Form K-41 - Kansas Fiduciary Income Tax - 2006 Page 5
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52006
COPY A
K-18
To Be Filed with
FIDUCIARY REPORT OF NONRESIDENT BENEFICIARY TAX WITHHELD
Beneficiary's Kansas
(Rev. 7/06)
Income Tax Return
KANSAS DEPARTMENT OF REVENUE
ENDING DATE OF ESTATE OR TRUSTS TAX YEAR__________________________________
NAME OF ESTATE OR TRUST
NONRESIDENT BENEFICIARY'S SHARE OF DISTRIBUTABLE INCOME
NONRESIDENT BENEFICIARY'S NAME
SOCIAL SECURITY NO.
FROM KANSAS SOURCES:
Ordinary income........................................$_______________________
Modifications as if Kansas resident...........$_______________________
STREET ADDRESS OR RURAL ROUTE
*
Amount of tax withheld..............................$_______________________
*
Enter this amount on the "Kansas Income Tax Withheld" line of the Kansas Individual
Income Tax return.
CITY
STATE
ZIP CODE
2006
COPY B
K-18
For Beneficiary's Record
FIDUCIARY REPORT OF NONRESIDENT BENEFICIARY TAX WITHHELD
(Rev. 7/06)
KANSAS DEPARTMENT OF REVENUE
ENDING DATE OF ESTATE OR TRUSTS TAX YEAR__________________________________
NAME OF ESTATE OR TRUST
NONRESIDENT BENEFICIARY'S SHARE OF DISTRIBUTABLE INCOME
NONRESIDENT BENEFICIARY'S NAME
SOCIAL SECURITY NO.
FROM KANSAS SOURCES:
Ordinary income........................................$_______________________
STREET ADDRESS OR RURAL ROUTE
Modifications as if Kansas resident...........$_______________________
Amount of tax withheld..............................$_______________________
CITY
STATE
ZIP CODE
2006
COPY C
K-18
For Fiduciary's Record
FIDUCIARY REPORT OF NONRESIDENT BENEFICIARY TAX WITHHELD
(Rev. 7/06)
KANSAS DEPARTMENT OF REVENUE
ENDING DATE OF ESTATE OR TRUSTS TAX YEAR__________________________________
NAME OF ESTATE OR TRUST
NONRESIDENT BENEFICIARY'S NAME
SOCIAL SECURITY NO.
NONRESIDENT BENEFICIARY'S SHARE OF DISTRIBUTABLE INCOME
FROM KANSAS SOURCES:
Taxable income........................................$_______________________
STREET ADDRESS OR RURAL ROUTE
Modifications as if Kansas resident...........$_______________________
Amount of tax withheld..............................$_______________________
CITY
STATE
ZIP CODE
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