      x $40 (credit claimed) ..........                                                                        00
                                                                                                                                                                                  15
If you would like to                                                                                                                                                  If you are filing a Form 511, carry the credit to Form 511, line 27.
                            Direct Deposit Option: For those not filing a Form 511
have the amount
shown on line 15
                               Deposit my refund in my:                                        Routing
deposited directly
into your checking                                                                             Number:
                                               checking account
or savings account,
                                                                                              Account
please complete this
                                               savings account
“Direct Deposit                                                                               Number:
Option” section.
Under penalty of perjury, I declare that the information contained in this document and any attachments is true and correct to the best of my knowledge and belief.
                                                                                                                                                                          If the Oklahoma Tax Commission may discuss this return
                                                                                   Spouse’s Signature and Date
 Taxpayer’s Signature and Date                                                                                                                                                    with your tax preparer, please check here:

                                                                                                                                                                      Preparer’s Signature and Date
 Occupation                                                                        Occupation
Notice
  Persons who have received TANF (temporary assistance for needy families) for any month in the year of 2008 will not be
  eligible for the sales tax credit or refund. Your monthly TANF benefit included Sales Tax Relief money.

  The Department of Human Services will make sales tax refunds to persons who have continuously received aid to the aged,
  blind, disabled or Medicaid payment for nursing home care from January 1, 2008 to December 31, 2008.


                                                              Instructions
Follow the steps below to determine if you (or your spouse) are eligible to take the Sales Tax Relief/Credit.

    Step 1        Were you a resident of Oklahoma* (defined below) for the entire year?

                                                           STOP
                       GO     Yes (go to step 2)                   No (you do not qualify to file this form)

    Step 2        Is your total gross household income* (defined below) $20,000 or less?

                       GO                                  STOP
                              Yes (File Form 538-S)                No (go to step 3)

    Step 3        Is your total gross household income* (defined below) $50,000 or less and at least one of the following applies?
                       • You can claim an exemption for your dependent.
                       • You and/or your spouse are 65 years of age or older by 12/31/08.
                       • You have a physical disability constituting handicap to employment (provide proof* as defined in the section below)

                                                           STOP
                       GO     Yes (File Form 538-S)                No (you do not qualify to file this form)

Exceptions:
•  A person convicted of a felony and who is an inmate in the custody of the Department of Corrections for any portion of the year is not
   eligible to file a claim for the sales tax relief.
•  Individuals living in Oklahoma under a visa do not qualify for the sales tax relief.
•  If a taxpayer or spouse died during the tax year, he/she will not qualify for the sales tax credit. If the death occurred after December 31,
   2008, but before this tax form was filed, the sales tax credit or refund for the deceased will be issued to their estate. Enter the date of
   death in the address box following the first name of the decedent.

Dependents:
To qualify as a dependent for the sales tax credit or refund, you must qualify and be claimed as a dependent for Federal income tax pur-
poses. The name, social security number, age, relationship and yearly income (if any) must be entered for all dependents. All of the other
sales tax credit or refund requirements listed above must also be met (example: resident of Oklahoma for the entire year). Do not enter the
taxpayer or spouse as a dependent.

*Definitions for the purpose of this form:
Resident of Oklahoma is defined as a person legally domiciled in this state for the entire tax year.

Household means any house, dwelling or other type of living quarters.

Total gross household income means the total amount of gross income received by ALL persons living in the same household whether
the income was taxable or not for income tax purposes. This includes, but is not limited to, public assistance payments, support money
(example: child support), workmen’s compensation, school grants or scholarships, veteran’s disability compensation, loss-of-time insur-
ance payments and all of the types of income shown on the front of this form. Income that is exempt must be included in the year received,
for example: nontaxable sources of income on your W-2 (such as a dependent care reimbursement account), military housing assistance,
and the distribution of earnings from a Roth IRA. Note: Do not include income deferred for Federal Income Tax purposes, for example: tax
deductible contributions to a 401K or to a traditional IRA. This income will be included when distributed and taxed on your Federal return.

Proof of disability may be established by certification by an agency of State Government, an insurance company or a physician, or by eli-
gibility to receive disability benefits under the Federal Social Security Act. A veteran certified by the Veterans Administration of the Federal
government as having a service-connected disability shall constitute proof.

Filing instructions and due date:
If you are required to file an Oklahoma Income Tax Return, claim the sales tax refund as a credit on your tax return, Form 511, and enclose
this signed form. Your return claiming the sales tax credit must be filed no later than April 15th. (See note at bottom of page).

If you are not required to file an Oklahoma Income Tax Return, this form must be filed no later than June 30th. If you have withholding
or made estimated payments and are filing for a refund on Form 511, you must claim the sales tax credit on your return and enclose this
signed form. If you are not filing an income tax return, mail this completed and signed form to: Oklahoma Tax Commission, Post Office Box
26800, Oklahoma City, OK 73126-0800.
 Note: Extensions do apply to this form. If you have been granted an extension of time in order to file your income tax return (includ-
 ing the April 20th due date for electronically filed returns), file this form with your income tax return on or before the due date granted
 by the extension. Enclose a copy of the extension.

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Sales Tax Refund

  • 1. State of Oklahoma Claim for Credit/Refund of Sales Tax 538 s 2 FORM Instructions on reverse. Taxpayer Social 0 Please read carefully as Security Number 0 an incomplete form may Spouse’s Social delay your refund. 8 Security Number Part 1: Taxpayer Information Taxpayer first name, middle initial and last name Physical address in 2008 (if different than shown in mailing address section) Spouse’s first name, middle initial and last name (if a joint return) Check if you or your spouse have a physical disability constituting a substantial handicap to employment (submit proof) Mailing address (number and street, including apartment number, or rural route) Check if you or your spouse are 65 years of age or over City, State and Zip Oklahoma resident for the entire year? yes no Part 2: Dependent and Exemption Information Note: Do not enter the taxpayer or spouse as a dependent. Qualified Exemptions... See Instructions 1. Dependents 5.Yearly (first name, initial, last name) If you have 4. Relationship Income 2. Age 3. Social Security Number A. Yourself ............................ additional dependents, please attach schedule. B. Spouse ............................ C. Number of your dependent children .. D. Number of other dependents ............. E. Total exemptions claimed (add A-D) .. Part 3: Gross Income: Enter taxable and nontaxable gross income and assistance received by ALL members of your household in the year 2008. See “Total gross household income” definition on back for examples of income. Yearly Income 1. Enter total wages, salaries, fees, commissions, bonuses, and tips You may not enter negative amounts. (including nontaxable income from your W-2s) ........................................................................ 1 00 2. Enter total interest and dividend income received ..................................................................... 2 00 3. Total of all dependents’ income (from Part 2, column 5) ............................................................ 3 00 4. Social Security payments (total including Medicare) ................................................................. 4 00 5. Railroad Retirement benefits ..................................................................................................... 5 00 6. Other pensions, annuities and IRAs .......................................................................................... 6 00 7. Alimony ...................................................................................................................................... 7 00 8. Unemployment benefits ............................................................................................................. 8 00 9. 2007 Earned Income Credit (EIC) received in 2008 and Advanced EIC received in 2008......... 9 00 10. Nontaxable sources of income (specify) ________________________________ ................... 10 00 You may not enter negative amounts. 11. Enter gross (positive) income from rental, royalties, partnerships, estates & trusts, and gains from the sale or exchange of property (taxable & nontaxable) (enclose Federal return including schedules) ... 11 00 12. Enter gross (positive) income from business and farm (enclose Federal return including schedules) ..... 12 00 13. Other income -including income of others living in your household (specify) _________________ 13 00 14. Total gross household income (Add lines 1-13) ....................................................................... 14 00 If line 14 is over income limits shown in steps 2 and 3 on back of this form, no credit is allowed. Part 4: Sales Tax Credit Computation (For households with gross income below allowable limits, see steps 2 and 3 on back of form.) 15. Total qualified exemptions claimed in Box E above x $40 (credit claimed) .......... 00 15 If you would like to If you are filing a Form 511, carry the credit to Form 511, line 27. Direct Deposit Option: For those not filing a Form 511 have the amount shown on line 15 Deposit my refund in my: Routing deposited directly into your checking Number: checking account or savings account, Account please complete this savings account “Direct Deposit Number: Option” section. Under penalty of perjury, I declare that the information contained in this document and any attachments is true and correct to the best of my knowledge and belief. If the Oklahoma Tax Commission may discuss this return Spouse’s Signature and Date Taxpayer’s Signature and Date with your tax preparer, please check here: Preparer’s Signature and Date Occupation Occupation
  • 2. Notice Persons who have received TANF (temporary assistance for needy families) for any month in the year of 2008 will not be eligible for the sales tax credit or refund. Your monthly TANF benefit included Sales Tax Relief money. The Department of Human Services will make sales tax refunds to persons who have continuously received aid to the aged, blind, disabled or Medicaid payment for nursing home care from January 1, 2008 to December 31, 2008. Instructions Follow the steps below to determine if you (or your spouse) are eligible to take the Sales Tax Relief/Credit. Step 1 Were you a resident of Oklahoma* (defined below) for the entire year? STOP GO Yes (go to step 2) No (you do not qualify to file this form) Step 2 Is your total gross household income* (defined below) $20,000 or less? GO STOP Yes (File Form 538-S) No (go to step 3) Step 3 Is your total gross household income* (defined below) $50,000 or less and at least one of the following applies? • You can claim an exemption for your dependent. • You and/or your spouse are 65 years of age or older by 12/31/08. • You have a physical disability constituting handicap to employment (provide proof* as defined in the section below) STOP GO Yes (File Form 538-S) No (you do not qualify to file this form) Exceptions: • A person convicted of a felony and who is an inmate in the custody of the Department of Corrections for any portion of the year is not eligible to file a claim for the sales tax relief. • Individuals living in Oklahoma under a visa do not qualify for the sales tax relief. • If a taxpayer or spouse died during the tax year, he/she will not qualify for the sales tax credit. If the death occurred after December 31, 2008, but before this tax form was filed, the sales tax credit or refund for the deceased will be issued to their estate. Enter the date of death in the address box following the first name of the decedent. Dependents: To qualify as a dependent for the sales tax credit or refund, you must qualify and be claimed as a dependent for Federal income tax pur- poses. The name, social security number, age, relationship and yearly income (if any) must be entered for all dependents. All of the other sales tax credit or refund requirements listed above must also be met (example: resident of Oklahoma for the entire year). Do not enter the taxpayer or spouse as a dependent. *Definitions for the purpose of this form: Resident of Oklahoma is defined as a person legally domiciled in this state for the entire tax year. Household means any house, dwelling or other type of living quarters. Total gross household income means the total amount of gross income received by ALL persons living in the same household whether the income was taxable or not for income tax purposes. This includes, but is not limited to, public assistance payments, support money (example: child support), workmen’s compensation, school grants or scholarships, veteran’s disability compensation, loss-of-time insur- ance payments and all of the types of income shown on the front of this form. Income that is exempt must be included in the year received, for example: nontaxable sources of income on your W-2 (such as a dependent care reimbursement account), military housing assistance, and the distribution of earnings from a Roth IRA. Note: Do not include income deferred for Federal Income Tax purposes, for example: tax deductible contributions to a 401K or to a traditional IRA. This income will be included when distributed and taxed on your Federal return. Proof of disability may be established by certification by an agency of State Government, an insurance company or a physician, or by eli- gibility to receive disability benefits under the Federal Social Security Act. A veteran certified by the Veterans Administration of the Federal government as having a service-connected disability shall constitute proof. Filing instructions and due date: If you are required to file an Oklahoma Income Tax Return, claim the sales tax refund as a credit on your tax return, Form 511, and enclose this signed form. Your return claiming the sales tax credit must be filed no later than April 15th. (See note at bottom of page). If you are not required to file an Oklahoma Income Tax Return, this form must be filed no later than June 30th. If you have withholding or made estimated payments and are filing for a refund on Form 511, you must claim the sales tax credit on your return and enclose this signed form. If you are not filing an income tax return, mail this completed and signed form to: Oklahoma Tax Commission, Post Office Box 26800, Oklahoma City, OK 73126-0800. Note: Extensions do apply to this form. If you have been granted an extension of time in order to file your income tax return (includ- ing the April 20th due date for electronically filed returns), file this form with your income tax return on or before the due date granted by the extension. Enclose a copy of the extension.