Form K-120 - Kansas Corporation Income Tax - 2014 Page 4

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PART II - ADDITIONAL INFORMATION
1. Did the corporation file a Kansas Income Tax return under the same
6. If this is a final return for Kansas, state the reason. If the
name for the preceding year? _____ Yes _____ No
corporation was liquidated or dissolved, state the IRC section under
If "no", enter previous name and EIN.
which the corporation was liquidated.
7. If your federal taxable income has been redetermined for any prior
years that have not previously been reported to Kansas, check the
2. Enter the address of the corporation's principal location in Kansas.
applicable box(es) below and state the calendar, fiscal, or short
period year ending date. You are required to submit, under separate
cover, the federal Forms 1139, 1120X, or Revenue Agent's Report
along with the Kansas amended return.
3. The corporation's books are in care of:
Revenue Agent's Report
Net Operating Loss
Name
Address
Amended Return
Years ended
Telephone
8. If you are registered with the Kansas Department of Revenue under
any other Kansas tax act, enter all registration or license numbers on
4. List each estimated tax payment and credit forward amount claimed
the applicable line.
on this return.
a. Sales Tax
Date
Amount
Date
Amount
b. Compensating Use Tax
c. Withholding Tax
d. Other (specify)
5. Has your corporation been involved in any reorganization during the
period covered by this return? _____ Yes _____ No
If "yes", enclose a detailed explanation.
PART III - AFFILIATED CORPORATIONS DOING BUSINESS IN KANSAS
Name of Corporation
Employer ID Number
(Enclose a separate sheet for additional corporations)
PART IV - SCHEDULE OF TAXES
(Include those taxes deducted on line 17 of the federal return. See instructions.)
1. Taxes on or measured by income or fees or payments in lieu of income taxes (include federal environmental tax; itemize).
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2. Total (Enter on line 3, page 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Total other taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Total taxes (Must equal line 17 of the federal return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART V - SCHEDULE OF INTEREST INCOME
(Include the interest from line 5 of the federal return)
1. U.S. interest income (describe type):
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2. Total (Enter on line 7, page 1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Total other interest income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Total interest income (Must equal line 5 of the federal return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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