Form K-45 - Application For Carry Back Of Net Operating Loss Refund - 2010 Page 2
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1
2
3SCHEDULE III
KANSAS APPLICATION SCHEDULE
(See instructions)
Caution: If you are carrying a separate filing status loss to a joint filing status return, you must us Schedule IV (see instructions).
Third preceding taxable year ended
Second preceding taxable year ended
First preceding taxable year ended
_____________________, ______
_____________________, ______
_____________________, ______
Return as filed or
Liability after
Return as filed or
Liability after
Return as filed or
Liability after
liability as last
application of
liability as last
application of
liability as last
application of
determined
carry back
determined
carry back
determined
carry back
(E)
(F)
(G)
(H)
(I)
(J)
12. Kansas adjusted gross
13. Net operating loss deduction resulting from
carry back
14. Subtract line 13 from line 12
15. Total of itemized or standard deduction
16. Federal income tax deduction
17. Personal exemptions
18. Total (Add lines 15, 16 & 17)
19. Taxable income (Subtract line 18 from line 14)
20. Kansas tax liability
21. Nonresident allocation percentage
(Nonresidents only, from Nonresident
%
%
%
%
%
%
Allocation Percentage Schedule)
22. Nonresident tax
(Nonresidents only, multiply line 20 by line 21)
23. Kansas tax on lump sum distributions
24. Total
(Residents: Add lines 20 & 23;
Nonresidents: Add lines 22 & 23)
25. Credit for taxes paid to other states
26. Other credits
27. Total credits (Add lines 25 & 26)
28. Balance (Subtract line 27 from line 24)
29. Enter amounts from line 28, Columns F, H, & J
30. Decrease in tax (Subtract line 29 from line 28)
31. Allowable %
32. Refund Amount
NOTE: K.S.A. 79-32,117, provides that refunds of any federal income tax which results in a tax benefit during a prior year must be added to
the taxpayer’s Kansas return in the year such a refund was received. Therefore, it is necessary to report the federal refund, which is
derived from net operating loss carry back, investment credit carry back, etc. as income on the Kansas return in the year the federal
refund was received.
(Applicant’s signature and date)
(Signature of preparer and date)
(Signature of spouse and date)
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