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Your Social Security Number: Name(s) shown on Form 511NR: Schedule 511NR1 federal amount Oklahoma amount 1 Wages, salaries, tips, etc....................................................... 00 1 00

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Names shown refer to the individuals or entities that are displayed or listed on a particular document or form.

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The individuals or entities responsible for filing the document that contains the names shown are required to provide this information.

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Names shown should be filled out accurately and completely to ensure that all relevant parties are properly identified.

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