Affidavit
cancer
Credit for Manufacturers of Small Wind Turbines
educationalimprovement
Eligible
independentbiomedical
Qualifiedrailroad
Rural
scholarship granting
$1 000
$1 000
$100 000
$12 500
$2 000
$25 000
$4 000
$5 000
($2 000
($2 000
(405)
(A + B = C)
(A + B)
(COFT)
(enclose COFT s Form
(enclose Form 520) 6
(enclose Form 526 A) 15
(enclose Form 527 A) 5
(enclose Form 563) 30
(enclose Form 564) 33
(enclose Form 565) 34
(Form
(IECC)
(If completing multiple Forms 567 A; enter the totalamounts from all Part 1 Section A line 3 ) 3a
(IRC)
(OCIB)
(OTC)
(SBA)
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* Note: The credit has an overall cap If
00 00 00
00 00 00
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00 00 00
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00 00 00
00 00Not Applicable
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1 2009
1 2020 if the credits were obtained from the person who originally entered into such an agreement or by a subsequent
1 Oklahoma Investment/New Jobs Credit
1 Oklahoma Investment/New Jobs Credit(enclose Form 506) 1
10years
15 101
16 Credit for Electricity Generated by Zero Emission Facilities
17 Credit for Financial Institutions Making Loans Under the Rural Economic Development Loan Act
2 000
2 503 1j)
2 Coal Credit 2
20 Poultry Litter Credit
2014 Form 511CR page 3 (Do not mail pages 3 8 with your income tax return)
2014 Form 511CR page 4
2014 Form 511CR page 5
2014 Form 511CR page 6
2014 Form 511CR page 7
2014 Form 511CR page 8
21 Volunteer Firefighter Credit
22 Credit for Qualified Biodiesel Facilities
23 Film or Music Project Credit
2357 100
2357 101
2357 102
2357 104
2357 11
2357 13
2357 1A 2
2357 203
2357 206
2357 22
2357 25
2357 26
2357 27
2357 30
2357 301
2357 302
2357 303
2357 304
2357 32A
2357 32B
2357 34
2357 4
2357 40
2357 401
2357 402
2357 41
2357 41 The credit is to be equal to the amount of the Federal rehabilitation investment credit allowed under the Internal
2357 45
2357 46
2357 47
2357 59
2357 60
2357 65
2357 66
2357 67
2357 71
2357 76
2357 81
2358 7
2370 1
2370 3
24 Credit for Breeders of Specially Trained Canines
25 Credit for Wages Paid to an Injured Employee
26 Credit for Modification Expenses Paid for an Injured Employee
27 Dry Fire Hydrant Credit
28 Credit for the Construction of Energy Efficient Homes
29 Credit for Railroad Modernization
3 Credit for Investment in a Clean Burning Motor Vehicle Fuel Property
30 Research and Development New Jobs Credit
31 Credit for Stafford Loan Origination Fee(availableforbanksandcreditunionsfilingForm512)
32 Credit for Biomedical Research Contribution
33 Credit for Employees in the Aerospace Sector
34 Credits for Employers in the Aerospace Sector
37 Credit for Cancer Research Contribution
38 Oklahoma Capital Investment Board Tax Credit
39 Credit for Contributions to a Scholarship Granting Organization
4 Credit for Investment in Qualified Electric Motor Vehicle PropertyA
40 Credit for Contributions to an Educational Improvement Grant Organization
5 Small Business Capital Credit
501(c)(3)
5085 7
511CR
511CR
511CR
512) 31
520for
526 A
527 A
54006
567 A
572 along with an OTC acknowledgment of credits earned The transferee shall enclose these same forms with the Form
6 Oklahoma Agricultural Producers Credit
601 8862
7 5 cents
710:50
710:50 15 103
710:50 15 104
710:50 15 105
710:50 15 106
710:50 15 107
710:50 15 108
710:50 15 109
710:50 15 111
710:50 15 112
710:50 15 113
710:50 15 114
710:50 15 115
710:50 15 19
710:50 15 74
710:50 15 76
710:50 15 81
710:50 15 84
710:50 15 85
710:50 15 87
710:50 15 92
710:50 15 94
710:50 15 95
710:50 15 97
710:50 15 98
710:5015
a copy of the transfer agreement and OTC acknowledgement Note: This
A Credit for Breeders of Specially Trained Canines that was established in a prior year but not used due to the limitations
A Credit for Commercial Space Industries that was established in a prior year but not used due to the limitations provided
A Credit for Manufacturers of Small Wind Turbines that was established in a prior year but not used due to the limitations
A Credit for Stafford Loan Origination Fee that was established in a prior year but not used due to the limitations provided
A credit is allowed for the electronic funds transfer fee paid pursuant to the Drug Money Laundering and Wire Transmit
A Dry Fire Hydrant Credit that was established in a prior year but not used due to the limitations provided may be car
A Poultry Litter Credit that was established in a prior year but not used due to the limitations provided may be carried over
A Small Business Capital Credit that was established in a prior year but not used due to the limitations provided may be
A Small Business Guaranty Fee Credit that was established by a small business in a prior year but not used due to the
above
accept
accreditingassociation
acknowledgement
acknowledgement
acknowledgment
acknowledgmentof
Act 17
activityis
additional
adjustment
Administration
aerospace
Aerospace
affected
affiliated
afive
after
after
after
after
after
after
after January 1 2009 who has been awarded an undergraduate or graduate degree in engineering and who was notemployed as a full time engineer in the aerospace sector in Oklahoma immediately preceding current employment The
afterJanuary
against
agency only the transferor originally allowed the credit and not any subsequent transferee of the credit will be held liable
agreed
agreement
agreement
agreement
agreement
agreement
allocated
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed
allowed but not used will have a four year carryover provision A copy of the canceled check or receipt must be provided
alloweda
along
along
amount
amount
amount
amount
amount
amount
amount
amount annually
amountcontributed
amountequal
amountfor
amountpaid
amounts
An ethanol facility that established the 20 cent per gallon credit on or before December 31 2010 may claim the credit for
An Oklahoma Agricultural Producers Credit that was established in a prior year but not used due to the limitations pro
andamount
andprior
andRule
anInjured
aninvestment
annual
annual
annually
Any credit earned but not used based upon activity occurring on or after January 1 2014 may be partially refundable
anytaxpayer
applicable
appropriateline
asprovided
Attention members of pass through entities: Enter
attributable
average
banks
based
based on either an investment in depreciable property of at least $50 000 or on the addition of full time equivalent employees
basic
became
beclaimed
before
before
before
beginning
being
between
biodiesel
biomedical
Biomedical
board
Board
business
Business
Business
businessentity
businesses
businesses
but not used due to the limitations provided may be carried over The unused credit may be carried over for a period not
butnot
calculation
cancer
Cancer
Capital
Capital
Capital
Care Programs 9
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
carried
Carried Over from
carryover
carryover
carryover
carryover
carryover
carryover
carryoverprovision
certain
Certificate
Certificate
Certification
certified
certified
certified
certifies
charges
Child
Child
Child Care Services 10
citizens
claim
claim
claimed
claimed
claimed
claimed
claimed
claimed
claimed
claiming
Class
clean burning
close
Coal Credit
Codesection
Column A all
Column B all
Commission
Commission
Commission
commitment
company
compensable
compensation
compensationpaid
completed
comply
computation
conditions
conducting
consecutive
Conservation
construction
contact
contracting
contracting
contractor
contractor in
contribute
contribution
contribution
Contribution
contributions
Contributions
contributors
cooling
costs
coursework of a public school but enhances the curriculum or academic program of the school or provides early childhoodeducation programs to students Any credit allowed but not used will have a three year carryover provision If claiming the
created
Credit
Credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
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credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit
Credit 38
Credit Established
Credit for Breeders of Specially Trained Canines 24
Credit for Commercial Space Industries
Credit for Commercial Space Industries 11
Credit for Contributions to a Scholarship Granting
Credit for Employers Providing Child Care ProgramsA
Credit for Entities in the Business of Providing Child Care ServicesEntities
Credit for Financial Institutions Making Loans
Credit for Investment in a Clean Burning MotorVehicle Fuel Property (enclose Form 567 A)
Credit for Manufacturers of Electric Vehicles
Credit for Manufacturers of Small Wind Turbines 18
Credit for Qualified Ethanol Facilities
Credit for Qualified Recycling FacilityA
Credit for Qualified Rehabilitation Expenditures
Credit for Stafford Loan Origination Fee
Credit for Tourism Development or Qualified Media Production FacilityA
Credit from Form 567 A Part 1 Section A line 3
Credit from Form 567 A Part 4 line 4 3b
credit;
credit; include employee name social security number eligible wages paid and the number of days for which the eligible
creditallowed
creditclaimed
Creditor
credits
credits
credits
credits
credits
credits
credits
Credits
Credits generated prior to January 1 2014 may be freely transferable at any time during the 10 years following the
December
deduction
defined
degree
denied
Department
depreciable
designed
Development
Development
Development
Development
Development
directly
directors
disallowed
document
documentation
donated
donation
donation
doors;
Dry Fire Hydrant Credit 27
dueto
during
during
during
During CurrentTax Year
duties
eachof
earlier
earned
earned
earned
Economic
Economic
education
Education;
educational
efficient
Efficient
eight
electedto
election
election
election
election
electric
Electric
electricity
Electricity
electronic
eligible
eligible
eligible
eligible
eligible
eligible
eligible
Eligible
employed
employee
employee
employee
employee
employee
employee
employee
employee
Employee 25
Employee 26
employee s
employees
employeesand administrative staff and receive at least $15 million in National Institute of Health funding each year Any credit
employeewho
employer
employer
employer
employer
Employers
Employers
enable
enclose
Enclose
Enclose
Enclose
Enclose
Enclose
Enclose
Enclose
Enclose
Enclose this form and supporting documents with your Oklahoma tax return 511CRFORMSocial Security Number:
enclosed
ending
ending
Energy
energy
Energy
Energy
EnergyServices
engaged
engaged in manufacturing processing or aircraft maintenance A web search portal establishment may also qualify
engineering
enrollment
enter
Enter
Enter
Enter the number of Form(s) 567 A enclosed
entered
Enterprise
entities
Entities
entitled
equal
equal
equal
equipment
equipmentor
established
established
established
established
established
established
established
established
established
Establishes
Establishes
Establishes
estimated
estimated
ethanol
Ethanol
event
event
evidence
examiner
example:
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed
exceed$1 000
exceed$10 000
exceedthe
Except
excess
excluding
exempt
exempt
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exercisable
exercise
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existing
expended
expenditures
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Expenditures
expenses
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expenses
expenses
expenses
explanations
extensions
extent
extent
exterior
extracted
extracting
facilities
Facilities
Facilities
Facilities)
facility
facility
Facility
Failure
Federal EmployerIdentification Number:
filed
filing
filing
filing
filing
filing
filing
filing
Film or Music Project Credit (enclose Form 562) 23
financial
Firefighter
Firefighter
first
first
fiscal
five year
five year
fiveyear
fiveyears
focus
following
following
following
following
following
following
for the credit based on an investment in depreciable property of at least $50 000 The credit once established is also
Form569
Formation
forms
forthe
freely
freely
freely
freight
funding
funds
further
gallon
generate
generated
generated
Generated
government
graduate
graduated
grant
Grant
granted
grants
guaranty
hasincurred
heating
Higher
historic
Homes
Human
identifiable
improvement
improvement
Improvement
in which the credit may be claimed The credit is freely transferable to subsequent transferees upon the issuance of a
Incentive
include
includes
including
including
income
income
increase
incurred
incurred
incurred
incurred
independent
independent
indicate
individual
individuals
initial
injured
Injured
injury
innovative
innovative educational program is an advanced academic or academic improvement program that is not part of the regular
institute
institute
institute
institution
institution
institution
institutions
instruction
insulation
Internal
Internal
International
investment
Investment
Investment
Investment/New
investments
investments
investments
investments
is $0 0050 per kilowatt hour Credits may be claimed during a ten year period following the date the facility is placed
issued
January
January
January
January
joint
joint
kilowatt hours
later
leads
leased
least
legal
level
Leverage
light
limit
limitation
limitations
limitations
limitations
limitations:
limitationsprovided
limited
Local
located
located in this state For facilities placed in operation on or after January 1 2007 the credit for the electricity generated
loss;
maintained
makes
makes
manufacturer s
Manufacturers
Manufacturers
manufacturing operations in Oklahoma An additional credit is allowed for Oklahoma mined coal purchased
married
married
materialor
maximum
may not have been employed as a full time engineer in the aerospace sector in Oklahoma immediately precedingemployment
maybe
maybe
means
means
means
meansan
Media
Media Production Facility 12
medical
medical
medical
metal
million
mined
mining
Modernization 29
modification
modification
Modification
modify
month
month
months
months
motor
Motor
multiple
music
Name as shown on return:
Name as shown on return: Social Security/Federal Employer Identification Number:
nameand
national
necessary
Network
nonprofit
not for profit
Note: This
Notice
notify
November
November
number
number
Number of Form(s) 567 A
obtain
occurred
ofcredits
ofForm
ofthe
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma
Oklahoma Agricultural Producers Credit
Oklahoma Local Development and Enterprise Zone Incentive Leverage Act Credit
operation
order
order
organization
organization
organization
organization
organization
organization
organization
Organization
originally
originally
originally
orvisit
OSSec
OSSec
other
Other Credits Form
Other Credits Information
Other Credits Information
Other Credits Information
outside
partially
pass through
payment
payment
payment
payroll
payroll eligible for the credit The credit may be claimed for any number of years necessary until the total amount of credits
peer reviewed
percentage
percentage
period
period
period
period
period
period
period
period
period
period
period
period
period
permit
person
perton
physician
placed
Poultry Litter Credit 20
power
prepayment
prepayment
price
primarily
primarily
primary
principal
prior
prior
prior
prior
prior
prior
prior
Prior Year(s)
private
produced
producedafter
producing
production
production
production
profit
program
programs
Programs
project
promulgated
proof
property
property
property
property
provided
provided
provided
provided
provided
provided
provided
provided
provider
provides
Providing
Providing
provision
provision
provision
provision
provision
provision
public
publish
purchased
pursuant
pursuant
qualification
qualification
qualification
qualification
Qualified
qualified
qualified
qualified
qualified
qualified
qualified
qualified
qualified
qualified
Qualified
Qualified
Qualified
qualifiedexpenditures
qualify
qualify
questions
railroad
railroad s
railroadinfrastructure including track roadbed bridges industrial leads and track related structures or 2) new construction ofindustrial
raising
rating
reached
reachedmaximum
receipts
receive
received
receives
recognized
reconstruction
reconstruction
recycling
reduce
reduced
reduced
refundable
registered
rehabilitation
reimbursed
reimbursement
reinvest
repay
replacement
replacement
reported
request
required enclosures
research
research
research
Research
Research
residential
residential
Residential
restricted
result
result
return
return)
return)
Revenue
Revenue
Review
Rule710:50 15 107
Rule710:50 15 99
Rural
Rural
Rural Small Business Capital CreditA
schedule
schedule
scholarship granting
scholarship granting
school
schools
Sec 2357 11 (B) provides a coal credit for the purchase of Oklahoma mined coal to businesses providing water heat
secondary
Sector
sector
security
See instructions for details on qualifications and
see instructions on page 5) 21
service
services
shall
shall
shall
shall
shall
shall
shallhave
share
should
shouldbe
showing
showing
sidings
signatures
signedCouncil
single
skylights;
Small
Small
Small Business Capital Credit
Small Business Guaranty Fee Credit(enclose Form 529) 7
Small Business Guaranty Fee CreditAny
social
sold disposed of or transferred Any credit allowed but not used may be carried over in order to each of the four years
solely
specific
specified
specified
spurs
square
standards
Starprogram
State
state A valid permit issued by the Oklahoma Department of Mines must be held The credit provided in this paragraph will
State of Oklahoma
State s
statute
Statutes
Statutes
sticker
structure
subject
subject
subsequent
subsequent
subsequent years if the level of new employees is maintained Any credit allowed but not used may be carried over in or
subsequently
supplement
supplements
supporting
switches
system
system;
tax exempt
taxable
taxable
taxableincome
taxation
taxpayer
taxpayer
taxpayer
taxpayer
taxpayer
taxpayer
taxpayer
taxpayer
taxpayers
The amount of credit shall be limited to the product of $2 000 and the number of miles of railroad track owned
the amount of the gross wages paid to the employee beginning when the employee returns to work with restricted duties
the standard of cancer clinical care in Oklahoma through peer reviewed cancer research and education as its primaryfocus; be either an independent research institute or a program that is part of a state university which is a member of The
the transfer agreement Form 572 along with an OTC acknowledgment of credits earned For each home enclose proof
the transfer agreement Form 572 along with an OTC acknowledgment of credits earned If you are the transferee enclose
the2003
theamount
Thecredit
thefinancial
theinitial
their
theOklahoma Child Care Facilities Licensing Act The credit will not be allowed for any amounts for which the entity claims
there
thereafter
these
thetransfer
thetransferee
those
those
three
three
three year
through
times
Title
toany
toexceed
tools
tools
total
total
total
Total (add lines 1 through 40) 41
Total Allowable
Total Available
Tourism
Training s
transfer
transfer
transfer
transfer
transfer
transferable
transferable
transferee
transferee
transferee
Transferees
transferred
transferred
transferredto
Transportation
treating
tuition
twenty year
under
under
under
under
unions
unrelated
unused
unused
unused
unused
unused
unused
unused
unused
Unused Credit
useddue
utilized
vehicle
Vehicle Property (placed in service before July 1 2010) 4
Vehicles
Vehicles 36
vided
Volunteer
wages
Wages
was established in a prior year but not used due to the limitations provided may be carried over The unused credit may be
website
which
which
which
which
which
which
which
which
which
which distributes scholarships so an eligible student or an eligible special needs student can attend an elemen
whichcontributes
whose
windows
Wire Transfer Fee Credit
Wire Transfer Fee Credit 35
with this return for 3a and 3b
within
workplace
would
written
www coft oklahoma org
year Any credit allowed but not used will have a four year carryover provision A copy of the canceled check or receipt
year;
year2010
years
years
years
years
years
years
years
years
years
years
years
years
years
years
years
years
years
years
years
zero emission
Zero Emission
ZoneIncentive Leverage Act Credit 13